Thumb cmc joint arthroplasty surgery home program phase 2. Use this exercise to help increase the range of motion and flexibility in your fingers. Theraputty exercises exercises for strengthening the muscles of the. Rationale for exercise for thumb cmc osteoarthritis. Place your affected hand on your lap or on a table.
For each affected joint, please indicate the existing limitation of motion by drawing a lines on the figures below, showing the maximum possible range of motion or by notating the chart in degrees. Thumb arom exercises patient information clinical and diagnostic services centre hand therapy isolated ipj and mpj flexion and extension hold thumb below joint to be exercised. This exercise can be done with your splint on, too, but it is easier to move the arm fully up and fully down while out of the splint. Pip flexion mp pip dip composite use your other hand to bend the. Exercise for thumb range of motion boston, ma hand. Expert hand exercises for stroke patients with pictures. Handoccupational therapy home program thumb active range of motion these exercises should be done slowly and smoothly using your own muscle power. Bring thumb out to the side and then back in towards the index finger. The pinch strengthening exercise should be done two to three times each week, taking a break of at least 48 hours between exercise sessions. Keep wrist in neutral position and lift the fingers. Generally accepted values for normal range of motion rom. Add an extra 1 or 2 repetitions every few days as long as you feel.
These stretches can help anyone who regularly works with their hands reduce stiffness and avoid complications. Use proper posture and sitting position during all exercises. Move your affected thumb so that it touches the tip of your little finger. Thumb arom exercises south tees hospitals nhs foundation trust. Interlocking your fingers with the affected thumb on top. Dont do this exercise if your thumb joint is damaged. Hand and finger exercises try these two stretches for your thumb joints.
Whether because of injury, arthritis or advancing age, the joints of your fingers can become stiff and difficult to move. The exercises may be suggested for a condition or for rehabilitation. Osteoarthritis of the carpometacarpal thumb joint this booklet has been written to provide you with information about your thumb arthritis and give you a better understanding of your thumb joint, why you experience pain, and how you can manage your symptoms. The best exercise is to maintain the thumb interphalangeal ip and mp joints flexed while extendingabducting the cmc joint lifting the cmc toward the dorsum of the hand.
These exercises should be done slowly and smoothly using your own muscle power. Bend and then straighten the last two joints of your affected finger. Your fingers and thumb will be pointing straight up. Place a large rubber band around the outside of your thumb. Teamwork is important person therapist doctor family 32017 2 why is the human thumb at risk for pain. Nhs buckinghamshire musculoskeletal integrated care. In addition, exercises to help tendons glide through the carpal tunnel can help improve joint range of motion and hand function.
Finger and hand home exercise program aurora health care. Active wrist range of motion exercises wrist extensionflexion place elbow on a table with hand upwards. Grip in both hands and pull apart to work on wrist deviation strength. The term gamekeepers thumb originated back in the 1950s in the united kingdom and scotland when the injury was first seen in gamekeepers, especially rabbit hunters. Bend the knee halfway to the chest so that there is a 90 degree angle at the hip and knee.
Curl your fingers so that the top two joints in them are bent, and your fingers wrap down. This is useful after injuries such as a fracture to any of the small bones in the hand or a wrist, thumb or finger sprain. Your wrist should be relaxed, following the line of your fingers and thumb. The therapist helps the patient do these exercises. The purpose of active thumb extension exercises is to focus extension power at the cmc joint and not allow it to be used up by extension of the more distal joints. Selfrange of motion exercises for the arm and hand page 10 9. Wrists, elbows, forearms, and shoulders wrists 1 rest your arm on a table and hang your hand over the edge. Selfrange of motion exercises for shoulders, arms, wrists. Exercises for wrist, hand and finger problems nhs inform. Before beginning an exercise, read through all its instructions. The therapist or equipment moves the joint through the range of motion without any effort from the patient.
Types of range of motion exercises active rom means that the client performs the exercises alone or uses a device such as a pulley or bicycle. The inflammation that causes trigger finger can lead to pain, tenderness, and limited mobility other symptoms include. In the later stages of the condition the thumb joints can collapse inwards. Wrist supinationpronation tuck elbow into your side, bent to 90 degrees, with your thumb pointing up. Arm range of motion exercises for people with hemiplegia. These exercises are to help improve the movement of your thumb after injurysurgery. Keeping the hands and wrists strong and mobile can help reduce the chances of injury. Only do each exercise the number of times written in the box. Then move your hand to support the next joint down and bend and straighten this joint. These exercises will help keep your muscles strong and mobile, and your.
Thumb arom south tees hospitals nhs foundation trust. Doing a 10 minute warm water soak or hot pack beforehand will help you do the exercises with. These exercises can help to get you moving normally, and safely, if youve a muscle or joint problem affecting your hand, finger or wrist. It is a stabilizer of the thumb on the ulnar side, along with the adductor aponeurosis, the adductor pollicis. Strengthening the muscles of your thumbs can help you grab and lift heavy things like cans and. Sit comfortably, lift your hand and turn your palm so that if faces up. Hand exercises for people with arthritis touch your fingertips bend your fingers. Put your hand with the affected finger on top of your good hand. Move wrist in a slight upward direction and resist with opposite hand.
Thumb cmc joint arthroplasty surgery home program phase 2 exercises david gesensway, md exercises should be done with your splint off, just 3 times per day. Thumb and index finger stretch place your affected hand on your lap or supported on a table. Bend one finger or thumb so that the fingertip is close to the. These exercises are designed to stretch and strengthen your hands and wrists. Wrist flexion i hold your hand in front of you with your palm down and. Rest your hand on a table stretch your thumb away from your hand. The following hand exercises are organized from easiest level 1 to hardest level 3. Exercises to promote dynamic stability of the thumb. Flex bend the thumb across the palm toward your small finger, be sure to bend both joints. Use the thumb and fingers of your good hand to grasp below the middle joint of your affected finger. How to stretch your hands and wrists medical news today. Using your other hand, gently bend and straighten the thumb, states the rsirelief website, for a passive stretch of the joint.
Stroke patients that struggle with hand paralysis can start with try these 9 expert hand exercises for stroke. Maintain the desired position for 35 second before relaxing. Cmc arthroplasty suspensionplasty rehabilitation protocol. You can also move the thumb out to the side, stretching the webspace, and moving in a circle. The folger shakespeare library in washington, dc, is the single greatest documentary source of shakespeares works. Release fingers and roll putty in hands to reshape, and repeat exercise. Repeating these stretches daily can help improve rom and relieve stiffness in the joint. Your fingertips should touch or be near the base of your fingers. Touch the tip of your thumb to the tip of each finger. This is may be done if the muscles are weak or when the movement causes discomfort. Chapter 28 range of motion exercises what you will. Its important to participate in some form of hand therapy daily to see the best results. Thumb touch this exercise helps increase the range of motion in your thumbs, which helps with activities like picking up your toothbrush, fork and spoon, and pens when you write.
Straighten your wrist and touch your thumb to your first fingertip and form the letter o. Download self range of motion exercises for arm and hand. An unparalleled collection of early modern books, manuscripts, and artwork connected to shakespeare, the folgers holdings have been consulted extensively in the preparation of these texts. Thumb cmc joint arthroplasty surgery home program phase. Have the thumb pointing up and the palm facing forward. Keep your fingers, wrist, and thumb extended and use your other hand to gently stretch the. Rest your little finger on a table and stretch your thumb away from your hand.
The thumb must not be positioned in radial abduction. To decrease the inflammation of the tendons, avoid repetitive movement of the thumb and gripping movements as. Exercise definition exercise is physical activity for conditioning the body, improving health, and maintaining fitness. Range of joint motion evaluation chart name of patient client identification number instructions. Place the thumb and index finger of your nonaffected hand, between the thumb and index finger of your affected hand. Putty exercises various putty can be used to strengthen the small muscles of the wrist and hand. Make an o by touching your thumb to your fingertips, one at a time. Then move your hand to support the next joint down and bend and straighten this. Wrists 2 rest your arm on a table and hang your wrist over the edge. Pinch the putty or foam ball between your thumb and the tips of your fingers. You may add a rubber band to the exercises with a star if your therapist wishes you to start resistance and reduce the holdto motion only. Move your wrist in circles to the right and to the left. May fabricate thumb extension splint for night wear to increase thumb extension rom begin unrestricted active and passive rom of the thumb initiate thumb ip joint blocking exercises modalities if needed, nmes may be added to enhance tendon excursion apply ultrasound as needed for dense scar andor limited tendon excursion. Make a fist with involved hand with thumb upward and.
Treating a gamekeepers thumb with physical therapy gamekeepers thumb refers to an injury of the ulnar collateral ligament ucl, which is found in the thumb. Abductionadduction move each finger away from the nearest finger and then return it. While it can be painful initially, performing regular exercises to improve range of motion and strengthen the muscles can reduce pain and swelling, according to the university of washington. Start by doing 5 repetitions of each exercise, 3 times a day. Using tweezers, pick up and move large and small items try sorting wild bird seed. Thumb ulnar collateral ligament repair and rehabilitation surgical indications and considerations. Selfrange of motion exercises for shoulders, arms, wrists, fingers.
Bring thumb across palm, bending both thumb joints. The thumb walk and the thumb roll exercises increases your thumbs mobility while requiring it to move through a large range of motion. Spread your fingers wide apart and bring them together again. Place the small finger side of your hand on the table so that the thumb points up. These physical therapy hand exercises for stroke patients can help improve your fine motor skills.