Dear All My SLT colleague and I are seeing a 14 year old boy who has Rapid Onset Dystonia Parkinsonism whose abilities are very variable. When he 'goes down' he uses a finger squeeze to indicate yes/no (someone's finger placed inside his flexed fingers). I have tried a finger button switch with him, wrapped around some tubing, but this is too big for his hand. I'm guessing that if I bend the button switch to fit around something smaller, this is probably going to damage the switch. Does anyone know of anything smaller that I could use to make use of this grasp movement? A grasp-switch is also too big and requires too much pressure. Many thanks Polly Polly Wingate-Saul Specialist Occupational Therapist Bristol Communication Aid Service Frenchay Hospital Bristol BS16 1LE Tel: 0117 340 3946 Working days: Monday, Tuesday, Wednesday and alternate Thursdays http://www.nbt.nhs.uk/our-services/a-z-services/bristol-communication-aid-service [Bristol Communication Aid (2)] DISCLAIMER: The information in this message is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorised. If you are not the intended recipient, any disclosure, copying, or distribution of the message, or any action or omission taken by you in reliance on it, is prohibited and may be unlawful. Please immediately contact the sender if you have received this message in error. Thank you.