I made this vibrating ring stack by wedging the swim noodle inside a hole in a box. I pushed a small motor from a cheap electric tooth brush I found on Ebay inside so that it vibrates. The rings are cut from coffee can lids.
Unfortunately, I held the camera at a funny angle, and the blog does not accept a rotated picture.
Finally, realizing that this gentleman enjoys vibration, I set him up with a cushion that vibrates when pushed. I positioned his arm on top of it so that he could enjoy the benefits of having his arm raised (to reduce edema) while using his hands together. He has also been doing great at self-range-of motion. but these activities provide another opportunity to raise the involved upper extremity and train him to use it to stabilize materials. .

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