Hand therapy can and should be very occupation-based. Every week, we hear comments from patients that back that statement up:
“I need to get back to work”
“I just want to golf again”
“I can’t even open a water bottle”
“My spouse has to do all of the cooking”
Although standard exercises are helpful, it’s critical to add in functional activities that empower clients to get back to the things that they love in life.
As part of an occupation-based plan of care, it is important for us to help our clients identify key occupations. A very popular one being Cooking!
But, most hand therapists don’t have access to a kitchen in their clinic. To help improve the client’s return to daily activities and IADLs, here are 5 occupational therapy cooking activities for adults, that don’t require a kitchen.
- Theraputty (Turning) Tools: Theraputty tools can be used to simulate many functional activities (therapeutic cooking activities)! Including: opening a water bottle top or a tight jar lid. Try adding these ‘turning’ tools into your patient’s next session if they have grip strength limitations keeping them from the kitchen!
Side Note: Be sure to explain what these tools are targeting. Helping your client to connect the dots between their theraputty exercises and finally making their favorite recipe again can improve their motivation and engagement in the task at hand.
- Ball Balance on Frying Pan: Letting your patient get comfortable with the dynamic load of a frying pan in the clinic can help to improve their strength, wrist stability, and their self-efficacy to go home and put those skills to work. Try having your patient balance a tennis ball or even flip bean bags with a frying pan.
- Putty Rollout with a Rolling Pin: This bilateral task can promote functional grasp and work on wrist mobility into flexion and extension, all while preparing an individual to get back to making their famous sugar cookies again.
- Bean/Rice Transfer with Measuring Cups: With these simple items you can address forearm rotation with light resistance and functional use of the affected extremity . This activity is easy to simulate. And afterwards, consider hiding some coins in those same beans for another one of our favorites- a coin find!
- Tong transfer: You can incorporate tongs into so many different ‘transfer’ activities. We like to start by doing a simple foam cube transfer. However, if your patient really wants to get back to grilling out again, you might consider having them work up to flipping beanbags. The opportunities are endless, and these utensils are so functional! Another cool thing about tongs: they can address various grasp patterns, including the lumbrical grasp for intrinsic strengthening.
There you have it. 5 activities that can be simple to simulate in a clinic without a kitchen! We hope that these inspired you to keep things occupation-based, client centered, and to get your clients back to cooking!
More To Read
Takata, S.C., Wade, E.T., & Roll, S.C. (2019). Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice. Journal of Hand Therapy, 32(1), 1–9. Written by Brittany Carrie The Skinny Approximately 26.9% of orthopedic injuries and disorders of the upper extremity occur worldwide. Injuries are most…Read More
Article Review THUMB ABDUCTION IN PATIENTS WITH CMC ARTHRITIS? HOW DO YOU MEASURE? Corey McGee PhD, OTR/L, CHT , Virginia O’Brien OTD, OTR/L, CHT , Jennifer Skye MS, OTR/L, CHT , Katherine Wall MOT, OTR/L , Thumb Carpometacarpal Palmar and CMC Radial Abduction in Adults with Thumb Carpometacarpal Joint Pain: Inter-rater Reliability and Precision of…Read More
Beasley, J., Ward, L., Knipper-Fisher, K., Hughes, K., Lunsford, D., & Leiras, C. (2018). Conservative therapeutic interventions for osteoarthritic finger joints: A systematic review. Journal of Hand Therapy, 32. 153-164. The Skinny – The article reviews the evidence on the effectiveness of conservative treatment for those who experience osteoarthritis in fingers and in their finger…Read More
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