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4.4.1.

Therapy for the flexor carpi ulnaris and the extensor carpi ulnaris.

Starting Position: P: Supine or sitting; right arm extended, ulnar side resting on couch; wrist in neutral position. T: Standing, left side against P.

Grip: Ts right hand grips P’s hand. palm-to-palm (“handshake” grip) with radial side of index hnger touching the pisiform bonę. T's left hand stabilizes P’s extended arm against couch.

Fig. 52 a. Starting Position.

Procedurę: Using this grip, T gradually and fully radial flexes at P’s wrist.

Sdmulation of Antagonists: T retains grip. T then asks P to move further in the direction of stretching, and resists that movement to stimulate P’s antagonists.

Notes: Insufficient ulnar glide may constrain the treatment’s radial fiexing. Therefore, during treatmentT should feel for free ulnar glide. If ulnar glide is restricted, T should mobilize wrist to restore ulnar glide.

Radial flexion may also be restricted in combina-tion with dorsal or volar flexion. If so, procedurę should accordingly be followed with wrist dorsally or volar flexed.

Fig. 52 b. Finał Position.