i Aids and Equipment Functional Aids for Osteoarthritis of the Thumb Contents steoarthritis of the thumb O 2 Aids and equipment 2 Opening jars, cans and bottles 2 Gardening3 Preparing and cooking food 3 Around the house 6 Dressing7 Handwriting and cutting 7 Sources 8 If you need this information in another language or medium (audio, large print, etc) please contact Customer Care on 0800 374 208 email: customercare@ salisbury.nhs.uk. You are entitled to a copy of any letter we write about you. Please ask if you want one when you come to the hospital. If you are unhappy with the advice you have been given by your GP, consultant, or another healthcare professional, you may ask for a second (or further) opinion. The evidence used in the preparation of this leaflet is available on request. Please email: patient.information@ salisbury.nhs.uk if you would like a reference list. Author: Megan Whitfield Role: Occupational Therapist Date written: April 2012 Last reviewed: February 2015 Review date: February 2018 Version: 1.1 Code: PI0960 Wessex Rehabilitation Centre 01722 336262 ext 2370 © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Osteoarthritis of the thumb The base of the thumb is one of the most common joints in the hand to be affected by osteoarthritis. Signs and symptoms include pain and stiffness in the thumb and wrist, especially in the morning. It may be that you lose some of the strength and movement in your thumb. As a result you may notice that many daily activities become very difficult, such as tasks involving tight gripping, pinching or twisting, or heavy lifting. Aids and equipment Many household activities are repetitive and can put strain on the joints, such as preparing vegetables, opening jars and pulling plugs. Some tasks may be easier if you use special aids and equipment. Tools that make tasks easier are widely available in supermarkets, household/ DIY stores and cookshops. They may also enable you to continue to use your hand more easily and with less pain. This leaflet contains information about the different aids available to help with some of the dayto-day activities that can become difficult following wearing to the joint at the base of the thumb. These products have been recommended by patients who have had difficulties using their hand normally in everyday activities because of their thumb pain. They have enabled them to continue doing tasks independently and without the pain and restriction previously experienced. The contact details for where to get these items is also included. Opening jars, cans and bottles Dycem jar opener (illustrated again below right) Non-slip, handy opener for jar tops. Simply place over lid for a firmer grip to make opening easier. Sources: Lakeland Jar grip Dinghams Jar grip Aids for Daily Living Booklet Dycem bottle opener Non-slip, handy opener for bottle tops. Simply place over lid for a firmer grip. Source: Aids for Daily Living Booklet Dycem non-slip mat Ideal for all around the home. Use to reduce the risk of accidents and spillages by adding extra non-slip stability to everyday tasks. Ideal for use at the dinner table, kitchen worktops, trolleys, over bed tables, desks and for opening jars. Tough, hard-wearing and long lasting. Source: Aids for Daily Living Booklet © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Baby boa jar opener Baby boa grips most objects of any shape or size. Slips over jar or bottle lids, taps or medicine bottles to loosen or tighten. Source: Aids for Daily Living Booklet One-touch can opener One-touch battery operated can opener automatically opens tins without the need to manually turn, therefore eliminating any wrist strain. Effortless to use. Sources: Tesco Robert Dyas Aids for Daily Living Booklet A one-touch jar opener is also available. This makes opening a jar easier than ever. Simply place it on top of the jar and press the button. It can be used on a variety of jar sizes. No effort needed. Sources Tesco Robert Dyas Ring-pull can lever Slides underneath those tricky ring pulls on cans to help you open more easily. Use of lever reduces strain on wrist. Source: Aids for Daily Living Booklet Lakeland Gardening Garden kneeler and seat Getting up and down to those garden chores can be quite a strain on both your back and knees, especially in wet weather. A raised, soft, comfortable kneeling platform can help, with arms that are just the right height to assist getting back up without back strain. And for those jobs where you need a little height, the kneeler can be turned over for a comfy seat. Ideal for gardens, DIY jobs etc. Sources: Argos Robert Dyas Preparing and cooking food Good grips cutlery Designed for those with weak or limited hand grip. Large cushioned handles with soft flexible ribbing at top. Comfortable to hold even when wet. Adaptable to any grip. Spoon or fork stem can bend to any angle to suit your needs. Suitable for left or right handed use. © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Rocker knife requires only minimal strength for cutting. Source: Aids for Daily Living Booklet Foam Tubing For better grip in holding cutlery, pens and utensils. Lightweight foam is great for fine motor skills and improving grip, but does not last for very long. Abiligrips A set of 12 more durable grips for those with a weakened grip. So light that even the weakest hand can control them. Grips hold pencils, paintbrushes, utensils and more without slippage. Source: Nottingham Rehab Supplies Saw-type kitchen knife Lightweight kitchen knife. Ergonomically shaped handle ensures the wrist is kept in a comfortable position when in use to minimise the effort required. Stainless steel with soft finish on handles. Source: Aids for Daily Living Booklet Good Grips Y peeler Large rubber easy-to-hold handle makes peeler comfortable to use. Even with wet hands the handle ensures a secure hold. The blade swivels and requires minimal range of motion of the wrist with it’s horizontal blade. Sources: Robert Dyas Dinghams Lakeland Aids for Daily Living Booklet Palm peeler Fits comfortably into palm for easy grip when peeling. Source: Dinghams Peeler with hole in the middle Wider grip in palm of hand makes peeling easier. Sources: Lakeland peeler Dinghams Stainless steel peeler Silicone oven mit For easier and more secure grip on oven trays and hot plates. © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Source: Dinghams Silicone pan handle covers for better grip of saucepans are also available from Dinghams. Cooking basket Features easy grip, flame retardant moulded handle. Reduces the transfer weight of the contents of the saucepan by draining water, which reduces the strain on the hand. Sources: Dinghams Aids for Daily Living Booklet TIP – using 2-handled saucepans also makes lifting heavy pans easier. Food processor Makes food preparation much easier, able to cut through nuts, herbs, cheese meats and fish with a simple one-touch operation. Source: Lakeland, Waitrose & many other outlets Blender Whisking, whipping and blending by hand can be hard work, but using a blender takes the toil out of the task. Making purées, soups, milkshakes, smoothies and mayonnaise will be quicker and easier. Source: Lakeland, Waitrose & many other outlets Other useful kitchen tools for use in food preparation include: Mandoline slicers and vegetable choppers with comfortable non-slip handles make cutting food easier, reducing strain on the hand. Mandoline slicer Sources: Robert Dyas Lakeland Dinghams Waitrose Good Grips vegetable chopper Source: Dinghams Good Grips vegetable brush Nylon bristles are great for cleaning carrots and potatoes, broccoli, and more thoroughly. Ergonomically designed to fit the palm comfortably and softly. Sources: Lakeland Dinghams © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Salad Spinner Dries salad and veg in seconds with a few spins. Easy, one-handed operation. Source: Dinghams Dycem non-slip roll Cut to any size. Provides immense grip on dry slippery surfaces such as worktops, jars, door handles and cutlery. Tough enough to withstand years of use, and easy to wash in warm soapy water. Source: Amazon Around the house Easy-turn tap levers Ideal solution for tricky to turn taps. Easy to fit and adjustable to suit almost any size of crystal or crosshead tap. Long shaped handle offers plenty of leverage and is pivoted for easy use. For bathroom or kitchen. Supplied as a pair. Source: Aids for Daily Living Booklet Key turners Turning keys is easy with this lightweight plastic key turner. Simply attaches to your key to provide extra leverage and grip when opening doors. Provides a comfortable and secure grip, even with wet hands. Key folds away into handle when not in use. Useful for those with weak hands and poor dexterity. Source: Aids for Daily Living Booklet Plug pullers Standard three pin plug base with lopped handle allows plug to be retrieved from a socket easily. Ideal for those with poor grip; four fingers can fit in the handle to give an improved leverage. Sources: Lakeland Aids for Daily Living Booklet Soap dispensing washing up brush Makes light work of washing dishes. A great hand-held dish brush, which fits comfortably in the palm and dispenses washing up liquid as you wash the dishes. The black plastic top is removable so the handle can be filled. Pressing the button on top releases a small amount of soap. Source: Dinghams © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Dressing Button hook Easy grip handle fastens and opens buttons. The built-up handle is made of a rubber-like material and features flexible ribbing that adapts to any grip. Guide the metal eye through the button hole, hook it around the button, and pull back through the hole. Sources: Aids for Daily Living Booklet Alternatively, a crotchet hook, available from sewing shops, may be used for the same purpose. Elasticated shoe laces Convert lace-up shoes to slip-ons. Supplied in packs of 3 pairs. Source: Aids for Daily Living Booklet Handwriting and cutting Writing Grip Aids Pen and pencil spongy pads provide a comfortable, nonslip grip when placed onto standard size pens and pencils. Source: Aids for Daily Living Booklet Special grip pens also provide a good grip for making writing easier. Source: Ryman Stabilo easy-grip pen, Supergrip pencil Or alternatively elastic bands, Coban, Dycem or plasticine may be wrapped around pens/pencils for better grip. In picture - left to right: elastic bands, pencil grips, easy grip pen and plasticine. Sprung scissors Fiskars softouch scissors have an easy-action spring and long blades for an effortless long clean cutting action. Ideal for (thick and multiple layers of) fabric and paper cutting. Source: Amazon © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk Sources Please find below a list of suppliers in the local area, however, many other stockists are available in the area and online. Aids for Daily Living Booklet Robert Dyas Nottingham Rehab Supplies The Maltings 0845 606 0911 Salisbury, SP1 1BD www.nrs-uk.co.uk 01722 332631 www.robertdyas.co.uk Amazon www.amazon.co.uk Ryman 17 Queen Street Argos Salisbury Fisherton Street Salisbury, SP1 1EY 01722 412148 www.ryman.co.uk 1 Fisherton Street Salisbury, SP2 7SU www.argos.co.uk Tesco Extra Salisbury Bourne Centre Dinghams Southampton Road Salisbury, SP1 2NY 28 Market Place 0845 6779592 Salisbury, SP1 1TL www.tesco.com 01722 506045 www.dinghams.co.uk Waitrose Churchill Way West, Salisbury, SP2 7TS Lakeland www.johnlewis.com 3-4 Market Walk Salisbury, SP1 1BT 01722 338769 www.lakeland.co.uk © Salisbury NHS Foundation Trust Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ www.salisbury.nhs.uk
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