Position of the therapist:
- Standing or sitting across from the patient
Position of the patient:
- Sitting in front of the bench
- Elbow propped up on the bench
Hand placement:
- Therapist’s contralateral hand fixates the distal radius
- Other hand grabs the patient’s thumb and thenar eminence including the scaphoid like in an arm wrestling position
- Alternative: see video
Direction:
- Roll into dorsal and increasingly proximal direction
- Glide by a pull on the scaphoid into palmar and decreasingly proximal direction
N.B:
The proximal component is achieved by approximation of the joints, so in a sense pull into palmar direction and push the joint partners towards each other at the same time