A Power Twister is a U-shaped spring steel bar that is bent (twisted) using both hands, providing progressive resistance for grip, forearm, wrist, and upper extremity strengthening. The spring steel construction offers varying resistance levels from light to extra heavy, allowing patients to progress from basic grip strengthening to advanced forearm conditioning as strength improves. The controlled twisting motion targets the forearm flexors and extensors, wrist stabilizers, and intrinsic hand muscles—critical for restoring grip strength needed for opening jars, carrying objects, and performing activities of daily living. For the physical therapist and hand therapist, the power twister provides both isometric and dynamic resistance training, enabling progressive loading throughout the rehabilitation continuum for conditions such as carpal tunnel syndrome, tennis elbow (lateral epicondylitis), golfer's elbow (medial epicondylitis), and post-casting weakness. The bilateral twisting motion also challenges motor planning and neuromuscular control, making it useful for patients recovering from stroke or unilateral weakness. Portable, self-contained, and requiring no additional equipment, the power twister is an effective tool for grip strength rehabilitation, sports performance enhancement, and home exercise programs.