Thumb AROM Clinical and diagnostic services exercises centre - Hand Therapy Patient information Isolated IPJ and MPJ Flexion and Extension Thumb Extension Hold thumb Place the palm of your below joint to be hand on the table. exercised. Moving your thumb Bend and straighten along the table bring it the tip of your away from your index thumb. finger and back again. Then move your hand to support the next joint down and bend and straighten this Thumb Abduction joint. Place the little finger side of your hand on the table. Bring your thumb Thumb Opposition away from the Touch each fingertip with palm (in line with your thumb starting with the table) and then your index finger and back to the index working along to your little finger – like the finger. action of opening Once you can reach your your hand to pick little finger slide your thumb up a glass. down towards your palm. Thumb Circumduction Thumb Flexion Hold all fingers Put the back of your hand straight. on the table. Make a big circle Bring your thumb to the with your thumb. base of your little finger and then bring your thumb back to the table. Who should I contact if I have any problems? If you have any questions regarding your hand therapy please contact the hand therapy team on 01642 835595. Author: Hand Therapy Team The James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW. Tel: 01642 850850 Version 1, Issue Date: November 2014, Revision Date: November 2016 MICB4472.