Handling toys |
Objects of different sizes and textures |
In the sitting position, playing freely with objects of different sizes and textures |
Support of the unaffected or external hand, if necessary |
Playing in the midline without the support and inserting situations of postural imbalance |
Playing soccer |
Ball of different sizes |
Throwing the ball into the basket or goal using the affected hand and then both hands simultaneously |
Small, light and soft balls. Delimiting a large space for the goal. |
Larger balls; decreasing the target; placing the target in a more distant, higher and further away from the affected hemisphere. |
Modeling |
Play Dough |
Squeezing the dough making rolls, balls, and spread the dough making “pizza”. The unaffected hand was used as support |
Deliver a greater amount of play dough |
The lower amount of dough, decreasing the diameter of the rolls, the balls and the thickness of the “pizza”. |
Coloring |
Paper and gouache |
Putting the hand in the container with paint and bring the hand to the paper sheet painting freely. The unaffected hand supports the paper sheet. |
The ink container is placed next to the affected hand |
Placing the container next to the affected hand, but further away; evolving by placing the pot on the unaffected side |
Drawing |
Wax chalk, pen, and paper |
Drawing with the wax chalk on the paper, using the affected hand. The unaffected hand is on the table and supports the paper |
Large wax crayon, wax chalk |
Small diameter wax chalk; paper farthest from the trunk. |
Assembling parts |
Game of grimaces |
Picking up the pieces and making the faces. The pieces of this game are large and the non-stressed hand supports the board |
Board close to the body and parts available next to the affected limb |
Board away from the body of pieces on the unaffected side |
Stacking blocks |
Set of baby lego and/or colored cubes |
Assembling a tower on the table using the largest number of pieces. The unaffected hand supports the tower |
Cubes arranged in front of the patient’s midline or the affected side |
Placing the blocks on the floor or on the unaffected side. |
Hammering |
Icebreaker game |
Cubes positioned by the infant and the therapist on the play table and the baby should hit the cubes to knock down the pieces |
Hitting with the hands |
Hitting with the hammer. |
Opening a pot |
Plastic Box |
Removing the lid from the box. The unaffected hand holds the trunk-supported box and the baby removes the lid with the affected hand. |
Removing the cover unscrewed. |
Unscrewing the lid and remove it |
Transferring the container food |
Plastic set with cooking utensils,* grape, and raw beans |
Transferring the food from the shallow dish and passing to the bottom plate, using the affected hand |
Transferring the grapes with the hand |
Transferring the beans by making 2-finger forceps (to develop greater accuracy of the fine forceps), as progression, passing the beans from the bottom plate to the shallow dish; performing the task using a spoon. |
Feeding the doll |
Raw beans and grapes* |
The infant had to pick up the beans or the grape* with the unaffected hand and “feed the doll”. |
Dolls and container with food near the infant |
As a progression, do the same with the use of a spoon. |
Self-feeding |
Food and container brought by caregivers |
Feeding by the hand, taking food out of a container |
Big foods like cookies, strawberries, for example |
The food should be smaller requiring finer tweezers and then the infant should be fed using a spoon |
Fitting pin and/or threads |
Board with pins and threads |
Taking the pieces on the side and fitting them in the indicated places |
Using threads and board near the infant’s torso |
Using more pins and boards |
Pushing a doll cart |
Doll cart |
The infant walking to support both hands in the cart and taking the “doll” in the cart |
Padding the “handle” of the cart on the affected side |
Keep both sides the same |
Pulling a cart |
Plastic carts |
Pulling the cart |
Pulling by hand |
Pulling with a cord slightly tied in the affected hand and progress without any cord |