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Shifting - Cards Print

 

 SHIFTING AN OBJECT (from the thumb to the pinky and back!)


Purpose:   
To improve ability to shift objects in the palm of the hand.  

Shifting typically involves linear movement of an object across the palm or palm-side of the digits, from the small finger to the thumb side of the hand and vice versa.  The thumb is held against the fingers, pressing and securing the object in between.  Movement of the thumb and fingers enables repositioning or 'shifting' of the object across the pads of the fingers.  This skill is used frequently in many day to day activities such as:  fastening buttons, lacing shoes, writing, tool/assembly work.

Instructions:

1.  Gather a stack of 4 or 5 cards in your hand.  Using your thumb, open or fan out the stack such that the value of each card is visible.
2.  Note the illustrations showing the movement of the fingers as observed from the back of the hand.   Before the stack is opened, the index finger remains straight, and the middle finger is slightly bent.  As the cards are shifted, the fingers bend down further towards the palm.
3.  This exercise may be repeated until the entire deck of cards has been opened in stacks of 4 or 5.
 
Precautions:  
Perform these exercises with the supervision of your licensed OT or PT.  Always perform activities within the limits of your pain. Work gradually to achieve full shifting across the entire palm.  Do not perform this activity if thumb joint instability is present.

 

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“I am impressed with the info. available on this website.”

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“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

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“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

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"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

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“thank you so much for giving us a great tool to better serve our patients…”

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“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY


“I am impressed with the info. available on this website.”

- Swabie


“Thanks SO MUCH for this wonderful site. i am sure i will be using it lots as it is set out so beautifully along the "goals" and "outcomes" we use at school.”

- Jill


“thank you so much for giving us a great tool to better serve our patients…”

- Jacqueline


“I think it's great you're making information about PT, OT and Speech more accessible to everyone.”

- Ferson


"Therapy library is an excellent resource! My patients find the visual illustrations clear, concise and easy to follow when they do their daily home exercise program. Therapy library is an essential part of my occupational therapy practice. Thanks!"

- Karina, OTR/L, NY



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