Treatment to improve motor skills and hand grasp
The wrist and hand have a very complex motor system. It is probably one of the parts of the body that we use most in our daily activities. It plays both a functional role (gripping various objects) and a social role (communication, shaking hands).
- The wrist:
The main role of the wrist is to orientate the hand. For example, to write, it is necessary to have a slight extension as well as a slight ulnar inclination in order to hold a pen. This requires the wrist to have some mobility and above all stability. Wrist damage has a strong impact on the functionality of the hand.
- The hand :
The hand occupies a very important place in the brain, clearly visible on the Penfield map. We can see and realise that it has a very fine sensitivity and motor skills. Rehabilitation of the hand is known to be very complex due to the existence of many parameters to take into account. For example, the hand can be divided into two parts: a part dedicated to forceful gripping (represented by the last two fingers, the ring finger and the little finger) and a part dedicated to fine gripping (the thumb, index finger and middle finger). Another example is that most of the muscles of the hand have their insertions in the forearm and some in the hand, so the activation of certain muscles must be prioritised.
What different pathologies of the wrist and hand can affect motor skills?
- Traumatic injuries: sprains, dislocations, fractures, carpal tunnel syndrome, Dupuytren's disease, post-surgery
- Degenerative diseases: osteoarthritis or rheumatism, Parkinson's disease
- Neurological disorders: post-stroke, spinal cord injuries
The various pathologies of the hand and wrist can lead to motor inhibitions of central origin which can last for a more or less long time. In order to avoid this, it is therefore strongly advised to seek rehabilitation support to ensure that the functionality of the wrist and hand is restored. Discover our effective solutions with the Allyane method, a neuromuscular reprogramming solution.
Treatment of the wrist and hand with the Allyane method
The Allyane method, based on neuromotor reprogramming, potentiates the quality and speed of neuromotor recovery. The advantage of this technique is that it works more specifically on motor control itself, i.e. more centrally, by focusing the patient's attention on his or her own visual and proprioceptive sensations. Indeed, it is necessary for the patient to understand how to optimally activate this or that muscle visually and with good proprioceptive sensations in order to regain the desired movement.
It is therefore an interesting complementary tool to re-education, and should preferably be included in the course of care already set up with the re-educator for the best possible return to functionality.
1 Purves Dale, (2015), Neuroscience, 5th edition, Ed. De Boeck
Advice from Shingo Kitada, Physiotherapist and certified Allyane practitioner
Here are some examples of self-rehabilitation exercises (for information purposes, if you are unsure, ask your rehabber).
- To work on mobility: warm up by alternately opening and closing the hand, test the mobility of the wrist in all directions allowed.
- Example of a daily gesture: gradually wring out a cloth or towel on one side and then on the other.
- To work on stability: keep the open hand sheathed in the axis, then with the other hand or against a wall/table, progressively carry out counter-resistances and hold for a few seconds (depending on your level). During the break, remember to do this exercise with the other hand (even if it is healthy).
- Example of a daily gesture: hold a more or less full bottle (depending on your ability) and hold it for a few seconds in different positions. Start holding it statically and then, once all the positions have been reached, carry out the movements by moving continuously and slowly for a set time (depending on your level). The aim is to keep the wrist and fingers sheathed.
The Allyane method
Addressed motor difficulties
Find below the other pathologies treated by the Allyane method.
The Allyane method can also be used to treat shoulder disorders, including the after-effects of capsulitis, shoulder instability (which can occur following a dislocation or subluxation), as well as disorders related to postoperative effects (amplitude deficit, etc.).
traumatic knee pathologies, such as recurrence of sprains, cruciate ligaments
knee prostheses, patellofemoral syndrome or knee flessum.
The Allyane method can also be used to rehabilitate certain
neurological conditions, in particular those that may arise following a stroke (Parkinson's), multiple sclerosis, incomplete spinal cord injury,
or in the context of spasticity regulation.
Defects in active mobility (flexion/extension), stability (insufficiency of the gluteus medius) or lameness induced by a hip prosthesis can be effectively corrected by the Allyane rehabilitation method.
functional rehabilitation in connection with certain ankle pathologies, in particular: recurrence of sprains, muscular disorders (insufficient lifters), motor inhibitions after immobilisation and post-operative effects.