No-Sew Universal Cuff Device For Better Utensil Control

Universal cuffs, or u-cuffs, are designed to help individuals with a weak grip, or limited fine motor control, use a handled utensil independently when unable to maintain a grasp. This type of assistive device can help users with a weak grip strength have more control while gaining independence in activities of daily living. Quick and easy to set up, this DIY occupational therapy project requires no sewing. Tips for putting on the U-cuff one handed are included.

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Universal Cuff Project Background

Back in occupational therapy school, my professors sometimes gave assignments requiring us to make therapy tools and games by hand. I loved these types of assignments: Hands-on creativity at its best. It’s one of the many reasons I love OT!

One day, as our class gathered around the therapy table for a demo on how to safely transfer a patient our first year of school. Our professor, with her witty sense of humor and quick with a joke personality, showed us how to make this crazy easy universal cuffs using a scrunchie. Mrs. Mary, my professor, was pretty awesome.

Of course, at the time, I had no idea a scrunchie could serve as a universal cuff. Yes, you can get out the sewing machine or a roll of duct tape, and I will do that tutorial one day soon, but I definitely couldn’t skip this easy, keep it in your back pocket in case you need it tutorial.

To Mrs. Mary, one of my fabulous professors, I am so grateful for your words of wisdom, guidance, and passion for all things OT. My experience in OT school was pretty great, I must say.

What Is A Universal Cuff?

A universal cuff is typically made from a leather or canvas strap that fits snugly around the palm of the hand. It is often secured around the hand using an elastic strap.

This type of assistive technology can help individuals maintain a grasp on a spoon, fork, paint brush, or other type of handled utensil leading to improved independence in activities of daily living.

Who Might Benefit From Using A Universal Cuff?

Individuals who might benefit from using this type of adaptive equipment may have or experience one or more of the following:

Limited fine motor control
Weak grasp or grip strength
Limited manual dexterity
Weak finger strength
Limited finger range of motion
Stroke recovery
Hand injuries, as approved by your therapist
Tremors such as tremors associated with Parkinson’s
Arthritis
Limb differences
Spinal cord injuries
Cerebral palsy

Added Benefits Of Using A Universal Cuff

Improved independence in self care tasks
Less stress on the joints of the hand
Improved comfort
Universal design
Versatile
Helps reduce cramping of the hand
Light weight
Ergonomic comfort
Improved independent living
Interchangeable between various utensils

What Types Of Utensils Can Be Used With A Universal Cuff?

Feeding utensils such as a spoon or fork
Hair brush or handled comb
Writing utensil such as a pen, pencil, crayon, or marker
Paint brush
Toothbrush
Offset spoon – an offset spoon can be helpful when using a universal cuff to achieve the correct angle in order to more easily bring your hand to your mouth.

Special Considerations

Caution! Do not use plasticware when using a U-Cuff. It’s best to use metal feeding utensils.
Do not use a rubber band instead of a scrunchie due to skin integrity. A stretched rubber band can damage the skin and cause pain and/or skin tears.
For those with tactile defensiveness, take fabric texture into consideration before purchasing a new scrunchie.
Also, it’s important to choose a scrunchie that fits the hand of the individual snugly when the utensil is in place. A scrunchie that is too loose, of course, will not correctly hold the utensil in place without slipping. Versus having a scrunchie too tight may cut off circulation. It is important to ensure a correct fit.
Keep your scrunchie universal cuff in your pocket, bag, purse or even on your wrist when not in use. Even keep an extra one or two in your car or various places around the house when you might be in need of it. This type of DIY universal cuff can also be kept as a backup in case the one you typically use gets lost or left at home.
Using an offset spoon or fork can be helpful when using a universal cuff to achieve the correct angle when bringing the hand to the mouth with ease. When purchasing an offset utensil, make sure to get the utensil needed for the correct hand dominance.
Additionally, a swivel spoon maybe helpful to keep contents on the spoon or to avoid spills in the case of tremors and limited hand control.
Check out this post on DIY built up handles. These are also great for individuals who have a weak grasp adding more ergonomic comfort with a wider gripping surface. And check out these DIY long handled utensil here.

Other DIY Projects You Might Be Interested In:

How To Make Your Own Universal Cuff

Materials

Snug fitting, soft scrunchie
Utensil of choice (no plasticware)

Instructions

Slip the scrunchie over one end of the utensil (picture 1 above).
Pull the scrunchie around the back side of the hand, and loop over the opposite end of the utensil. (picture 2 above). *Note: When using the DIY universal cuff with a spoon or fork, it’s easier to place the scrunchie on the spoon or fork end then wrap it around the hand and secure.
Done. Adjust as needed (picture 3 above).

How To Put On The Scrunchie Universal Cuff One Handed

One Handed Instructions

Hang the scrunchie on the kitchen cabinet knob.
While using a finger(s) and/or thumb, hold the utensil in place against the palm of your hand (picture 1 above).
Place one end of the utensil inside the scrunchie (picture 2 above).
Wrap the scrunchie around back side of the hand using the knob to maintain the tension (picture 3 above), and secure the scrunchie over the other side of the utensil (picture 4 above).