Putty

cise

® The

rapu

tty™

Exe

rcis

er K

itsEa

ch k

it in

clud

es:

• 4

Ther

aput

ty™

resi

stan

ces

(1 e

ach

as in

dica

ted

belo

w)

• S

et o

f 5 P

utty

cise

® to

ols

(1 K

nob

turn

, 1 L

-Bar

, 1 P

eg T

urn,

1 K

ey T

urn,

and

1 C

apTu

rn)

• S

et o

f ins

truct

ions

and

car

ry b

ag

easy

(tan,

yel

low

, red

, gre

en)

med

ium

( yel

low

, red

, gre

en, b

lue)

hard

(red

, gre

en, b

lue,

bla

ck)

6 oz

. kit

10-2

822

10-2

828

10-2

834

1lb.

kit

10-2

824

10-2

830

10-2

836

5 lb

. kit

10-2

826

10-2

832

10-2

838

* T

ools

can

be

purc

hase

d se

para

tely

. Se

e ite

m n

umbe

rs n

ext t

o to

ol n

ames

.

Fabr

icat

ion

Ente

rpris

es In

c.PO

Box

150

0W

hite

Pla

ins,

NY

1060

2 (U

SA)

tel:

1-9

14-3

45-9

300

• 800

-431

-283

0 fa

x: 1

-914

-345

-980

0 • 8

00-6

34-5

370

ww

w.Fa

b-En

t.com

Auth

oriz

ed C

E re

pres

enta

tive:

RMS

UK

Ltd.

28 T

rinity

Roa

dN

ailse

a, So

mer

set B

S48

4NU

(UK)

FPL:

Fle

xor P

ollic

is L

ongu

sFD

P: F

lexo

r Dig

itoru

m P

rofu

ndus

FDS

: Fle

xor D

igito

rum

Sub

limis

CM

C: C

arpa

l Met

acar

pal

MP

: Met

acar

pal P

hala

ngea

lP

IP: P

roxi

mal

Inte

rpha

lang

eal

DIP

: Dis

tal I

nter

phal

ange

alIP

: Int

erph

alan

geal

ED

C: E

xten

sor D

igito

rum

C

omm

unis

FM: F

ine

Mot

orR

OM

: Ran

ge o

f Mot

ion

Abb

revi

atio

ns

App

licat

ions

Put

tyci

se® to

ols

are

inte

nded

for s

treng

then

ing,

incr

easi

ng R

OM

, an

d im

prov

ing

func

tiona

l coo

rdin

atio

n to

the

uppe

r ext

rem

ities

. Th

e va

riety

and

num

ber o

f app

licat

ions

are

lim

ited

only

by

one’

s cr

eativ

ity. E

xerc

ise

prog

ram

s ca

n be

cus

tom

des

igne

d by

you

r lic

ense

d he

alth

car

e pr

ovid

er to

mee

t stre

ngth

enin

g an

d re

hab

need

s.

War

ning

Put

tyci

se® to

ols

can

caus

e se

rious

inju

ry w

hen

not u

sed

prop

erly.

U

se P

utty

cise

® to

ols

only

upo

n th

e re

com

men

datio

n an

d un

der

dire

ctio

n of

a li

cens

ed h

ealth

car

e pr

ofes

sion

al. P

utty

cise

® to

ols

are

desi

gned

to b

e a

form

of e

xerc

ise

equi

pmen

t and

sho

uld

not b

e us

ed fo

r pla

y pu

rpos

es. P

utty

cise

® s

houl

d no

t be

used

by

child

ren

unle

ss u

nder

qua

lifi e

d ad

ult s

uper

visi

on.

ver 1

/13

®

A N

ew T

wis

t In

Occ

upat

iona

l and

Phy

sica

l The

rapy

Func

tiona

l Grip

Join

t Pro

tect

ion

Wor

k Si

mul

atio

n

Fore

arm

Str

engt

heni

ng

Fine

Mot

or

KN

OB

TU

RN

Func

tiona

l Sim

ulat

ions

: Ope

ning

a d

oor,

tight

enin

g a

jar,

push

ing

a lid

ont

o a

cont

aine

r, tig

hten

ing

a va

lve,

ho

ldin

g a

glas

s of

wat

er, o

peni

ng m

akeu

p co

ntai

ners

Join

t Pro

tect

ion

Tech

niqu

es: C

an te

ach

usin

g a

“C”

grip

to a

void

uln

ar s

tress

to M

P jo

ints

and

/or,

usin

g pr

essu

re p

roxi

mal

to th

e th

umb

IP jo

int w

ith g

rip to

de

crea

se lo

adin

g to

the

CM

C jo

int.

EXER

CIS

E D

ESC

RIP

TIO

NS:

Stan

dard

Grip

: Fun

ctio

nal g

rip e

xerc

ise.

Hel

ps to

st

reng

then

dig

it fl e

xors

, inc

reas

e ra

dial

and

uln

ar w

rist

RO

M, a

nd s

imul

ates

a n

atur

al fu

nctio

n fo

r im

prov

ed

digi

t coo

rdin

atio

n.

“C”

Grip

: Joi

nt p

rote

ctio

n te

chni

que

exer

cise

. Te

ache

s th

e us

e of

larg

er jo

ints

and

mus

cle

grou

ps

whe

n pe

rform

ing

func

tiona

l act

ivity

. Als

o pr

omot

es

digi

t fl e

xion

with

wris

t fl e

xion

and

ext

ensi

on.

Intr

insi

c Tu

rn: W

ith d

igits

in a

n in

trins

ic p

lus

posi

tion,

us

e di

git t

ips

to p

rodu

ce a

turn

in e

ither

dire

ctio

n.

This

stre

ngth

ens

the

intri

nsic

mus

cles

of t

he h

and

frequ

ently

affe

cted

with

med

ian

and

ulna

r ner

ve

path

olog

ies.

FPL

Turn

: Em

phas

ize

thum

b tip

to p

rodu

ce tu

rnin

g m

otio

n. T

his

help

s to

pro

mot

e FP

L te

ndon

glid

e an

d th

enar

IP jo

int R

OM

.

FDP/

FDS

Grip

: Em

phas

ize

bend

ing

DIP

and

PIP

jo

ints

whe

n ho

ldin

g on

to k

nob.

Thi

s he

lps

to p

rom

ote

FDP

and

FDS

tend

on g

lide,

IP jo

int R

OM

, and

ED

C

claw

pos

ition

ing.

Wei

ght B

earin

g Pu

sh: U

se p

alm

to p

ush

knob

in

to p

utty

. Thi

s ca

n be

hel

pful

with

incr

easi

ng w

rist

exte

nsio

n, p

rovi

ding

a g

rada

ble

wei

ght b

earin

g ex

erci

se, a

nd p

rovi

ding

des

ensi

tizat

ion

to a

sen

sitiv

e pa

lmar

sca

r.

Exe

rcis

eM

edia

n N

erve

Rad

ial N

erve

Uln

ar N

erve

Kno

b Tu

rn

Item

10-

2810

*S

tand

ard

Grip

●●

“C” G

rip●

●(W

rist E

xt)

●

Intri

nsic

Tur

n●

●

FPL

Turn

●

FDS

/FD

P Tu

rn●

●

Wei

ght B

earin

g P

ush

●

L-B

ar

Ite

m 1

0-28

11*

Fore

arm

Sup

inat

ion

●

Fore

arm

Pro

natio

n●

Rad

ial D

evia

tion

●●

Uln

ar D

evia

tion

●●

Func

tiona

l Pul

l●

●●

Wris

t Fle

xion

●●

Wris

t Ext

ensi

ons

●

Peg

Turn

I

tem

10-

2812

*S

tand

ard

Turn

●●

Tip

Turn

●●

FPL

Turn

●●

FPL

Pus

h●

●

FDP

Pus

h●

(IF &

MF)

● (R

F &

SF)

FDS

Pus

h●

●

Peg

Pul

l●

●

Peg

Pul

l Up

●●

Intri

nsic

Tur

n●

(IF &

MF)

● (R

F &

SF)

Key

Tur

n

I

tem

10-

2813

*

Sta

ndar

d Tu

rn●

●

Late

ral P

inch

Tur

n●

●

Intri

nsic

Plu

s P

ush

● (IF

& M

F)●

(RF

& S

F)

Intri

nsic

Tur

n●

(IF &

MF)

● (R

F &

SF)

Late

ral P

inch

Pul

l●

●

Intri

nsic

Pul

l●

(IF &

MF)

● (R

F &

SF)

Cap

Tur

n

Item

10-

2814

*S

tand

ard

Turn

●●

Intri

nsic

Tur

n●

(IF &

MF)

● (R

F &

SF)

Tip

Turn

●●

“C” G

rip●

● (W

rist E

xt.)

●

FPL

Turn

●●

FPL

Pus

h●

●

IF-In

dex

Fing

er, M

F-M

iddl

e Fi

nger

, RF-

Rin

g Fi

nger

, SF-

Smal

l Fin

ger

For u

se a

s a

gene

ral r

efer

ence

onl

y. N

o cl

inic

al re

sear

ch h

as b

een

perfo

rmed

to

supp

ort t

he a

bove

list

ed c

laim

s. M

ost e

xerc

ises

fall

into

mul

tiple

ner

ve c

ateg

orie

s.

The

exer

cise

s ar

e ca

tego

rized

usi

ng th

e in

nerv

atio

ns o

f the

prim

ary

mus

cle

grou

p to

pro

duce

the

mov

emen

t.

Putty

cisi

ng A

ccor

ding

to P

erip

hera

l Ner

ves

KEY

TU

RN

Func

tiona

l Sim

ulat

ions

: Tur

ning

a k

ey, h

oldi

ng

onto

a p

aper

fold

er, t

hrow

ing

a Fr

isbe

e, h

oldi

ng a

cl

othe

spin

ope

n, p

inch

ing

your

spo

use

Join

t Pro

tect

ion

Tech

niqu

es: C

an te

ach

the

use

of a

n in

trins

ic h

old

inst

ead

of a

late

ral p

inch

to

dec

reas

e re

petit

ive

stre

ss to

the

CM

C jo

int a

nd

ulna

r dev

iatio

n to

the

MP

join

ts.

EXER

CIS

E D

ESC

RIP

TIO

NS:

Stan

dard

Tur

n: P

ush

base

into

put

ty, h

old

with

th

umb

and fi r

st tw

o di

gits

to p

rodu

ce a

func

tiona

l tu

rn s

imul

atin

g tu

rnin

g a

key.

Late

ral P

inch

Tur

n: P

ush

base

into

put

ty,

hold

with

a la

tera

l pin

ch to

turn

thro

ugh

putty

. C

ombi

nes

late

ral p

inch

with

fore

arm

rota

tion.

Intr

insi

c Pl

us P

ush:

Pla

ce b

ase

onto

a m

ound

of

put

ty, h

old

tool

with

dig

its in

an

intri

nsic

plu

s po

sitio

n, e

mph

asiz

ing

stra

ight

IP jo

ints

and

fl ex

ed

MP

join

ts. P

ush

tool

into

put

ty w

hile

mai

ntai

ning

th

e in

trins

ic p

lus

posi

tion.

Stre

ngth

ens

intri

nsic

m

uscl

es. G

ood

exer

cise

pos

t med

ian

and/

or

ulna

r ner

ve p

atho

logy

.In

trin

sic

Turn

: Pus

h ba

se in

to p

utty

, hol

d to

ol

betw

een

any

two

digi

ts to

pro

duce

turn

ing

thro

ugh

the

putty

. Can

per

form

with

the

IP jo

ints

in

fl ex

ion

and/

or fu

ll ex

tens

ion.

Stre

ngth

ens

intri

nsic

mus

cles

. Goo

d ex

erci

se p

ost m

edia

n an

d/or

uln

ar n

erve

pat

holo

gy.

Late

ral P

inch

Pul

l: P

lace

one

sid

e of

bas

e in

to p

utty

, use

a la

tera

l pin

ch g

rasp

to p

ull

tool

thro

ugh

putty

. Can

be

used

to te

ach

join

t pr

otec

tion

tech

niqu

e to

util

ize

the

prox

imal

thum

b in

stea

d of

the

thum

b tip

whe

n pi

nchi

ng.

Intr

insi

c Pu

ll: P

lace

one

sid

e of

bas

e in

to p

utty

, ho

ld to

ol b

etw

een

any

two

digi

ts, p

ull t

ool t

hrou

gh

putty

. Can

per

form

with

IP jo

ints

in fl

exio

n an

d/or

in

full

exte

nsio

n.

CA

P TU

RN

Func

tiona

l Sim

ulat

ions

: Ope

ning

/clo

sing

a w

ater

bo

ttle,

turn

ing

on a

sto

ve, t

ight

enin

g a

larg

e bo

ltJo

int P

rote

ctio

n Te

chni

ques

: Can

teac

h us

ing

a “C

” gr

asp

inst

ead

of a

sta

ndar

d gr

ip w

hen

open

ing

a w

ater

bo

ttle

to a

void

uln

ar s

tress

to M

P jo

ints

and

load

ing

to

the

CM

C jo

int.

EXER

CIS

E D

ESC

RIP

TIO

NS:

Stan

dard

Tur

n: P

ush

base

into

put

ty, h

old

cap

with

a

stan

dard

gra

sp, t

urni

ng th

roug

h pu

tty s

imul

atin

g op

enin

g a

bottl

e ca

p.

Intr

insi

c Tu

rn: P

ush

base

into

put

ty, p

ositi

on th

e di

gits

in

to a

n in

trins

ic p

lus

posi

tion

to tu

rn to

ol th

roug

h pu

tty.

Tip

Turn

: Pus

h ba

se in

to p

utty

, opp

ose

thum

b to

se

lect

ed d

igit

to h

old

cap

whi

le tu

rnin

g to

ol th

roug

h pu

tty. P

rom

otes

thum

b to

dig

it R

OM

and

impr

oves

FM

co

ordi

natio

n.

“C”

Grip

: Pus

h ba

se in

to p

utty

, cur

l dig

its a

roun

d th

e ca

p w

hile

turn

ing

thro

ugh

putty

. Tea

ches

join

t pr

otec

tion

tech

niqu

e th

roug

h us

ing

an a

ltern

ativ

e ho

ld/g

rasp

to d

ecre

ase

repe

titiv

e ul

nar s

tress

on

the

MP

join

ts a

nd th

e C

MC

join

t. C

an a

lso

prom

ote

digi

t fl e

xion

and

fl ex

or te

ndon

glid

e.

FPL

Turn

: Pus

h ba

se in

to p

utty

, em

phas

ize

thum

b tip

to p

rodu

ce tu

rnin

g th

roug

h pu

tty. P

rom

otes

FP

L te

ndon

glid

e an

d th

umb

IP jo

int R

OM

.

FPL

Push

: Pla

ce b

ase

on a

mou

nd o

f put

ty, u

se

thum

b tip

to p

ush

tool

into

put

ty. S

imul

ates

pus

hing

a

butto

n. P

rom

otes

FP

L te

ndon

glid

e an

d th

umb

IP jo

int

RO

M.

PEG

TU

RN

Func

tiona

l Sim

ulat

ions

: Tur

ning

a b

olt/n

ut, p

ushi

ng a

but

ton,

pic

k-in

g up

a p

en, h

oldi

ng a

stra

w, t

ight

enin

g a

smal

l kno

b

Join

t Pro

tect

ion

Tech

niqu

es: C

an te

ach

usin

g an

intri

nsic

hol

d to

dec

reas

e ul

nar s

tress

to M

P jo

ints

and

usi

ng p

roxi

mal

thum

b/w

ebsp

ace

to p

rodu

ce h

old

rath

er th

an th

umb

tip to

dec

reas

e C

MC

st

ress

EXER

CIS

E D

ESC

RIP

TIO

NS:

Stan

dard

Tur

n: P

ush

base

into

put

ty, u

se d

igits

and

thum

b to

turn

pe

g in

eith

er d

irect

ion

sim

ulat

ing

a st

anda

rd tu

rn o

f a c

ompa

rabl

e ob

ject

.

Tip

Turn

: Pus

h ba

se in

to p

utty

, pla

ce th

umb

and

any

othe

r dig

it ag

ains

t peg

to p

rodu

ce a

turn

ing

mot

ion.

Wor

ks o

n co

ordi

natio

n an

d is

olat

ed d

igit

stre

ngth

enin

g.

FPL

Turn

: Pus

h ba

se in

to p

utty

, em

phas

ize

thum

b tip

to p

rodu

ce

turn

ing

mot

ion

of p

eg. A

ssis

ts w

ith F

PL

tend

on g

lide,

incr

easi

ng

thum

b IP

join

t RO

M, a

nd p

rom

otes

sen

sory

inpu

t to

the

thum

b.

FPL

Push

: Pla

ce b

ase

onto

a m

ound

of p

utty

, use

thum

b tip

to

push

peg

into

put

ty.

FDP

Push

: Pla

ce b

ase

onto

a m

ound

of p

utty

, use

any

dig

it tip

to

push

peg

into

put

ty. P

rom

otes

FD

P te

ndon

glid

e an

d di

stal

fl ex

or

stre

ngth

enin

g.

FDS

Push

: Pla

ce b

ase

onto

a m

ound

of p

utty

, use

any

dig

it at

m

iddl

e ph

alan

x le

vel t

o pu

sh p

eg in

to p

utty

. Pro

mot

es F

DS

tend

on

glid

e, d

iffer

entia

l ten

don

glid

ing,

and

incr

ease

s P

IP R

OM

.

Peg

Pull:

Pus

h on

e si

de o

f bas

e in

to p

utty

, usi

ng a

late

ral p

inch

or

thum

b to

any

dig

it tip

to h

old

peg,

pul

l peg

thro

ugh

putty

. Im

prov

es

FM c

oord

inat

ion

and

stre

ngth

enin

g.

Peg

Pull

Up:

Pus

h fu

ll ba

se in

to p

utty

, usi

ng la

tera

l pin

ch o

r thu

mb

to a

ny d

igit

tip to

pul

l up

thro

ugh

putty

. Can

ass

ist w

ith th

enar

ad-

duct

ion

RO

M. C

an te

ach

join

t pro

tect

ion

tech

niqu

e us

ing

prox

imal

th

umb

inst

ead

of d

ista

l thu

mb

whe

n ho

ldin

g pe

g to

dec

reas

e C

MC

jo

int l

oadi

ng. C

an a

lso

use

intri

nsic

dig

it ho

ld (b

etw

een

any

digi

ts)

whi

le p

ullin

g pe

g up

war

d to

stre

ngth

en in

trins

ic m

uscl

es a

nd/o

r te

ach

a jo

int p

rote

ctio

n ho

ld te

chni

que.

Intr

insi

c Tu

rn: P

ush

base

into

put

ty, u

se a

n in

trins

ic d

igit

hold

be

twee

n an

y tw

o di

gits

whi

le tu

rnin

g pe

g th

roug

h pu

tty. H

elps

to

stre

ngth

en in

trins

ic m

uscl

es a

nd/o

r can

be

used

to te

ach

join

t pr

otec

tion.

L-B

AR

Func

tiona

l Sim

ulat

ions

: Pul

ling

a va

cuum

, sw

eepi

ng (f

unct

iona

l grip

with

fore

arm

pro

natio

n an

d su

pina

tion)

, usi

ng a

ham

mer

, ope

ratin

g a

thro

ttle

on a

m

otor

cycl

eJo

int P

rote

ctio

n Te

chni

ques

: Can

teac

h us

ing

a ne

utra

l hol

d te

chni

que

to a

void

uln

ar s

tress

to

MP

join

ts a

nd/o

r usi

ng la

rger

join

ts to

pro

duce

the

mov

emen

t to

decr

ease

load

ing

to s

mal

ler j

oint

s.EX

ERC

ISE

DES

CR

IPTI

ON

S:

Fore

arm

Sup

inat

ion:

Sta

biliz

e el

bow

at s

ide,

hol

d sh

aft o

f L-b

ar w

ith a

fi rm

grip

, pla

ce th

e tip

into

the

putty

, rot

ate

fore

arm

turn

ing

palm

up.

Fore

arm

Pro

natio

n: S

tabi

lize

elbo

w a

t sid

e, h

old

shaf

t of L

-bar

with

a fi

rm g

rip, p

lace

the

tip in

to th

e pu

tty, r

otat

e fo

rear

m tu

rnin

g pa

lm d

own.

Rad

ial D

evia

tion:

Hol

d sh

aft o

f L-b

ar s

tarti

ng in

an

ulna

rly d

evia

ted

posi

tion,

pla

ce th

e tip

into

the

putty

, ra

dial

ly d

evia

te w

rist w

hile

pus

hing

the

tip th

roug

h th

e pu

tty.

Uln

ar D

evia

tion:

Hol

d sh

aft o

f L-b

ar s

tarti

ng in

a

radi

ally

dev

iate

d po

sitio

n, p

lace

the

tip in

to th

e pu

tty,

ulna

rly d

evia

te w

rist w

hile

pul

ling

the

tip th

roug

h pu

tty.

Func

tiona

l Pul

l: S

tart

with

a fi

rm h

old

on th

e sh

aft

of th

e L-

bar,

plac

e th

e tip

into

the

putty

, pul

l the

tip

thro

ugh

the

putty

. Act

ivat

es th

e en

tire

uppe

r ext

rem

ity

from

the

digi

t tip

s to

the

peri-

scap

ular

regi

on.

Wris

t Fle

xion

: Sta

rt w

ith L

-bar

bas

e in

the

putty

, grip

th

e sh

aft,

bend

wris

t int

o fl e

xion

rota

ting

the

base

th

roug

h th

e pu

tty.

Wris

t Ext

ensi

on: S

tart

with

L-b

ar b

ase

in th

e pu

tty,

grip

the

shaf

t, be

nd w

rist i

nto

exte

nsio

n ro

tatin

g th

e ba

se th

roug

h th

e pu

tty.