Rachel's Story

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Meet Rachel

"I really enjoyed working with Rachel. She was a very happy girl and always happy to give anything a go." - Elliot, Rachel's Therapist
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The Challenge

Rachel had a reduced range of movement in her arm, wrist and hand. Her muscle weakness in her whole right upper limb made movements slower and more effortful.

Over the next 3 weeks we worked together with Rachel to get her arm as strong and mobile as we could.

The Goals

  • Increase range of movement in wrist, forearm and arm.
  • Strengthen her right upper limb.
  • Isolate index finger and thumb.
  • Achieve pincer grip.

Our Approach

01

Improve range of movement

02

Improve dexterity

03

Improve strength

Harvey removing bricks from jenga tower using least dominant hand

04

Improve hand coordination

The Science-y Bit

CIMT involves rehab of the weaker arm or hand whilst constraining the stronger arm in a light weight cast. Constraining Rachel’s good arm allowed Rachel to focus on only using her affected arm in activities and increase her awareness of her right upper limb.

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This stimulates the formation of new pathways for movement which rewires the brain. With Rachel, we focused on improving the use of her hand with aim to increase finger and thumb strength, dexterity and function. Throughout we saw improvements in Rachel’s hand and arm to pincer grip and shoulder strength.

The Results

Increase Upwards Arrow Icon14.3%

General Usage Items

Increase Upwards Arrow Icon33.3%

Arm Use Items

Increase Upwards Arrow Icon25%

Grasp-Release (items)

Increase Upwards Arrow Icon75%

Grasp Release

Increase Upwards Arrow Icon42.9%

Coordination

Increase Upwards Arrow Icon40%

Pace items

The Achievements

  • Improved Quality and range of Rachel’s grasp so she can now play with any toy: big or small.
  • Rachel has the ability to point which makes it easier for her to play with the iPad.
  • Rachel has perfected pincer grip which means she can now feed herself independently.
  • Rachel’s coordination improved and the ability to turn cards over from the table made it easier when completing her favourite puzzles.

The Therapists Feedback

I really enjoyed working with Rachel. She was a very happy girl and always happy to give anything a go. Rachel worked hard to achieve her goals. The increase in strength and the dexterity which Rachel was able to improve in the 3 weeks time was the thing that really impressed me

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I really enjoyed working with Rachel. She was a very happy girl and always happy to give anything a go.
Elliot's portrait headshot

Elliot - Rachel's Therapist

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