Beyond the Squeeze Ball: How to Wake Up Your Hand After a Stroke

After a stroke, it can be very hard to use your hand again. In fact, the hand is often the last part of the body to heal. This is because the area of the brain that controls your hand is very big. Sadly, this is also the exact area where most strokes happen.

It is very frustrating when you cannot zip your jacket or hold your favorite coffee mug. In the hospital, you might have been given a rubber ball to squeeze. While this can help a little bit, a squeeze ball is usually not what you actually need.

Why a Stress Ball Does Not Work

A stress ball can help build strength. But after a stroke, strength is not your biggest problem. The real problem is communication. Your brain and your hand have forgotten how to talk to each other.

Here is why a squeeze ball is not working:

  • Your brain gets bored: Squeezing a ball over and over does not make your brain pay attention. Your brain goes on autopilot. It stops focusing on what your hand is doing, which stops the healing process.

  • It forgets your thumb: You need your thumb to pick up almost everything during the day. When you squeeze a ball, your other fingers do all the work. Your thumb just comes along for the ride.

  • It makes your hand too tight: After a stroke, your hand naturally wants to curl into a tight fist. A squeeze ball works the muscles that close your hand. It ignores the muscles that open your hand. This makes it even harder to open your hand later on.

The good news is that there are easy ways to fix this by using everyday movements.

How the Brain Rewires Itself

When you read about stroke recovery, you will see a big word: neuroplasticity. It sounds hard, but it just means your brain’s ability to change, learn, and heal.

Your brain does this all the time. Think about the last time you learned a new skill. That was your brain changing the way your body moves! We use this exact science in occupational therapy to help your hand move again.

To make your brain rewire itself, you need two things:

  1. Focus: Your brain must pay attention. If you are bored, your mind wanders and your brain will not learn.

  2. Meaning: You must care about the task. Therapists call this salience. If an activity is important to you, your brain wakes up and works much harder.

To get your hand working again, your practice must hit these four goals:

  • Your brain is paying close attention.

  • The task is important to you.

  • The task is hard, but not impossible.

  • You do the task hundreds of times (lots of repetition!).

3 Easy Hand Exercises to Do at Home

You do not need to buy expensive gear to fix your hand. You just need to practice real-life tasks. Here are three simple ideas to get your hand moving today:

1. Light Switches

Every time you walk into a room, use your weaker hand to turn the light switch on or off. Your strong hand will try to take over. Do not let it! Force your weaker hand to do the work. You will have to think hard about it at first, but it gets easier.

2. Typing or Playing Music

Did you play an instrument before your stroke? Try it again! It might not sound perfect, but it forces your brain to focus on your fingers. If you do not play music, try typing on a computer. Start small by typing your name or a short grocery list. Your brain has to focus closely to reach for the right letters.

3. Play a Game

Card games are great for your hands. Holding, shuffling, and passing out cards forces you to use your weaker hand. Even flipping over cards to play a simple game like "War" helps a lot. Other great games to try are Jenga, Connect 4, and Mancala.

How Occupational Therapy Helps

In occupational therapy, we look at the whole picture. We help you practice opening and closing your hand so you can hold your coffee cup safely again. We might also use special tools, like safe electric signals to wake up your muscles, or special tape to help your hand stay open.

It does not matter if your stroke was yesterday or years ago. Your brain can still learn.

Get Help in Dane County

Your brain is amazing, and it can rebuild itself right at home. True healing happens when you finally zip up your winter coat by yourself, or when you pour your morning coffee without spilling.

You might be asking yourself:

"How can I help my partner get their independence back?"

"Will I ever stop dropping my keys at the front door?"

The answer is yes, you can make real progress! And you do not have to do it alone.

If you live in Dane County, Wisconsin, we are here for you. Take the first step today and give us a call for a free phone consultation. We will talk about your daily struggles, answer your questions, and help you find a safe path back to your normal routine.

Not in Dane County but still live in Wisconsin? Virtual therapy may be available and covered by Medicare part B.

Rachel Larscheid, OTR/L

Rachel is an Occupational Therapist with over 7 years of neurologic OT experience, working with patients in both inpatient, outpatient and home health settings. Rachel is the owner and founder of Neuro Connections, providing Occupational Therapy services to adults in the comfort of their own home.

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