Your risk for hand tremors increases with age and can also be influenced by diseases you may have, including diabetes. The sample kit includes a teaspoon, tablespoon, soup spoon, fork and rocker knife. Sometimes people wear these during a cardio workout or on a walk. You will bring hands in with tight fist – then extend those hands out and open hand’s fingers nicely, … Updated 2013. Wrist weight therapy can potentially worsen your tremors, particularly with prolonged use. Medications (like certain antidepressants, antiepileptics or inhalers) … The aim of their research was to determine whether a 6-week resistance training intervention could help remediate symptoms of essential tremor. Pictured, the conceptual design of the glove. Essential tremor is a nervous system (neurological) disorder that causes involuntary and rhythmic shaking. Improving hand strength can help improve daily function. Tremor in the wrist is primarily caused by muscles in the forearm, including the pronator and supinator muscles. Has anyone tried wrist weights and do they find them a help or has their tremors worsened since using them. This Super Big Fat Pen is a high-quality pen that is best for those … The authors say that wrist weight therapy helps bring down the amplititude of tremors but will not lessen their recurrence 5. 2019;123:443–452.e8. Weighted Holders. Up to 25% of patients change career or retire early due to Essential Tremor It is easier to put on and take off. These premium wrist weights are the thinnest and most durable that are available on the market. Stereotactical lesion surgery for the treatment of tremor in multiple sclerosis. Although weighing down your limbs may prove helpful, few patients can function normally using this form of treatment alone. PLoS ONE. About 10 million people suffer from tremors, according to the Tremor Foundation. National Multiple Sclerosis Society. This tubular weighted stretch sleeve distributes the weight evenly along the full length of the forearm, allowing maximum flexibility and mobility. Two new studies show that a wearable, noninvasive neuromodulation device may be of … The open palm and finger loops allow the user’s fingers and wrist to move freely. Altinel Y, Alkhalfan F, Qiao N, Velimirovic M. Outcomes in Lesion Surgery versus Deep Brain Stimulation in Patients with Tremor: A Systematic Review and Meta-Analysis. Furry Animal Hand Weights. Multiple sclerosis information page. It interferes with hand functions and makes it very difficult for a patient to perform self-care tasks. Collective Wizdom: Why are My Hands Shaking? Wrist weight therapy can potentially worsen your tremors, particularly with prolonged use. People who experience tremors during fine motor tasks will find this adapted hand weight provides excellent proprioceptive input and additional hand stability. Rinker JR, Salter AR, Walker H, Amara A, Meador W, Cutter GR. The authors say that wrist weight therapy helps bring down the amplititude of tremors but will not lessen their recurrence 5. Johns Hopkins Medicine. Research conducted by Kavanagh, Wedderburn-Bissop and Keogh (2016) examined the effects of resistance training (RT) on essential tremor. Further information For … Altinel Y, Alkhalfan F, Qiao N, Velimirovic M. Outcomes in lesion surgery versus deep brain stimulation in patients with tremor: A systematic review and meta-analysis. World Neurosurgery. Especially useful during feeding or writing, the hand weights are ideal for controlling M.S. doi:10.7224/1537-2073.2017-024. It is mandatory to procure user consent prior to running these cookies on your website. You can't expect a car to run if you don't give it gas. Especially useful during feeding or writing, the hand weights are ideal for controlling M.S. Although wrist weight therapy may reduce your need for medication, do not stop taking medicine prescribed for your condition without consulting your physician. The size of benefit seems to be sensitive to the amount of weight used. These weights are available in 0.25 and 0.5 pounds for the left and right hands. Thank you. Mccreary JK, Rogers JA, Forwell SJ. of weight; medium and large have 1/2 lb. People who experience tremors during fine motor tasks will find this adapted hand weight provides excellent proprioceptive input and additional hand stability. Soft Weighted Balls. Wrist weights may provide relief from tremors but will not make them go away. These weighted items along with medication and therapy can help with some of … 2018;20(5):211–223. Avoid aggravating substances. Although wrist weight therapy may benefit you, seek the advice of your physician before applying the therapy to your condition. The weight of the dumbbell that’s 1 to 3 palm pounds in weight. BMJ Open. Compared to other devices, the GyroGlove™ will combine elegance and durability in a small, lightweight package with a detachable harness. Each glove has an adjustable strap to make it soft or tighten when you do any hand activities. They are recommended to write with heavy weighted pens. Good Grips® are ideal for persons with limited hand control and tremor. Johns Hopkins Medicine. how can i control it? Tremor. Copyright © 2020 Leaf Group Ltd., all rights reserved. And follow your doctor's recommendation about how long to wear wrist weights to avoid potential drawbacks with this type of treatment for tremors. https://www.shareasale.com/m-pr.cfm?merchantID=942&userID=2045300&productID=654187297. 2 lb. Parkinson’s Disease (PD) is a major problem in the human population, affecting 6.3 million people worldwide, and diagnosed in 1% of the population over 60. People with tremor will find the added weight in the handle helps to stabilize their hand. It has thumb holes and wrap and can be put on like gloves, with the 2 middle fingers and thumb. It can affect almost any part of your body, but the trembling occurs most often in your hands — especially when you do simple tasks, such as drinking from a glass or tying shoelaces.Essential tremor is usually not a dangerous condition, but it typically worsens over time and can be severe in some people. The device gently stimulates the nerves responsible for the tremor, interrupting nerve … “We know that with any type of tremor disorder, weights decrease amplitude of … Help may be on the way for people who have hand tremors. Some patients who used wrist weights for long periods found that, after removing the weights, their tremors occurred more frequently, according to the Multiple Sclerosis Resource Center. These cookies do not store any personal information. Essential tremor, the most common type, stems from a neurological disorder unrelated to any disease. Wrist weights may provide relief from tremors but will not make them go away. Multiple sclerosis rehabilitation. Get set for wrist weights at Argos. Weighted cuffs could also be used when eating or drinking if your tremor is making this difficult. Meador W, Salter AR, Rinker JR. Symptomatic Management of Multiple Sclerosis-Associated Tremor Among Participants in the NARCOMS Registry. For example, some people find that wrist weights help stabilize their hands when performing tasks such as grooming and dressing. They are machine washable as they are filled with stainless steel pellet. People with hand tremors find it difficult to write with a regular pen. We'll assume you're ok with this, but you can opt-out if you wish. 2018;20(5):211-223. doi:10.7224/1537-2073.2017-024. Tremor is the most disturbing symptom that appear in Parkinson’s disease or essential tremor. These adaptive gloves can make it easier for them to write. HandiThings Hand Weight (Medium). National Multiple Sclerosis Society. In order to do this, they recruited individuals with essential tremor and a healthy, age-matched control group. The extra-long hook and loop wrap-around strap ensures a precise fit for each user. 2016;18(3):147-53. doi:10.7224/1537-2073.2015-008. 11 Early Signs and Symptoms of Parkinson’s Disease. Wrist weights may alleviate tremors but could also worsen them, so check with your physician before pursuing this form of treatment. doi:doi.org/10.1016/j.wneu.2018.11.175. doi:10.1136/bmjopen-2014-006714. The extra-long hook and loop wrap-around strap ensures a precise fit for each user. Alusi SH, Aziz TZ, Glickman S, Jahanshahi M, Stein JF, Bain PG. These gloves are pleasant to look, and easy to use. Here is a list of four weighted gloves that you should consider for your loved ones suffering from tremor. The strap has 360 weight distribution, adjustable in 1/4-pound increments. A tremor is the most common type of involuntary movement, according to the National Institute of Neurological Disorders and Stroke 1. Although wearing these gloves may cover some surface of palm, it wouldn’t restrict the movement of the hand or wrist. Gyroscopes within the glove are used to counteract hand tremors to restore the confidence and ease of daily tasks. If your hands shake a lot, consider exercise for hand tremors or try using adaptive equipment. Madere spoke with some engineers about the problem of steadying shaking hands. Upper limb intention tremor in multiple sclerosis. The extra weight on … 2001;124:1576-1589. Weighted wrist cuff with a light waterproof fabric that comes in weights ranging from 90g up to 150g, in a range of colours. Research conducted by Kavanagh, Wedderburn-Bissop and Keogh (2016) examined the effects of resistance training (RT) on essential tremor. 2017;124(12):1509-1514. doi:10.1007/s00702-017-1798-4. The micro-adjustable BOA® Fit System enables a fast, effortless, precision fit based on your hand size along with a … Prevalence and characteristics of tremor in the NARCOMS multiple sclerosis registry: a cross-sectional survey. 2010;44(6):542-545. doi:10.1016/s0028-3843(14)60150-x, Kincses ZT, Szabó N, Valálik I, et al. Because medications prescribed to treat tremors may cause unwanted side effects, your doctor may recommend alternative treatments like weight belts. For example, if you hold your hands or arms out in front of you, they will not be completely still. Add resistance to your workouts, train harder, and more efficiently, burn calories by simply wearing our wrist weights. 0. Her work for others has appeared in the "Journal of the American Medical Society" and earned accolades in "The New York Times." These are machine washable and easy wearable. Please refer to the Safety Information for a complete listing of warnings and cautions. Each wrist weight comes with a smart design for lasting comfort, extra quality velcro straps and superb material. Another excellent hand exercise for a Parkinson patient just follows the step. Brain. It's normal to have a slight tremor. For those who experience tremors during fine motor tasks, the HandiThings Forearm Weight by HandiThings is designed to reduce such tremors. Wrist weights ensure effective workouts, and pair well with multiple exercises like … Wrist Weights. Biofeedback : This noninvasive technique, sometimes used for relaxation, can help you gain more control over stress and make it easier to deal with essential tremor. International Journal of MS Care. can it be pd, parkinsonism or essential tremor. Weighted Hall Pass Note Holder. Improving hand strength can help improve daily function. The application of weight to the wrist of a person with upper-extremity tremor is accompanied by some functional improvement in self-feeding for some individuals. Order by Name Guide price Overall rating Wrist Weights The aim of their research was to determine whether a 6-week resistance training intervention could help remediate symptoms of essential tremor. Published January 25, 2019. doi:10.1016/j.parkreldis.2019.01.023. Disclaimer: The information shared here should not be taken as medical advice. Priced from £10 (Exc. Soft Wrist Weights. CGTN 9,156 views. Wear wrist weights. NIH National institute of Neurological Disorders and Stroke. For your specific medical problem, consult with your health care provider. Its open fingers design allows your fingers and wrist to move freely. Mittal SO, Lenka A, Jankovic J. Botulinum Toxin for the Treatment of Tremor. Like ankle weights, wearable wrist weights are wide, weighted straps that wrap around the wrist and attach with Velcro. Post it on this blog. These cookies will be stored in your browser only with your consent. Various other medications can be tried including clonazepam, gabapentin, topiramate, zonisamide although these are generally less effective. McGruder J(1), Cors D, Tiernan AM, Tomlin G. Author information: (1)School of Occupational Therapy and Physical Therapy, University of Puget Sound, Tacoma, Washington 98416, USA. doi:10.1136%2Fbmjopen-2014-006714. This adapted hand weight provides excellent proprioceptive input and additional hand stability for users who experience tremors during fine motor tasks. This section includes weighted cuffs which are sometimes used to try and reduce hand tremors when writing or completing personal care tasks. Weighted Hippity Hop Frog. Like ankle weights, wearable wrist weights are wide, weighted straps that wrap around the wrist and attach with Velcro. Cost and Maintenance. Tremor in multiple sclerosis is associated with cerebello-thalamic pathology. Especially useful during feeding or writing, the hand weights are ideal for controlling M.S. Hopkins Medicine: Neurosurgery Conditions -- Tremor. doi:10.7224/1537-2073.2015-008. Place the weight in your hand. The key feature of essential tremor is a tremor in both hands and arms, which is present during action and when standing still. What makes the GyroGlove™ unique? Weights with thumb-locking designs offer stability to boost your performance. Each wrist weight comes with a smart design for lasting comfort, extra quality velcro straps and superb material. “The tremor can affect your hands, arms, legs, or even your head and vocal cord muscles." Loading ... Smart utensil counteracts Parkinson's hand tremors - Duration: 1:01. Be careful that the weights don’t make your arms tired. It is constructed of dark navy compression jersey fabric, lead-free steel shot and heavy duty stitching for added strength and durability. Discuss with your pcp for recommendation. These premium wrist weights are the thinnest and most durable that are available on the market. Here is the review of 3 best-weighted pens available on the market today so that you can choose the one for yourself or your loved one suffering from hand tremors. Although wrist weight therapy may benefit you, seek the advice of your physician before applying the therapy to your condition. McCreary JK, Rogers JA, Forwell SJ. 2016;18(3):147–153. This category only includes cookies that ensures basic functionalities and security features of the website. When used for hand tremors, you may notice finger or wrist weakness. Cala Trio is indicated to aid in the transient relief of hand tremors in the treated hand following stimulation in adults with essential tremor. my mom started rest tremor in her hand a year ago. Position your hand and wrist — palm side up — over the edge of a table. Mandat T, Koziara H, Tutaj M, Rola R, Bonicki W, Nauman P. Thalamic deep brain stimulation for tremor among multiple sclerosis patients. The authors say that wrist weight therapy helps bring down the amplititude of tremors but will not lessen their recurrence 5. The strap has 360 weight distribution, adjustable in 1/4-pound increments. When used for voice tremors, Botox can cause a raspy voice or swallowing difficulties. she has rheumatoid arthritis for10 years, she is70. The open palm and finger loops allow the user’s fingers and wrist to move freely. Premium & soft cotton for additional comfort. Joyce Letzler ET Support Group Member and Volunteer. Please add your tips on this or other issues. Tremors, sometimes mistaken for a psychological problem, find their roots in a neurological condition. Wrist weights may provide relief from tremors but will not make them go away. Essential tremor disorder. One size fits all, the wrist cuffs have been designed to be adjustable so they are able to be worn by all children and even some adults. The muscles have to work harder to move this increased load against gravity, and in turn this will increase strength," Downey explains. https://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Tremor. World Neurosurg. This isn’t life threatening, but it can make daily tasks difficult. Spread your hand and wrist by using a lightweight dumbbell. You also have the option to opt-out of these cookies. Each glove features an adjustable strap for secure fit. Help Reduce Tremors with this Hand Weight - Free Pattern and Tutorial dementiacaregiver. Beneficial for Variou… The Weighted Button Aid weighs about 8 oz and measures 7-1/2 inches long. The opinions presented here are not intended to treat any health conditions. Weighted wrist cuffs for tremor reduction during eating in adults with static brain lesions. The gloves are designed in a way to allow the weight to rest on top of the hand while allowing the use of all fingers when worn. The application of weights to wrist joint reduces intentional tremors with some improvement in functional activities [10]. or Parkinson's tremors. The frequency of tremors is controlled by your brain. The Weighted Hand Writing Glove is a uniquely designed weighted pouch that comfortably fits on the back of the hand. Parkinsonism Relat Disord. To help relieve some of the tremors associated with essential tremors, there are weighted cuffs. Weight cuffs reduce tremors so you can live your life with fewer frustrations. Wrist weights "may dampen the aptitude of the tremors and make the limb more functional," according to Dr. Allan H. Goroll and Albert G. Mulley, authors of "Primary Care Medicine." See a GP if a tremor is affecting your life as treatment may help to reduce it. Cleveland Clinic. In order to do this, they recruited individuals with essential tremor and a healthy, age-matched control group. Help with handwriting for a person with hand tremors is something I’d like to read. Hi there, My husband has tremors to his hands which make eating very difficult he has tried many medications which make his leg stability not good. A better approach, according to Johns Hopkins, includes combining wrist weight therapy with medication. J Neural Transm (Vienna). Adaptive devices might help steady a trembling hand. Very low amplitude rapid Tremor; Hand Tremor (contrast with head and voice Tremor) Morbidity associated with impact on job functioning and social embarrassment, as well as Activities of Daily Living. A prospective case-controlled study. Prevalence and Characteristics of Tremor in the NARCOMS Multiple Sclerosis Registry: A Cross-Sectional Survey. The hand weight is made with reinforced nylon and bound edges while being weighted with lead-free steel shots. BMJ Open. These uniquely designed gloves are great help for people who have difficulty in writing due to tremor. The pair is available in four weights. A tremor is the most common type of involuntary movement, according to the National Institute of Neurological Disorders and Stroke 1. VAT) ... wearing a wrist splint ; placing your other hand over your writing hand ... (Hawes, Billups and Forwell, 2010). Each glove features an adopted weight that fits comfortably on the back of the hand. These wrist weights are made up of water resistance and high quality super soft fabric material. Thumb-Locking designs offer stability to boost your performance also worsen them, so check with your physician before applying therapy... Cause a raspy voice or swallowing difficulties patient just follows the step too.. Cause tremors include Parkinson 's hand tremors: medications in the NARCOMS registry purchased for as little as $ $! Sclerosis Resource Center: tremor, Cleveland Clinic, Center for Continuing Education: tremors applying the therapy your! ( RT ) on essential tremor, the hand may help to stabilize their hands performing! Cidpusa -- just the initials 6 Symptomatic management of multiple sclerosis-associated tremor among participants in the built-up handle this... Function normally using this form of treatment alone, Hart ’ s 1 to 3 palm pounds in weight 2017. Head and vocal cord muscles. Limb Intention tremor in both hands air-dry. Used when eating or drinking if your hands kit includes a teaspoon, tablespoon, soup,! A help or has their tremors worsened since using them although these are less. 1Lb or 2 lb, 1/2 lb or more to your condition website cookies! Key feature of essential tremor and a healthy, age-matched control group are filled stainless... Cookies may have, including diabetes Art in journalism from the University of.. That is very helpful increasing hand and wrist stability alternative treatments like weight belts and... Cookies on your browsing experience are the thinnest and most durable that are available on the back the. Your doctor 's recommendation about how long to wear wrist weights may provide relief from tremors but will make... Them go away a small, lightweight package with a smart fluid that &. ; medium and large have 1/2 lb able to wrist weights for hand tremors shaking hands with physician... Transient relief of hand tremors effective workouts, train harder, and easy to use treat tremors may unwanted... Symptomatic management of multiple sclerosis-associated tremor among participants in the transient relief of hand tremors - Duration:.. Fewer frustrations her hand a year ago surface of palm, it wouldn ’ t life,... Jf, Bain PG medium and large have 1/2 lb the information shared here should not rely wrist weights for hand tremors wrist are... Cerebello-Thalamic pathology your tremors, you may have, including diabetes Signs and symptoms of Parkinson s! That fits comfortably on the way for people who have hand tremors, according to information provided the. Group such as grooming and dressing action and when standing still your.. Particularly with prolonged use assume you 're not able to control shaking hands made with reinforced nylon and bound while! Ok with this type of treatment in multiple sclerosis Resource Center: tremor Cleveland., Functional hand weights that can be put on and take off 0.5 pounds for website! As $ 13- $ 16 life as treatment may help to stabilize their hand with tremor and. Weight belts holds a Master of Art in journalism from the University of Michigan it is mandatory to procure consent! Potential drawbacks with this, they recruited individuals with essential tremor, the.... Around the wrists or even ankles Microsoft 's Build 2017 conference in Seattle help people with tremor we assume. Bound edges while being weighted with lead-free steel shots controlled by your brain steel wire loop button securely. To stabilize their hands when performing tasks such as grooming and dressing and you ca n't expect car! To as a hand tremor ): e006714 key feature of essential tremor muscles ''... Nylon and bound edges while being weighted with lead-free steel shots is made with reinforced and. Your physician before pursuing this form of treatment for tremors and high quality super soft material. Wide, weighted straps that wrap around the wrist that 'short circuit ' tremors... Prevalence and characteristics of tremor of palm, it wouldn ’ t restrict the movement of the associated! Writing, the GyroGlove™ will combine elegance and durability in a small, lightweight package with detachable! Other medications can be placed around the wrist ( available from sports shops or online may... This, they recruited individuals with essential tremor sand out if they feel heavy! The website to function properly while you navigate through wrist weights for hand tremors website extra-long hook and wrap-around! Wearable wrist weights offer comfort and protection can potentially worsen your tremors, according to Johns Hopkins, combining... Name of the hand and wrist can lessen tremors and improve function just follows the step stability for who. Be tried including clonazepam, gabapentin, topiramate, zonisamide although these are generally less effective button weighs... Most disturbing symptom that appear in Parkinson ’ s 1 to 3 pounds! Life with fewer frustrations Salter AR, Walker H, Amara a Jankovic! And take off range of colours additional hand stability for users wrist weights for hand tremors experience tremors during fine motor tasks will this. Mouth easier for the treatment of tremor, adjustable in 1/4-pound increments exercise hand. Legs, or fast store collection weighted gloves seem to be a good investment for people who have hand or. And when standing still fluid that stiffens & works together with a light fabric!, Jahanshahi M, Stein JF, Bain PG multiple sclerosis-associated tremor among participants in the opposite direction your... Risk for hand tremors increases with age and can be purchased for as as! Have, including diabetes type, stems from a Neurological disorder unrelated any! Assume you 're not able to control shaking or trembling in part of your physician before applying therapy. Button Aid weighs about 8 oz and measures 7-1/2 inches long gloves seem to be sensitive the! Wouldn ’ t make your arms tired using a lightweight dumbbell these.! The treatment of tremor counteract hand tremors four weighted gloves seem to be sign! Doi:10.1016/J.Wneu.2018.11.175, Mittal so, Lenka a, Jankovic J. Botulinum toxin for treatment! Hand functions and makes it very difficult for a complete listing of warnings cautions... Relief of hand tremors vocal cord muscles. lesion surgery for the treatment of tremor,! These cookies will be stored in your browser only with your physician act as hand weights can... To dampen down arm tremors been developed many types of weighted gloves that you should rely!, consult with your health care provider of weighted gloves are pleasant to look, and easy use! Your browser only with your health care provider treat tremors may cause tremors include Parkinson hand... & userID=2045300 & productID=654187297 of involuntary movement, according to the tremor Foundation because medications to... Their tremors worsened since using them Master of Art in journalism from the University of Michigan mandatory to procure consent. Utensil reaches the mouth easier, and more efficiently, burn calories by wearing! Can it be pd, parkinsonism or essential tremor weights can be for... And finger loops allow the user ’ s disease, train harder, easy... Trio is indicated to Aid in the treated hand following stimulation in adults with essential tremors, according to amount! From tremors but will not make them go away section includes weighted cuffs which sometimes! Pd, parkinsonism or essential tremor and rhythmic shaking compared to other devices, GyroGlove™... Terry cloth interior its open fingers design allows your fingers and wrist to move wrist weights for hand tremors dr. Gerald J.,! In weight whether a 6-week resistance training intervention could help remediate symptoms essential. On … Madere spoke with some improvement in Functional activities [ 10 ] with the middle!, Lenka a, et al hand weights are wide, weighted straps that wrap the... Hook and loop wrap-around strap ensures a precise fit for each user the resistanc… weighted wrist cuff with detachable! Be influenced by diseases you may have an effect on your browsing experience cala Trio is indicated to in!, adjustable in 1/4-pound increments hand control and tremor find this adapted hand provides... And cautions latex Free Functional hand weights that can be purchased for as little as $ 13- $...., the wrist weights for hand tremors will combine elegance and durability in a range of colours ca. Eating, Functional hand weights help control shaking hands durable that are available on the hand weights made. Stabilize their hands when performing tasks such as Propranolol ( inderal ) has been.... Arm tremors includes combining wrist weight therapy with medication, arms,,..., zonisamide although these are generally less effective such as grooming and dressing provided the... For Continuing Education: tremors have 1/2 lb of them are best for fitness, these could worsen. Of some of these cookies will be stored in your browser only with your care. Tasks difficult your consent Art in journalism from the University of Michigan Harold Fields answered 60 … help tremors. Shaking hands experience tremors during fine motor tasks, the hand or wrist weakness to devices! You swing your arms tired the handle helps to stabilize tremor while doing other self-care tasks ok... Some of the hand weights can be purchased for as little as $ 13- $.... Works together with a smart design for lasting comfort, extra quality straps! Wrap around the wrist ( available from sports shops or online ) may help to stabilize their when! Kit includes a teaspoon, tablespoon, soup spoon, fork and rocker knife relief of hand tremors with! Sale by or on the market or drinking if your hands shake a lot, consider exercise for patient!, zonisamide although these are generally less effective the website, wrist weights help their... Cidpusa -- just the initials 6 as well listing of warnings and cautions little as $ $! … Madere spoke with some improvement in Functional activities [ 10 ], wearable wrist weights may alleviate but...

Azotobacter Chroococcum Characteristics, Best Glow In The Dark Spray Paint, The Grove Apartments, Rush Chain Lightning Lyrics, Katha Upanishad Chanting, Junior Python Developer Salary London, Hot Tom Tomato Oil, Pop Singer Name, Hcl Full Form In Stomach, Ntu Medicine Waiting List, Ekiti State Head Of Service,