Hand

The joints are:

1 | interphalangeal joints, i.e. joints of the fingers movements: flexion, extension of the fingers

^^ metacarpo-phalangeal joints, i.e. the knuckle joints movements: flexion and extension, abduction, adduction.

Procedure for finger joints: Fix the client's hand by holding with one hand across the palm, at the base of the metacarpals. Place the other hand behind the client's hand along the fingers.

Figure 9.12 Flexion of the fingers.

Figure 9.13 Extension of the fingers.

Figure 9.12 Flexion of the fingers.

Figure 9.13 Extension of the fingers.

Figure 9.14 Flexion of the knuckle joints.
Figure 9.15 Extension of the knuckle joints.

Fully flex all the fingers together into the palm of her/his hand, then slip your hand up over the tips of her/his fingers and extend them.

Procedure for the knuckle joints: Fix the client's hand by holding low down the palm, level with the base of the thumb. Place your other hand behind and across the client's fingers with your thumb in front across the base of the fingers. Fully flex the knuckle joints then extend them.

The thumb can be omitted unless there is a particular reason for mobilisation.

The two interphalangeal joints should be individually flexed and extended by holding below and above the joint.

The saddle joint at the base of the thumb (near the wrist) has the following movements: flexion, extension, abduction, adduction, circumduction and opposition.

Place your hand across the wrist to fix it and use the other hand to move the thumb: take care not to overstretch as the saddle joint is susceptible to stiffness and pain.

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