To increase range of movement throughout her right upper limb.
To increase the orientation and precision in her ability to grasp and release.
To increase fine movements with the right hand and fingers.
Fine motor skills exercises
Grasping and releasing
Increase range of movement through play.
Increase spontaneous use through play with her stronger arm casted
The Science-y Bit
Darcie’s main goals were to increase awareness and use of her right upper limb to reduce the learnt non-use. The use of a lightweight cast on her stronger arm for 3 weeks encouraged her to focus on using her right upper limb providing positive reinforcement throughout to allow Darcie to meet her goals.
We used similar repetitive shaping tasks daily with Darcie to encourage and achieve the movements required to enable her to complete functional tasks more independently. The high intensity and repetitive use of Darcie’s affected upper limb over a relatively short period of time had produced a lasting change.
General Usage Items
Arm Use Items
Fine Motor Adjustment
Increased awareness and spontaneous use which enables Darcie to complete functional bimanual tasks independently such as getting dressed.
Increased range of movement throughout her right upper limb enabling Darcie to feed herself.
Darcie’s coordination improved so now she has much more precision when carrying out tasks.
Darcie has perfected pincer grip which will enable her to complete fine motor tasks more easily including threading, buttons, zips etc.
The Therapists Feedback
Darcie has been a pleasure to work with. She has demonstrated good motivation throughout her CIMT programme ensuring lots of laughs and giggles for everyone. - Olivia, Darcie’s therapist