Hand and Wrist Rehabilitation by Grégory Mesplié

Author:Grégory Mesplié
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

We stretch the interossei passively placing the hand in the “extrinsic +” position.

To stretch the lumbrical muscles, this position must be actively maintained (Figs. 9.31 and 9.31′).

Figs. 9.31 and 9.31′The lumbrical muscles are stretched if we actively place the fingers in the extrinsic + position and not if we place them passively

Recuperation of the Strength and Proprioception

Rebalancing the muscular ratios, in particular between the extrinsic and intrinsic systems, is realized comparing with the same side with dynamometers (Figs. 9.32 and 9.32′). It is combined with an exercise for dexterity and coordination, adapted to the patient’s functional needs.

Figs. 9.32 and 9.32′Using dynamometers allows evaluating eventual muscular unbalances (here between the extrinsic (32′) and intrinsic (32) forces)

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