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Page 1 of 8 Copyright © 1999-2010, VHI Routine For: Created By: OT - Thumb Assisted THUMB - 1 MP Flexion: ROM Position (A) Helper: Stabilize thumb near wrist. Hold sides of thumb. Motion (B) - Bend at large joint toward little finger. Repeat times. Repeat with other hand. Do sessions per day. Variation: Alternate position for helper: Place fingers on back of thumb. Patient is passive. THUMB - 2 MP Flexion: Isometric Position Patient: Keep hand steady. Helper: Stabilize thumb near wrist. Place fingers under thumb. Motion - Cue patient to bend thumb toward palm. - Wrist and arm do not move. - Helper blocks movement. Hold seconds. Relax. Repeat times. Repeat with other hand. Do sessions per day.

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Page 1: Routine For: Created By: OT - Thumb Assisted - Amazon S3Thumb+Assisted.pdf · Routine For: Created By: OT - Thumb Assisted ... Created By: OT - Thumb Assisted COMMENTS: ... Resisted

Page 1 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 1 MP Flexion: ROM

Position (A) Helper: Stabilize thumb near wrist. Hold sides of thumb.

Motion (B) - Bend at large joint

toward little finger.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place fingers on back of thumb.

Patient is passive.

THUMB - 2 MP Flexion: Isometric

Position Patient: Keep hand steady. Helper: Stabilize thumb near wrist. Place fingers under thumb.

Motion - Cue patient to bend

thumb toward palm. - Wrist and arm do not move. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

Page 2: Routine For: Created By: OT - Thumb Assisted - Amazon S3Thumb+Assisted.pdf · Routine For: Created By: OT - Thumb Assisted ... Created By: OT - Thumb Assisted COMMENTS: ... Resisted

Page 2 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 3 MP Extension: ROM

Position (A) Helper:Stabilize thumb near wrist. Hold sides of thumb.

Motion (B) - Straighten large joint.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place fingers on palm side of thumb. Patient is passive.

THUMB - 4 MP Extension: Isometric

Position Patient: Keep hand steady. Wrist and arm do not move. Helper: Stabilize thumb near wrist. Place fingers on back of thumb.

Motion - Cue patient to straighten

thumb away from palm. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

Page 3: Routine For: Created By: OT - Thumb Assisted - Amazon S3Thumb+Assisted.pdf · Routine For: Created By: OT - Thumb Assisted ... Created By: OT - Thumb Assisted COMMENTS: ... Resisted

Page 3 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 5 IP Flexion: ROMPosition (A) Helper: Stabilize thumb at midsection. Hold thumb tip.

Motion (B) - Bend tip of thumb

toward palm.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place finger on back of thumb near nail. Patient is passive.

THUMB - 6 IP Flexion: Isometric

Position Patient: Keep hand steady. Wrist and arm do not move. Helper: Stabilize thumb at midsection. Place finger directly under tip of thumb. Motion - Cue patient to bend end joint. - Wrist and arm do not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

Page 4: Routine For: Created By: OT - Thumb Assisted - Amazon S3Thumb+Assisted.pdf · Routine For: Created By: OT - Thumb Assisted ... Created By: OT - Thumb Assisted COMMENTS: ... Resisted

Page 4 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 7 IP Extension: ROM

Position (A) Helper: Stabilize thumb at midsection. Hold thumb tip.

Motion (B) - Straighten end joint.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place finger under tip of thumb.

Patient is passive.

THUMB - 8 IP Extension: Isometric

Position Patient: Keep hand steady. Helper: Stabilize thumb at midsection. Place finger on back of thumb near nail. Motion - Cue patient to straighten end joint. - Wrist and arm do not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

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Page 5 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 9 Flexion: Stretch – ExtensorsPosition Helper: Stabilize

wrist in straight position. Motion - Helper bends thumb

gently at both joints into palm.

CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist: extended toward back of hand. flexed toward palm.

THUMB - 10 Extension: Stretch – FlexorsPosition Helper: Stabilize

hand at palm, wrist in straight position. Motion - Helper lifts thumb

up and back. CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist: flexed toward palm.

extended toward back of hand.

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Page 6 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 11 Abduction: Stretch – Webspace

Position Helper: Stabilize hand by holding fingers. Motion - Helper spreads thumb out to side to stretch webspace.

CAUTION: Do not force movement. Hold seconds. Repeat times. Repeat with other hand. Do sessions per day.

THUMB - 12 Abduction: IsometricPosition Patient: Keep hand steady, thumb away from palm at right angle. Helper: Stabilize with hand around palm. Place fingers of other hand along outer edge of thumb.Motion - Cue patient to press thumb against helper's fingers. - Wrist does not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with thumb level with palm. Cue patient to press outward.

Page 7: Routine For: Created By: OT - Thumb Assisted - Amazon S3Thumb+Assisted.pdf · Routine For: Created By: OT - Thumb Assisted ... Created By: OT - Thumb Assisted COMMENTS: ... Resisted

Page 7 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 13 Adduction: IsometricPosition Patient: Keep

hand steady, thumb level with palm. Helper: Stabilize with hand around palm. Place fingers of other hand along inner edge of thumb. Motion - Cue patient to press thumb

toward index finger. - Wrist does not move. - Helper blocks movement.

Hold seconds. Relax.Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 14 Opposition: AAROM

Position(A) Helper: Hold thumb near wrist. Motion - Helper rolls thumb toward palm.(B) - Patient brings thumb over to little finger.(C)

Repeat times. Repeat with other hand. Do sessions per day. Variation: Perform with thumb moving toward: base of little finger. tip of finger.

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Page 8 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT - Thumb Assisted

THUMB - 15 Opposition: ResistedPosition Patient: Keep hand steady. Helper: Stabilize at wrist. Cup fingers around thumb near wrist. Motion - Cue patient to press thumb toward little finger. - Wrist does not move. - Helper resists movement. Hold seconds. Relax. Repeat times. Repeat with other hand. Do sessions per day. Variation:

Perform with: tips of thumb and little finger pressing together

thumb pressing tip of index finger

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Page 1 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT - Thumb Assisted

THUMB - 1 MP Flexion: ROM

Position (A) Helper: Stabilize thumb near wrist. Hold sides of thumb.

Motion (B) - Bend at large joint

toward little finger.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place fingers on back of thumb.

Patient is passive.

THUMB - 2 MP Flexion: Isometric

Position Patient: Keep hand steady. Helper: Stabilize thumb near wrist. Place fingers under thumb.

Motion - Cue patient to bend

thumb toward palm. - Wrist and arm do not move. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 3 MP Extension: ROM

Position (A) Helper:Stabilize thumb near wrist. Hold sides of thumb.

Motion (B) - Straighten large joint.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place fingers on palm side of thumb. Patient is passive.

THUMB - 4 MP Extension: Isometric

Position Patient: Keep hand steady. Wrist and arm do not move. Helper: Stabilize thumb near wrist. Place fingers on back of thumb.

Motion - Cue patient to straighten

thumb away from palm. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 5 IP Flexion: ROMPosition (A) Helper: Stabilize thumb at midsection. Hold thumb tip.

Motion (B) - Bend tip of thumb

toward palm.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place finger on back of thumb near nail. Patient is passive.

THUMB - 6 IP Flexion: Isometric

Position Patient: Keep hand steady. Wrist and arm do not move. Helper: Stabilize thumb at midsection. Place finger directly under tip of thumb. Motion - Cue patient to bend end joint. - Wrist and arm do not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 7 IP Extension: ROM

Position (A) Helper: Stabilize thumb at midsection. Hold thumb tip.

Motion (B) - Straighten end joint.

Repeat times. Repeat with other hand.

Do sessions per day. Variation: Alternate position for helper: Place finger under tip of thumb.

Patient is passive.

THUMB - 8 IP Extension: Isometric

Position Patient: Keep hand steady. Helper: Stabilize thumb at midsection. Place finger on back of thumb near nail. Motion - Cue patient to straighten end joint. - Wrist and arm do not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 9 Flexion: Stretch – ExtensorsPosition Helper: Stabilize

wrist in straight position. Motion - Helper bends thumb

gently at both joints into palm.

CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist: extended toward back of hand. flexed toward palm.

THUMB - 10 Extension: Stretch – FlexorsPosition Helper: Stabilize

hand at palm, wrist in straight position. Motion - Helper lifts thumb

up and back. CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist: flexed toward palm.

extended toward back of hand.

THUMB - 11 Abduction: Stretch – Webspace

Position Helper: Stabilize hand by holding fingers. Motion - Helper spreads thumb out to side to stretch webspace.CAUTION: Do not force movement. Hold seconds. Repeat times. Repeat with other hand. Do sessions per day.

THUMB - 12 Abduction: IsometricPosition Patient: Keep hand steady, thumb away from palm at right angle. Helper: Stabilize with hand around palm. Place fingers of other hand along outer edge of thumb.Motion - Cue patient to press thumb against helper's fingers. - Wrist does not move. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with thumb level with palm. Cue patient to press outward.

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Page 2 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT - Thumb Assisted

COMMENTS: Patient Name/Number: Clinician Name/Signature: Date:

THUMB - 13 Adduction: IsometricPosition Patient: Keep

hand steady, thumb level with palm. Helper: Stabilize with hand around palm. Place fingers of other hand along inner edge of thumb. Motion - Cue patient to press thumb

toward index finger. - Wrist does not move. - Helper blocks movement.

Hold seconds. Relax.Repeat times.

Repeat with other hand. Do sessions per day.

THUMB - 14 Opposition: AAROM

Position(A) Helper: Hold thumb near wrist. Motion - Helper rolls thumb toward palm.(B) - Patient brings thumb over to little finger.(C)Repeat times. Repeat with other hand. Do sessions per day. Variation: Perform with thumb moving toward: base of little finger. tip of finger.

THUMB - 15 Opposition: ResistedPosition Patient: Keep hand steady. Helper: Stabilize at wrist. Cup fingers around thumb near wrist. Motion - Cue patient to press thumb toward little finger. - Wrist does not move. - Helper resists movement. Hold seconds. Relax. Repeat times. Repeat with other hand. Do sessions per day. Variation:

Perform with: tips of thumb and little finger pressing together

thumb pressing tip of index finger