Thanks Jody.  I feel sort of dumb because I though by dominance you were
referring to the person's life roles.  Now I know!

Ron

~~~~~
Saturday, May 4, 2002, you wrote:

Sac> By change of dominance I mean the person who was right handed and now  due to 
Sac> a CVA or whatever has a nonfunctional right UE, so they must learn to use the 
Sac> left as dominant.  Some people have more fine motor competence in theri 
Sac> non-dominant hand than others.  Just for fun I have attempted feeding myself 
Sac> and signing my name with my left and my fine motor in my left is pretty poor. 
Sac>  But I just try to help them over the hump as they make this transition, 
Sac> practicing handwriting, practicing left handed feeding, maybe using a high 
Sac> sided dish and non skid mat under it, and whatever else the formerly non 
Sac> dominant hand needs to do now.  Here is another example that comes to mind - 
Sac> I had another patient  with hemiplegia - very independent, she lived alone.  
Sac> She came home from rehab with a button hook, and asked me how to use it.  I 
Sac> demonstrated, using only one hand ( my right ) and it looked like a piece of 
Sac> cake.  My patient then challenged me to demonstrate with my left, since she 
Sac> only had her left available to use.  I was not able to use it with only my 
Sac> left.  I can't remember if this had something to do with the direction my 
Sac> clothes button ( I think mens and womens are made differently, one is R laps 
Sac> over L, and vice versa) but I think it was mainly the fine motor skills.  Oh 
Sac> and another one from that same lady.  She needed a way to open food packages. 
Sac> She could not use scissors with her left hand, not even the ones made 
Sac> especially for left handed people.  But she could use some springy cutters I 
Sac> had from Pampered Chef.  I can't describe them very well, but Fiskars makes 
Sac> something similar.  They look a little bit  like miniature garden shears.  
Sac> The handles are straight, no loops, and you squeeze them together to cut, 
Sac> then they open automatically by a spring mechanism.  I will try them again 
Sac> for anyone who needs to cut with a non dominant. -- Jody Van Ness

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