Sit upright on a stable chair or wheelchair with your back supported with a table in front of you at elbow height
Ensure both feet are placed flat.
Your assistant can help you to place your forearm and hand onto the table, palm facing up.
Your elbow should be under your shoulder.
Ensure your wrist is as straight as possible.
Your assistant sits next to your affected arm and stabilises your hand along the line of your little finger.
The assistant places the flat of their fingertips into your palm, thumb supporting at the back of the hand.
The thumb muscles can then be gently lengthened and rolled out away from the palm to open the hand.
Using this same grasp, the thumb can be gently rolled towards the little finger.
