When my hand was flaccid I had to put objects in my mouth or squeeze them between my thighs to hold objects still. This made me aware of the dozens of times each day I used to reach out to hold an object still so the other hand could manipulate it. Here is an example of what I mean. It is aggravating to get out cereal, a bowl, and a spoon, but not be able to open the milk. My hand can now hold the milk container still so it does not spin around when I remove the cap, but first I have toreach for the handle.
Using my hemiplegic right arm to reach for and hold a lint trap so my sound left hand can clean the lint trap sounds like a deceptively easy skill. If shoulder muscles struggle to lift the arm, high muscle tone can cascade down the arm and make hand muscles tighten. It is difficult to open a tight hand. I am grateful that my OTs, NeuroMove, and Saeboflex helped me regain this simple skill. Being able to reach out and open my hemiplegic hand to hold objects helps me do 26 ADL tasks.