#ot hacks

Commercially available adaptive aids rarely work for pediatrics. I made these 3 tools to help with the difficult task of buttoning pants. Two of them are modifications to existing aids available: the button hook and the zipper pull. The third one (to my knowledge) is my own design, for these purposes I will call it the loop hook.

Primary task limitations: unable to reach button, difficulty pinching/grasping, and decreased upper extremity/grasp strength

Initially, I wanted to combine all tools into one, but it worked better for this client to use all 3 separately. I formed a triangle handle, a T-handle, and another handle that looked like an anchor. The T-handle worked the best for her. I was also trying to make it as compact as possible. I formed all of them out of Aquaplast pellets, but continually had to reheat them to make them longer. I used binder clips and heavy duty paper clips to form the metal parts. I used pliers to bend them.

For the button hook, I kept the shape of the large heavy duty paper clip because it seemed to work better with jean buttons. 

For the zipper hook, I added a straight piece of metal to help with pushing the zipper down. This piece needed to be bent on the inside of the plastic or it fell out. 

The loop hook was formed by bending a binder clip and was used for 3 purposes. When the client was zipping the zipper up, they used the loop hook to stabilize the pants at the bottom as they were unable to reach that far down. They also used it simultaneously with the buttonhook. For unbuttoning, the loop hook would hook onto the button hole and would help pull the button hole away from the button, as the button hook pulled in the opposite direction. When buttoning, the button hook would go through the button hole first, attach to the button, then the loop hook would hook onto the button hole, both tools would be pulled in opposite directions, and “voila!” pants are buttoned. Sounds confusing, but the client picked up on it right away. :)

I’m trying to work on utensil grasp patterns with a kiddo. My intention with these aids is not for them to use always, but to use them as tactile and visual cues on how to place their hands on the fork and knife in a more effective way. 

I made a triangle handle for a knife using Aquaplast. I formed the triangle using a cast cutting strip, which was just the right width I was looking for. I always try to find objects which can facilitate the form that I’m shaping. In this case I wrapped the knife in place using athletic tape to form a triangle. I formed the Aquaplast around it. Before it completely hardened again I removed it and massaged out any bumps. I placed 3/8″ open cell blue padding on the inside back wall and closed off the end of it to allow the knife to slide in and out.

For the fork, I melted Aquaplast pellets to form a place for the index finger to rest and attached a built up foam handle.