In the previous report, the author invented a graded and mechanical classification of hand use from the interrelationship between hand and object, which are Detach, Touch, Push, Hook, Constrain, Fixation (Pinch and Grip), Dynamic patterns and Combined patterns.
In this report, the author studies the hand use in activities of daily living of 6 hemiplegics of 6 recovery stage of Brunnstrom.
In stage 1 and 2, hand use of affected side was negligible and also total bilateral amount of hand use was diminished. In stage 3, mass flexion of the hand had realistic role for fixation of the object.
In stage 4, Key Pinch or lateral prehension, and in stage 5, palmar prehension became more important.
In addition, the author made 2 preliminary hook devices for the affected hand, which prevents most of hemiplegic patient from performing their activities of daily living.