83 (176)

83 (176)



5.6.1.    Therapy for the extensor pollicis

longus and brevis, the interosseus palmaris I, and the abductor pollicis longus.

Starting Position: P: Supine or sitting; ulnar side of forearm and hand steadied againstcouch; forearm fully pronated with wrist in neutral position.

T: Standing, left side against P’s right side.

Grip: T’s left hand grips P’s thumb with Ts thenar eminence against the dorsal side of P’s first metacarpal bonę. T’s right hand stabilizes P’s hand from the ulnar-dorsal side.



Fig. 61 a. Starting Position.


Procedurę: Using this grip, Tgradually and fully opposes P's thumb while simultaneously applying traction to the CMC joint of the thumb.

Stimulationof 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.

Fig. 61 b. Finał Position.


85


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