Sit upright on a stable chair or wheelchair with your back supported and a table in front at elbow height.
Ensure both feet are placed flat.
Your assistant can help you place your forearm and hand onto the table and then stabilise your hand in a loose ‘hand-shake’ grasp.
Ensure your wrist is as straight as possible.
Using the flat of their fingers of their other hand, the assistant should gently massage from the centre of your palm towards the fleshy part of your palm below your thumb.
The assistant can then lift and roll your thumb out away from your palm, to increase the width of the hand.
Apply light cream before massage on delicate skin.