1. Eating Self-Help Tools
(1) Fork and Chopsticks Self-Help Tools
(1)Fork and spoon with extended handles: for patients with limited shoulder and elbow movement who cannot reach the bowl or the mouth
(2)Fork and spoon with thickened handles: for patients who have limited finger flexion or a weak grip The thickened handles are easy for patients to hold and increase the stability of the hold( Figure 3-3-1)
(3)Fork and spoon with curved handles: for patients with poor wrist and hand control who have difficulty in reaching a fork or spoon. Figure 3-3-1)
(3) Forks and spoons with curved handles: for patients who have poor wrist and hand control and cannot reach the proper angle between the fork or spoon and the dish or mouth, the angle of the fork and spoon can be changed to meet the needs of the patient (Figure 3-3-2)
(4) Multi-functional forks and spoons: the tip can be used as a fork and the back can be used as a spoon, which avoids patients from the trouble of changing the fork and spoon frequently
(5) Forks and spoons with a "C" handle. Forks and spoons with "C"-shaped handles: for patients with poor finger grip who cannot hold the handles of forks and spoons, the four fingers are inserted into the hollow part of the "C"-shaped handle
(6)Forks and spoons inserted in the universal cuff: also for patients with poor finger grip who cannot hold the handles of forks and spoons, the tip can be used as a fork and the back can be used as a spoon. The fork and spoon can be fixed in the palm with the universal cuff for patients who cannot grip the handle of the fork and spoon
(7)Wrist dorsal extension splint with the universal cuff: for patients who have low grip function of both the wrist and the fingers (Fig. 3-3-3)
(8)Chopsticks with springs at the upper end: a spring is added at the upper end of the chopsticks, and the tension of the spring will make the chopsticks separate automatically when you let go of your hand. Chopsticks can be separated automatically after releasing the hand due to the tension of the spring, which is suitable for patients who have muscle strength in the flexor muscles of the fingers but have weakness in the extensor muscles or are unable to release the chopsticks on their own
(Fig. 3-3-4)
(2)Plates, bowls, cups, and cups for self-help utensils
(1)Separated and recessed plates: The plates can be separated from each other, and the edges of the plates are y recessed and close to the vertical, which makes it less likely that the food will be discharged out of the plate when it is taken with a spoon. For patients who can only eat with a spoon in one hand
2) Dish stopper and a dish with a raised edge at one end: This prevents food from being pushed out of the dish by the patient (Figures 3-3-5 and 3-3-6)
3) Bowl with a negative-pressure suction cup: A negative-pressure suction cup on the bottom of the bowl prevents the bowl from being pushed out by the raised edge of the bowl, which prevents the food from being pushed out of the bowl
4) Bowl with a "C" cup: This prevents the bowl from being pushed out of the dish by the patient by having a deep, nearly vertical edge. Cup with "C" handle: For patients with poor grip strength, the cup is used by inserting all four fingers together into the hollow part of the "C"
(5)Cup with "T" handle: Also suitable for patients with poor grip strength. Also suitable for patients with poor grip strength, the middle ring finger is placed on the top and bottom of the horizontal beam of the "T"-shaped handle, and the cup can be picked up by clamping it
(6)Cup with straw clip and straw: the straw clip is fixed on the rim of the cup, and the straw passes through the clip, and the length and shape of the straw can be adjusted according to the patient's needs, which is suitable for patients who are unable to hold the cup
(6) Cup with straw clip and straw: the straw clip is fixed on the rim of the cup, and the straw passes through the clip. The length and shape of the straw can be adjusted according to the patient's needs. It is suitable for patients who are unable to hold the cup
(7)Cup with a spout on the lid: It is suitable for patients who have tremor in the upper limbs or have low coordination
(3)Special type of knives: When the finger strength is weak, and you cannot press down on the back of the knife to cut with the palm surface of the finger, you have to use the strength of your whole hand and arm to cut, and this type of knife can also be used for chopping vegetables in the kitchen
(1) Inverted "T"-shaped saw: the use of vertical and increased pressure and saw-shaped blade to overcome the difficulties of cutting
(2) "work"-shaped rocking knife: not only can be used to use the force of downward pressure, but also can be used to cut the power of rocking to the sides
(2) "work"-shaped rocking knife: not only can use the force of downward pressure, but also can use the power of rocking to both sides
(3) "L"-shaped knife: you can hold the handle of the knife with your hand to shake (Figure 3-3-7)
(4) saw knife: you can use the strength of the hand and arm and the advantage of the blade in the shape of a saw to overcome the difficulties in cutting
2. Dressing self-help tools (1) Dressing stick: the end of the stick with an "L"-shaped hook, you can pull up the clothes you want to wear, you can also push down the clothes you want to take off
(2)Button fastener: composed of a wire ring and handle, use the handle, the first will be the wire ring through the button hole after the set of buttons, and then the wire ring with the buttons from the button hole to pull out the wire ring, the last wire ring and the buttons to be disengaged, the buckle button The action is completed
(Figure 3-3-8)
(3)Pull-lock ring: a ring worn into the pull-lock holes, the patient will be able to pull the pull-lock by sticking his finger into the ring for patients with poor finger grasping and pinching function
(4)Sock wearing self-help: an elastic plastic sheet, narrow at the bottom and wide at the top, with two bands tied at the edge of the wide mouth, the use of the socks will be from the narrow mouth to the wide mouth of the plastic sheet, the feet from the wide mouth to the wide mouth of the sock sleeve. Plastic sheet, the foot from the wide mouth into the foot to enter the socks will be pulled out of the plastic sheet to complete the sock action (Figure 3-3-9)
(5) Tie shoelace self-service
3. combing and grooming self-service
(1) mirror comb self-service
(1) have an extension of the handle and bent at a certain angle of the comb, suitable for shoulder and elbow joints restricted movement, the hand is not able to reach the head of the patient (Figure 3-4)
(2)
(4)
(3)
(4)
(5)
(6)(7) (Figure 3-3-10)
2)Mirrors with extended handles that can be used by patients to check the integrity of their skin
3)Mirrors with handles made of serpentine tubing and equipped with "C" shaped clips on the handles, which are easy for patients to grip and the angle can be adjusted according to the patient's needs
4)Self-help devices with extended handles that are bent to a certain angle
4)Comb inserted in the universal cuff: for patients with poor finger grip function who cannot hold the comb
(2)Cleaning and hygiene self-help 1)Toothbrush inserted in the universal cuff: for patients with poor finger grip function who cannot hold the toothbrush
2)Nail clippers with a base: for patients who are not able to complete the finger-to-palm or palm-to-palm strength is weak, using the palm or wrist joint to press the nail clippers to The base is fixed to the table with suction cups (Figure 3-3-11)
(3)Electric razor with "C" shaped handle: for patients who cannot hold the razor firmly because of poor finger grip function
(4)Self-help kit for patients who cannot get out of bed or who cannot leave the wheelchair
(5)Nail clipper: for patients who cannot use a wheelchair or who are unable to use a wheelchair or other equipment for cutting their fingernails by using their palms or wrists. Get out of bed or away from the wheelchair and other mobile patients with difficulties commonly used fetch one end of the trigger-type control handle, the other end of the fork-shaped clip, pull the control handle, the other end of the clip that is closed, you can grasp the items needed, the length of the patients need to choose (Figure 3-3-12)
4. Toilet self-help
(1) anal stimulator, defecation dysfunction with the Handheld this device to stimulate the anus to cause defecation, the top of the inserted anal pessary
(2) toilet paper holder, is a special metal clip, so that the upper limb activities of patients with poor function, you can hold the toilet paper for perineal cleansing
(3) easy to open the type of urethra forceps, the use of leverage, with less force can be open the urinary catheter
(4) to help up the type of commode, the lower limbs weak or elderly and frail patients sitting down for a long time. or elderly and frail patients who have difficulty in standing up after sitting for a long time, when standing up with this commode, the two upper limbs can be used to press the horizontal bar erected on both sides of the commode, and the sitting circle will be lifted up, which will help the patients to stand up and leave the commode
5. Bathroom self-help appliances
(1) "U"-shaped back scrub brush, a sponge scrubber or a sponge brush with a prolonged handle and angle, used for scrubbing difficult to brush the back of the back brush. Brush, used to brush the back of the difficult to brush (Figure 3-3-13)
(2) for patients who have difficulty bathing, can be used to special bathing chair or bathing bed, they are made of plastic and stainless steel, sitting board in the middle of the holes or made of fence type, the patient with the aid of the water temperature control valve with one hand with a hose operated by the head of the cage to bath their own
If there is no special bathing chairs, the bathtub should be placed in a non-slip mat, with a pool inside and outside of the attached Non-slip mats, inside and outside the pool with solid handrails
(3) shower wheelchair
6. Reading and writing self-help
(1) page turner: C-shaped clip inserted into a rubber-tipped pencil made of wrist control to turn the pages of the book
Hand inflexibility of the book difficult to turn the book patients can be in the forefinger on the set of half of a rubber finger sleeve to help turn the book
(2) typing self-help device: finger movement is not flexible or finger weakness when the use of "C" shaped folder inserted with a rubber-tipped pencil made of (Figure 3-3-14)
(3) ping-pong ball thickened pens
(4) plastic material made of pen holders, respectively, will be inserted into the corresponding pen thumbs and index finger hole (Figure 3-3-15)
(5) easy to maintain the fingers to the palm position of the pen holder (Figure 3-3-16)
(6) bed reading frame: from both sides of the bed upward support in the bedridden patients eye in front of the shelf can be clamped books, so that bedridden patients to read; the patient can also bring a kind of rhombus-shaped glasses, for long-term bedridden patients to read with these patients, these patients These patients look up at the ceiling, it is difficult to read books and television, this mirror through the prism refraction principle, can allow patients to see the TV placed at the foot side of the bed and other things
7. Communication self-help
(1) with a C-shaped folder of the phone is suitable for grasping difficulties can not hold the handset of the patient
(2) by the snake tube to support the microphone
(3) dialer: for patients who have difficulty dialing numbers due to finger dexterity
(3) Dialer: for patients who have difficulty dialing numbers due to finger dexterity
(1) with a C-shaped clip, the phone is used in the bed-restricted patients who have difficulty in reading books and television. Patients who have difficulty dialing numbers due to finger dexterity
8. Kitchen self-help appliances
(1)A special cutting board with vertical upward nails to hold vegetables, such as potatoes and onions, in place, and with right-angled stoppers around the edges of the board to prevent the vegetables from slipping out (Fig. 3-3-17)
(2)Brushes fixed to the wall of the sink for patients who have the ability to use only one hand
(3) A brush with negative-pressure suction to hold vegetables in place. The brush with a negative-pressure suction cup is fixed to the wall of the washing tank so that washing potatoes, cucumbers, and other fruits can be easily accomplished with one hand (Figure 3-3-18)
(3)Bottle-cap opener with non-slip pads on the top and bottom for patients with weakened grip strength (e.g., patients with peripheral nerve injuries, such as those with SCI) (Figure 3-3-19)
(4)Pot handle holder: prevents the pot from moving when stirring (Figure 3-3-17)
(4)Pot handle holder: prevents the pot from moving when stirring (Figure 3-3-17)
(5)Pot handle holder. Prevents the pot from moving while stirring (Figure 3-3-20)
(5) Pourer
9. Mobility Self-Help
(1) Transfer board made of a hard material such as wood or fiberglass, which is erected between the two transfer surfaces during the transfer process
(2) Rope ladder made of rope that is fixed at the end of the bed to assist in position change from supine to sitting position
10. Recreational self-help (1) common for the cardboard fixation frame for a bar groove of the wooden bracket, the application of the cardboard inserted in the groove, suitable for the poor hand grip can not hold playing cards for the application of the patient
(2) gardening self-help (Figure 3-3-21)
11. Quadriplegia commonly used self-help
(1) mouth stick and head stick: mouth stick is a wooden or aluminum alloy rod, one end of the occlusion of the stick or head stick: the mouth of the rod is a wooden rod or aluminum alloy rod, one end of the bite. Aluminum alloy rod, one end of the bite piece can be used to bite the mouth, one end of a number of replaceable connectors, such as pencils, brushes, turning pages of the eraser head, etc., when not in use can be placed on the shelf tetraplegia can use the mouth stick to touch a variety of buttons to turn the pages of the book, writing and painting, etc. head stick by the fixed in the head of the ring in the hoop extends out and points to the front of the stick made of the end of the rod with the same structure of the mouth stick, the object of the application of the mouth stick and the mouth stick is similar, but only when the operation Not use the mouth and use the head
(2) environmental control system (environmentalcontrolsystem, ECS) is a help patients with severe disabilities selective control and use of household appliances or other equipment central control system, you can use the fingers of the mouth stick breathing (through a straw) sound and other ways to touch a variety of buttons, lights in the surrounding environment, telephone, radio, television, electric doors, electric beds, etc. Telephone radio television electric door electric bed electric curtains, etc. control, suitable for quadriplegia but can be applied to the head stick or mouth stick patients, or finger function is very poor, can only touch the keys of the patient operations therapist is responsible for environmental control system for the evaluation of the selection and training of patients in the environmental control system, the contacts and the end of the electrical connection between appliances, either wireless or wired
Figure 3-3-7
Figure 3-3-8
Figure 3-3-9
Figure 3-3-10
Figure 3-3-11
Figure 3-3-12
Figure 3-3-13
Figure 3-3-14
Figure 3-3-15.16
Figure 3-3 -17
Figure 3-3-18
Figure 3-3-19.20
Figure 3-3-21