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Hand Therapy Ball Exercises to Improve Fine Motor Skills

hand therapy balls with sheet of exercises behind it

To increase strength and dexterity in your hands after stroke, hand therapy ball exercises are a great, affordable option.

Hand exercise balls are simple and extremely versatile, which makes it easy to practice a wide range of effective exercises to strengthen the hands.

This article will share 8 hand therapy ball exercises to improve fine motor skills after stroke.

Effective Hand Therapy Ball Exercises

The most effective way to promote hand recovery after stroke is through high-repetition practice. Consistently practicing these 8 hand therapy ball exercises will help stimulate the brain and promote its ability to rewire itself (neuroplasticity).

Start with a set of 10 repetitions of each exercise, then build up your strength to aim for 2-3 sets of 10. As long as these exercises do not cause you pain, you can even try to do them a few times a day!

1. Power Grip

hand therapy ball exercise for stroke patients

This hand therapy ball exercise will help strengthen your grip so that it is easier to grab objects, pick them up, and release them. Grasping the ball will target the flexor muscles to improve strength for picking objects up. It will also be important to practice releasing the ball, which will target the extensor muscles that allow you to let items go from your hand. This exercise also helps relieve joint pain, stress, and anxiety.

Squeeze the therapy ball with your fingers and thumb, as if making a fist. Squeeze, then release the ball completely, opening your fingers as wide as you can.

2. Pinch

pinching ball exercise to develop fine motor skills

For this exercise, pinch the hand therapy ball with your fingers and thumb extended. And by extended, we mean keep all your fingers straight. This will help strengthen different muscles than the ones targeted by curled fingers.

To make this hand therapy ball exercise more challenging, pinch the ball for a greater amount of time.

3. Thumb Flexion & Extension

thumb extension therapy ball exercises for stroke survivors

The thumb plays an essential role in various hand functions including pinching and grasping, so it’s essential to strengthen its muscles to improve control.

With your palm flat (as flat as you can), place the therapy ball on your palm and use your thumb to keep it in place.

Then, use your thumb to roll the ball up and down your palm. This movement really isolates your thumb.

4. Table Roll

table roll hand exercise

Place the hand therapy ball on a table and place your hand on top of it.

Then, while keeping a flat hand, roll the ball from the base of your palm up to your fingertips.

Placing too much or not enough pressure will make the ball difficult to maneuver. Therefore, this hand therapy ball exercise will help individuals practice adjusting and sustaining a certain amount of pressure on the ball.

5. Finger Flexion

finger flexionhand therapy ball exercise for stroke patients

Unlike the Power Grip exercise, you won’t be using your thumb in this hand therapy ball exercise.

Instead, hold the therapy ball in your palm and press into it using all your fingers except your thumb. Press and release.

Notice how much more challenging it is to squeeze the ball without using your thumb. This will help strengthen the muscles that allow you to bend your fingers.

6. Thumb Roll

thumb roll hand exercise ball therapy exercise

This hand therapy exercise isolates your thumb and encourages you to move it through its entire range of motion. As a result, it will help prevent stiffness and improve control.

Place the therapy ball on your palm. Keep your palm as flat as you can and use your thumb to keep it in place. Then, use your thumb to roll the ball in a circle on your palm.

7. Finger Squeeze

finger squeeze hand therapy exercise for stroke patients

This hand therapy ball exercise will help individuals strengthen their finger adduction muscles. These are the muscles that allow you to bring the fingers together, which play a key role in grasping objects.

Place the therapy ball between two fingers and squeeze your fingers together. Squeeze and release. You can do this between any combinations of fingers, so be sure to exercise all your fingers!

Some fingers will be more difficult than others (like your ring and pinky finger), so be sure not to neglect them.

8. Thumb Opposition

thumb strengthening exercises

This therapy ball exercise is similar to the Thumb Roll, but you will be rolling the ball side-to-side instead of in circles.

Start by placing the therapy ball on your palm and use your thumb to keep it in place. Then, use your thumb to move the ball from left to right.

Benefits of Hand Therapy Ball Exercises

It’s important to cater your hand therapy exercises to suit your recovery goals.

For example, some people may need these exercises to strengthen their hands, especially those that enjoy handiwork. If that’s you, then focus on using therapy balls with more resistance so that you can build strength in your hands and fingers.

Other people might use these exercises to regain mobility in their hands, including stroke survivors.

When neurological injury is involved, the focus should not be placed solely on trying to increase resistance. Instead, the focus should be placed on repetition, which provides the brain with the stimulation it needs to rewire itself.

Cater your hand therapy exercise regimen to suit your goals. You may even like adding some therapy putty exercises too! Happy exercising!

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Get Inspired with This Stroke Survivor Story

Mom gets better every day!

“When my 84-year-old Mom had a stoke on May 2, the right side of her body was rendered useless. In the past six months, she has been blessed with a supportive medical team, therapy team, and family team that has worked together to gain remarkable results.

While she still struggles with her right side, she can walk (with assistance) and is beginning to get her right arm and hand more functional. We invested in the FitMi + MusicGlove + Tablet bundle for her at the beginning of August.

She lights up when we bring it out and enjoys using it for about 20 to 30 minutes at a time. While she still doesn’t have enough strength to perform some of the exercises, she rocks the ones she can do! Thanks for creating such powerful tools to help those of us caring for stroke patients. What you do really matters!”

-David H.

FitMi is a neurorehab device that you can use from the comfort of home. It works by motivating you to accomplish high repetition of therapeutic exercises.

As you work through the program, you’ll unlock more difficult exercises when you’re ready. It’s like having a virtual therapist available anytime you need it.

See how quickly Sudhir was able to notice improvements:

Saw results within a few days

“I bought FitMi about a month and a half ago. Quite impressed with the range of exercises for hand, arm, leg and foot. I suffered a stroke about 2 years ago which paralyzed my right side. I do walk now with a cane or walker, but my right hand curls up and my right arm is also weak. Within a few days of trying it out, I could note a distinct improvement in stamina before tiring. So, I am looking forward to continued improvement.”


Not only is FitMi approved by survivors, but it’s also approved by therapists, too. FitMi is used in some of the top clinics in the world, including the Shirley Ryan Ability Lab, the #1 ranked rehab hospital in America. Plus, two PTs on YouTube with over 3 million subscribers (you may know them as Bob & Brad) gave FitMi the thumbs up, too.

To learn more about this motion-sensing, game-changing recovery tool, click the button below: