81 (176)
Therapy for the adductor pollicis and the interosseus palmaris I.
Starting Position: P: Supine or sitting; elbow flexed approximately 90° and steadied against the couch; wrist in neutral position. T: Standing facing P's right side.
Grip: T's right hand grips proximal phalanx of the thumb and the base of the first metacarpal bonę of P’s hand. T’s left hand stabilizes P's hand from the dorsal/radial aspect with T’s thumb against P's palm.
Fig. 59 a. Starting Position.
Fig. 59 b. Finał Position.
Procedurę: Using this grip, T gradually and fully abducts P’s thumb and simultaneously applies traction.
Stimulation 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.
Notę: For maximal stretching, P's thumb should also be medially rotated.
83
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