Fine Motor Skills for Adults - The Ultimate List. I am always looking for new fine motor skills ideas, specifically when working with adults. Smart Brain Games For Adults.
Adults Changing Towel Shark
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- HUGE list of preparatory, purposeful + occupation based fine motor skill activities for adults provided by 27 occupational therapists in the field.
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Adults Changing Towels
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I tend to resort to my "old favorites" that I know work well, along with specific activities that are important to my patients. But when I am working with a patient long term, where I need to grade the activity or trying to look for activities that are fun and new, I can get stuck. So I asked 2. 7 Occupational therapists - What are your favorite fine motor control exercises when working with adults? Below are the great ideas (and video!) we came up with - read, print and enjoy! CLICK HERE for a free PDF of this ENTIRE list in an easy, quick reference chart organized by fine motor activity type. Nuts and bolts, lacing beads, using clothespins to pick up Pom pons to paint or just sort, buttons, zippers, snaps, putting marbles or rubber balls on golf tees, making small balls with putty or play doh, sorting jewelry, squeezing water out of sponges or towels, using different types of tongs to pick up small objects - Paula Bradley.
Drawing a picture graded by changing the size of the paper. Bring in different materials stampers, finger paint, etc - Richard Brown. Folding clothes (wash cloths, socks), ADL board (button, zippers bra hooks etc), opening containers (toothpaste, lotion), clothes pins, rainbow rings for crossing midline, velcro board, keys and locks, theraputty, digiflex, beading craft - Jasmine Sohrakoff. My bin of various empty grocery containers is my go- to for FMC to open/close, and having pts reach for them in cabinets/refrigerators/shelves of various heights is one of my favorite GMC activities. Sarah Stromsdorfer from My. OTSpot. com. I take them straight to the kitchen and do bathroom stuff!
I get them to open their make up containers, shampoo/conditioner bottles, wearing weights while organizing shelves in the bathroom and or kitchen.. Sorting dry a bag of dry beans for meal prep.. India Leah Davis. Theraband activities or squeezing a ball. Noreena Ishtiaq. CLICK HERE for a free PDF of this ENTIRE list in an easy, quick reference chart organized by fine motor activity type. I had a patient who had a stroke that was a retired banker. I brought in all sorts of coins/dollars he really enjoyed sorting them into various piles, placing them in stacks, etc. Halle Berry Dating.
Samantha Kaufman. One easy fine motor activity I really like is to take a piece of paper and using one hand, make it into a ball, then spread it out flat.
Click here to see this exercise in action on the Seniors. Flourish Facebook page. But Rachel Hall, had a suggestion to take it one step farther to grade it by starting with the paper on table then raise it up once in the hand so no "cheating."My patient cleaned a tray table of shaving cream and told me she liked doing a functional task. Sharon Leary. Graded puzzles (larger piece sizes to smaller); grooming/hygiene tasks - open/close/apply toothpaste, lotion, lipstick; sort through a purse or bag to retrieve a specified item; pulling out a Kleenex or paper towel; open/close food and kitchen storage containers; buttons and zippers; play checkers or arrange on the board; handle money; turn pages of a book or magazine; pull silverware from a dish rack, separate them, and put into silverware tray; spray and wash a window or mirror; turn faucets on/off or light switches. Anything functional! Monica Heltemes from Mind- Start. I'd love to try origami - Ruby Kopenski. We use a weightwell for strengthening and grip (graded). We also have a woodwork and arts and crafts area at work which enables meaningful engagement.
Charlotte Parry. I like those fleece blankets you tie together.. One of my ladies was expecting a great granddaughter - so she was able to give her something she made.
She was so excited. Tonya Gladden. Making salt dough and using cookie cutters to make shapes.
End product is endless - tags for gifts, place cards, add essential oils to dough and make hanger for closet. Stringing beads for tree decorations at Xmas and Mardi Gras. Weaving on a simple table loom - make scarves, placemats, etc. Card making with dye cuts. Silkscreening. Puzzles with the pieces hidden in rotini pasta/beans/black eye peas all dry and uncooked.
Adult coloring books. Face Leadership Meeting on this page. Jane Ryan. Pony bead necklaces and bracelets, flower pens, sorting beans in a weekday pill tray, letting the patient show you how to crochet if you don't know how, lacing boards.
Natalie Nunyabiz. We removed the line, cleaned, oiled and put a new line on a fishing rod. Box of various nuts and bolts, pennies in piggy bank, placing lots of washers on a long bolt, various locks and keys, buttoning small buttons on a shirt. Have had ladies cut coupons and make cards. Tammy Lane. Therapy apron which has all sorts of buttons, zips, Velcro, buckles and ties.
Even typing or musical instrument playing. Bec Rourke. I'll find out their interests.
Lower Jaw Expansion, Maxilla Advancement, Biobloc Stage 3 : : Claiming. Power. Yes expanding the lower jaw or mandible in Adults is not easy, but certainly some expansion is possible as below pictures show. This is results of 3 years of treatment to reverse the damage of extraction orthodontics, where I spend good half of that time in acrylic palate expanders.
Below picture shows the expansion of my lower palate arch both laterally & anteriorly. Expanded sideways and also forwards to regain the space for bicuspids.
I got 4 bicuspid implants now, below shows how my palate has changed over the 3 years. Each bicuspid implant require 7 mm space, so we are talking pretty significant changes to regain all 4 spaces in the arch. The front teeth may appear to tip forwards, but they were tipped too far back before. The smile and lip support is so much better when the teeth is slightly tipped forwards, in the molds it may look too far out by visually they look fine actually and some of that may also balance out with proper lip seal over time. Lower Arch. Lower arch is challenging to expand because there is no suture down there like there is with the upper jaw, so it is mostly depositional bone growth, moving the teeth out little bit at a time and waiting for the bone to remodel underneath. We eventually got to the point where we simply couldn’t move the teeth any further out. Like right at the edge of the gums almost.
Its been a long while since I finished expanding the lower arch and still bone has not grown further out again, so in my opinion there may be limit to how much you can really expand the lower arch in adults. Perhaps something that applies that littlest of the forces, and it may take 5- 1. Other option is to surgically cut the front part of the jaw and create a suture. Well I expanded as much as I could and as much as needed to get the bicuspids back, so I moved on to the next phase. I’m not trying to wait 1.
Interestingly, I expanded the upper palate much further than the lower palate. You would think both palate need to be expanded equally or it would mess up the bite, right? That’s what I first thought as well, but Dr. Gibbs knew better. As we expand the upper palate further out, the lower jaw was able to slide forwards, which means it doesn’t have to expand as much as the upper because as it slides forwards, the posterior wider portion comes forwards to meet the top teeth. So there were phases where the lower teeth and upper teeth didn’t really match at all, like the lower teeth would be partially biting into the acrylic appliance above, but overtime the bite naturally came together, as the jaw slid forwards and we continued to expand the lower more and the upper teeth that were slightly tipped outwards, began to upright properly.
If you look at my ct scan above you will see just how solid of a bone the mandible is, and the bone remodeling by the teeth may not directly translate to expanding of the thick mandibular bone underneath, however I do believe that the muscle tone of the masseter muscle plays a large role in shaping that bone, and probably expanding the teeth will also help distribute biting forces differently on the bone which may contribute to widening of the jaw bone. Compared to my before pictures from 4 years back, my lower jaw looks wider, but part of that is caused by the fact that my lower jaw came forwards more. Also when I began chewing more gum I feel like I did notice bit of widening take place as well.
Upper Arch. Once we expanded as much as possible, I got into self- ligating bracket braces with coil springs to further create anterior expansion until we achieved 7 mm space for the bicuspids. Upper Palate Expansion Measurements. From around 3. 3 mm to 4.
I had a narrow front arch so we used a hinge type of expansion device for about 8 months to get significant changes in the front palate. So really the front of the mouth changed the most, after we got the front arch wide, I had Dr. Gibbs modify the appliance where we got rid of the hinge, added on acrylic and put the screw in the middle to get even more expansion on the entire palate.
Also notice the flanges on the front of the appliance and the wires, those were adjusted by the doctor every month to provide forward expansion. There were few appointments where Dr thought we had enough expansion but I urged him to continue on, I was very aggressive in pushing for as much expansion as I could possibly get. My mouth posture at the time? I didn’t know much about Mewing back then. But Expansion was still very important step.
The biggest positive benefit are as follows.