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How to use Thumbs Out

How does Thumbs Out work? 

What size should I order?

When can my child start using Thumbs Out?

How do I put a Thumbs Out thumb guard on?

Hygiene

Movement Issues

How do I care for Thumb Out?

Will Thumbs Out work for my child?

What should I do if my child is able to get Thumbs Out off?

If the tube extends further than the thumb, does that mean the Thumbs Out size is too large?

What should I do if I find redness or other reactions in areas covered by the plastic tube?

What is Thumbs Out made of?

Will the habit reoccur?

Will it work for older children?

 



How does Thumbs Out work?

side-sucker.jpgThe theory behind the Thumbs Out products is two fold. The first is that thumb sucking is a habit, and a habit can be broken if stopped for a period of time*1. The second is that the product itself hinders the enjoyment given by the sucking.  Thumbs Out thumb guards work by eliminating the vacuum that is created when your child tries to suck their thumbs. This vacuum, or suction, is what causes that enjoyable soothing feeling. Unfortunately, that suction is also what is responsible for crossbite, malocclusion, and a host of other damaging conditions which develop when the habit is prolonged.

Using Thumbs Out thumb guards, children can still physically suck their thumbs, however the enjoyment they once received is gone as there is no longer a seal. Once they no longer receive the enjoyment, there is no point continuing the action. Hence, thumb sucking is no longer a problem.


What size should I order?

Small
Children below 4 years of age whose weight is below 14 kilograms.
Children who are taller than average but have small bone structure
Children over 4 years of age who are small for their age.

Medium
Children 5 to 6 years of age whose weight is between 14 and 25 kilograms.
Children under 5 years old whose physical development is above average
Children over 6 years old who are small for their age
Children over 6 years who are tall for their age but have small bone structure

Large
Children 7 years of age and older whose weight is above 25 kilograms.
Children 6 years old whose physical development is above average.

If you find that your child is between two sizes, we recommend you select the larger size, for the following reasons;

- Choosing a larger size will guarantee better air flow inside the tube to prevent a seal that could be caused by suction
- Improved ventilation inside the tube will reduce condensation and moisture that could cause skin irritation

If you find that your child is between two sizes, we recommend you select the larger size, to guarantee better air flow inside the tube to prevent a seal that could be caused by suction and it will allow improved ventilation inside the tube which will reduce condensation and moisture that could cause skin irritation.

Some parents have also used it on younger children to heal wounds caused by continuous sucking.

When can my child start using Thumbs Out?
Our products start in sizes for children aged 3 and above. This is because for children under 3 it is usually considered still normal for them to suck thumbs and fingers. However, all children are different and while another child may not be ready, your child may be more mature and ready to stop this habit.Some parents have also used it to heal wounds caused by continuous sucking.

For babies aged between 6 months – 2 years, we are pleased to recommend the Bamboo Bubby Bag, offering a safe and natural solution to discourage thumb sucking. Its adjustable, enclosed sleeve design will not only protect the skin on your baby or toddler's hands from thumb sucking damage and infection, but also discourage long term thumb sucking which can cause dental issues and speech impediments.


How do I put a Thumbs Out thumb guard on?

How do I put a Thumbs Out thumb guard on?























Hygiene
The way the device has been designed is so they can't get it off to suck their thumbs/fingers. When children need to wash their hands they may need help in making sure all the soap is washed off to avoid irritation. The device is plastic so it will dry relatively quickly.

Keep in mind that it would only be worn it for a little while, as short as a couple of weeks, so it’s a short period of time.

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Movement Issues
Thumbs Out are designed specifically so children can't get them off to suck their thumbs/fingers. This means movement is minimally restricted when writing etc however, keep in mind children only wear Thumbs Out for a short period of time depending how long they have been sucking, so it’s a short period of time for this restriction.  We have done testing and it is possible to write, use scissors, etc however there is going to be some restriction.

Is your child a day and night sucker or mainly at night? If it's a night time problem it can be worn at home and night time instead of wearing it during school/kinder time.


How do I care for Thumb Out?
Thumbs Out and Fingers Out are not designed to be washed via boiling or put in the dishwasher or any sterilising equipment. Any products subjected to this method of washing will deteriorate. Any products which deteriorate because of these washing methods will not be replaced or the purchase price refunded. To wash your product simply wash in warm soapy water at least once every 24 hours and let air dry out of direct sunlight.



Will Thumbs Out work for my child?
There are only two requirements for a successful treatment: 1. Your child must have the desire to stop sucking their thumb. 2. Parental commitment to follow through with the treatment and provide support and encouragement.

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What should I do if my child is able to get Thumbs Out off?

If your child can remove the guard this usually means that the 2 long extensions are not adjusted properly (the tightness of the bracelet is used only to prevent the entire device from coming off).

Make sure the narrower extension is threaded through a hole in another, wider one. This intersection of extensions is what determines where the tube sits on the child’s hand: either close to the base of the thumb, or higher up, which allows the child to remove their thumb from underneath. In order to make the tube sit lower on the hand, you must thread the narrower extension through a hole higher up (or closer to the tube) on the wider one. Next, thread the bracelet through the first available holes outside of this intersection, and through the higher hole on the short extension (which extends from the tube). Before you secure the bracelet, pull the entire appliance down, so that the tube sits as low as possible on the thumb. Secure the bracelet on the thinnest part of the wrist, as tight as possible without cutting circulation (i.e. there should be some slack).

There are some key signs that the device is being worn correctly:

  1. The intersection of the narrow and wide extensions takes place on the back of the wrist, opposite the thumb.

  2. The intersection of the narrow and wide extensions takes place on the thinnest part of the wrist.

  3. The tube covering the thumb does not move when pulled.

  4. The child’s hand is not contorted: meaning the tightness does not deform the child’s hand.

If, after ensuring that the device has been adjusted properly, your child can still remove their thumbs, you can use a band aid or a piece of medical tape to roll several layers around the thumb knuckle to impede the child's ability to bend the thumb and remove the device

If, after you have followed the instructions, the child is still able to remove the Thumbs Out, it might be that the child belongs to the small group of children who are able to remove the device regardless how well you adjust it. Please email us to see if we can help.


If the tube extends further than the thumb, does that mean the Thumbs Out size is too large?
The only important parameter concerning size is diameter. There should be a clearance between the thumb and appliance to allow a suction-breaking airflow. If you feel that your child would feel more comfortable with a shorter tube, you can trim it to expose the very tip of the thumb.

thumbs-out-helps-kids-stop-thumb-sucking
What should I do if I find redness or other reactions in areas covered by the plastic tube?
A very small percentage of younger children, due to higher skin sensitivity, develop a rash or redness in the areas that are covered by the plastic. Though the plastic is medical grade material with no toxicity and no harmful phthalates (a type of chemical), the reaction can be the result of condensation, saliva, and the accumulation of bacteria in a confined and warm environment. You should immediately stop using the device and take all steps to heal the skin. Usually, keeping the skin dry and / or using over the counter remedies, heal the skin rather quickly. You may resume using the device, but take the following precautionary steps:
Be sure that the skin is always dry and clean. You can accomplish this by removing the device more often than daily for cleaning and drying, or by simply using a hair dryer for drying the thumb / finger without removing the device. Applying a thin layer of any baby hydrophobic cream (nappy rash cream) before putting on the device creates a moisture barrier and can also be helpful.

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What is Thumbs Out made of?

It's made out of soft, opaque, non-toxic durable plastic material which is non-DEHP, non-phthalate plasticizer and it is BPA free. These compounds are ideally suited for the manufacture of infant products, food and beverage applications and medical devices, where the presence of phthalates is undesirable.
Also, they are made in Australia.



Will the habit reoccur?
Sometimes it may take a few different tries of beating the thumb sucking habit. Children usually become successful during the day time quite quickly. Night time thumb sucking may take a while longer. Nocturnal sucking is definitely the hardest sucking to eliminate because you can’t help doing something when you’re asleep. Once daytime sucking has stopped you may like to only use Thumbs Out at night until the habit disappears totally.

 

Will it work for older children?

The first thing we will say is well done to your daughter/son for trying to break the habit!!  It is such a hard habit to break!  But trying to, and wanting to, is the first step in overcoming it.  The next step is getting a little bit of help.  Thumbs Out could be that little bit of help you need!

The following is something we tell older children to help them understand thumb/finger sucking and how to stop.

Did you know, thumb sucking and finger sucking is a very natural habit in little babies.  They need to suck to survive.  Babies use sucking in order to get nutrition, but they also do it because they just like it.  It feels nice and can make them feel safe and comfortable.  In most cases, as the child matures they find other means of receiving the same forms of positive emotional fulfillment. However, sometimes, actually more often than sometimes, kids keep sucking their thumbs and fingers.  The longer someone does it the harder it is to stop.  But you're lucky.  Do you know why?  Because thumb and finger sucking is a habit, and that's great!  Why is this thumb and finger sucking habit great?  Because being a habit means it can be broken. Studies show that if a habit is interrupted the 'need' to do it lessens until it is no longer a habit.  It takes at least 3 weeks to remove a habit, however it can take a while longer if the habit is long and ingrained, like thumb and finger sucking.  But it does happen.  This means, the longer you don't suck your thumb or finger (at all), the more likely that you won't 'want' to do it.  And that's where Thumbs Out comes in.  It can put something between your thumb or finger and your mouth which reminds you to take your thumb or finger out, and also doesn't actually allow for the sucking.  You may only need to put it on at night time if you're mostly a night sucker, so you may not need to wear it to school.  It might feel a bit strange to start with but you will get used to it and before long you won't be sucking your fingers or thumbs so you won't need to wear it.  It will probably take around 8 weeks of wearing to completely remove the desire to suck your fingers or thumbs.  The longer you wear it, the more you will see that you can do it!  The advantage you have over younger children is you can help yourself more to get the result you want.


If it's time to help your child give up the thumb sucking habit then Thumbs Out can help.


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*1.http://psychcentral.com/blog/archives/2009/10/07/need-to-form-a-new-habit-66-days/