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5.2.2.

Therapy for the interossei palmares. (Stretching of interosseus palmaris

IV shown.)

I

Starting Position: P: Supine or sitting; elbow flexed approximately 90°; wrist in neutral position; all joints of little finger fully flexed. T: Standing, left side against P.

Grip: T’s right hand grips P’s little finger (or all P’s fingers simultaneously) and holds the DIP, PIP and MCP joints fully flexed. T’s left hand stabilizes P’s wrist.

Procedurę: Using this grip, T gradually and fully extends and abducts (in the ulnar direction) at the MCP joint of P’s little finger.

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.

Notes: While extending the MCP joints during the procedurę, T applies traction with dorsal gliding. If the joints are painful it is advisable to stretch only one muscle at a time.

The flexor digiti minimi brevis is also stretched in this procedurę.

Same grip and procedurę for the other three fingers, with following exceptions.

Fig. 56 a. Starting Position.

i

Finger	Interosseus palmaris
Thumb	I
Index	II
Ring	III

Additional grip procedurę

Thumb finger abducted in radial direction Index finger abducted in radial direction Ring finger abducted in ulnar direktion

Fig. 56 b. Finał Position

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