Page 1 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 1 MP Flexion: ROM

Position (A) Helper: Stabilize hand near wrist. Hold

finger near knuckle. Motion (B) - Bend knuckle down. - Helper assists using

gentle downward pull at the same time.

Repeat times. Repeat with

finger. Do sessions per day. Variation: Patient is passive.

FINGER - 2 MP Flexion: ROM With IPs ExtendedPosition (A) Helper: Stabilize

hand near wrist. Support fingers at tips. Motion (B) - Bend knuckles at right

angle to palm. - Keep middle and end

joints straight.

CAUTION: Do not force movement. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with

finger individually. Patient is passive.

Page 2 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 3 MP Flexion: Isolated

Position Patient: Place back of hand on firm surface. Motion - Patient bends finger at knuckle, keeping middle and end joints straight. - Helper holds other fingers in place.

Repeat times. Repeat with finger. Do sessions per day.

FINGER - 4 MP Extension: ROMPosition (A) Helper: Stabilize hand. Hold finger close to knuckle. Motion (B) - Straighten knuckle. - Helper assists using

gentle pull at the same time.

Repeat times. Repeat with

finger. Do sessions per day. Variation: Perform with wrist bent in direction of palm. Patient is passive.

Page 3 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 5 PIP Flexion: ROM

Position (A) Helper: Stabilize finger at knuckle. Other

hand grasps finger at midsection. Motion (B) - Bend finger at middle

joint toward palm. - Helper assists using gentle

downward pull at the same time. CAUTION: Do not force movement. Repeat times.

Repeat with finger. Do sessions per day. Variation: Alternate position for helper: Place thumb on back of finger. Patient is passive.

FINGER - 6 PIP Flexion: Isolated

Position Patient: Place back of hand on firm surface, fingers straight. Motion - Patient bends finger at middle joint. - Helper holds other fingers in place. - Keep knuckle flat and end joint straight.

Repeat times. Repeat with finger. Do sessions per day.

Page 4 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 7 PIP Extension: ROMPosition (A) Helper: Stabilize finger at knuckle. Motion (B) - Straighten finger

at middle joint.

Repeat times. Repeat with

finger. Do sessions per day. Variation:

Perform with wrist bent in direction of palm.

Patient is passive.

FINGER - 8 DIP Flexion: ROMPosition (A) Helper: Stabilize

finger at midsection. Other hand holds fingertip. Motion (B) - Bend end joint. - Helper assists using gentle

downward pull at the same time.

CAUTION: Do not force movement. Repeat times.

Repeat with finger. Do sessions per day. Variation: Alternate position for helper: Place finger on back of finger near nail. Patient is passive.

Page 5 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 9 DIP Flexion: Isometric

Position Helper: Stabilize finger at middle joint. Motion - Cue patient to bend fingertip. - Middle joint does not bend. - Helper blocks movement under fingertip.

Hold seconds. Relax. Repeat times. Repeat with finger. Do sessions per day.

FINGER - 10 DIP Extension: ROMPosition Helper: Stabilize

finger at midsection. Other hand holds fingertip. Motion - Straighten end joint. - Helper assists using slight

pull at the same time. Repeat times. Repeat with finger. Do sessions per day. Variation: Perform with wrist bent in direction of palm.

Alternate position for helper: Place finger under tip of finger.

Patient is passive.

Page 6 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 11 Flexion: ROM

Position (A) Helper: Stabilize

arm near wrist. Motion (B) - Fold fingers into fist.

Repeat times. Repeat with other hand.

Do sessions per day. Variation:

Cue patient to make fist with other hand at same time.

Perform with wrist bent back to °.

Patient is passive.

FINGER - 12 Flexion: ROM With MPs Extended

Position (A) Helper: Stabilize

hand near wrist.

Motion (B) - Bend both middle and end

joints at the same time. - Keep knuckles straight. - Helper assists with gentle

pressure on back of fingertips.

Repeat times. Repeat with other hand.

Do sessions per day. Variation:

Patient is passive.

Page 7 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 13 Flexion: Stretch – ExtensorsPosition Helper: Support

arm near wrist. Motion - Helper curls fingers, tucking

them fully into palm. - Bend wrist gently in

direction of palm.

CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation:

Perform with finger individually.

FINGER - 14 Flexion: Isometric

Position Helper: Stabilize hand near wrist. Place

hand on palm side of fingers. Motion - Cue patient to bend fingers toward palm. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with:

knuckles straight knuckles bent,

fingers straight

Page 8 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 15 Extension: ROMPosition (A) Helper: Stabilize

hand near wrist. Support fingers at tips. Motion (B) - Straighten fingers fully. - Helper assists by guiding

all fingers straight. CAUTION: Do not force movement. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist bent back to °.

Perform with wrist flexed toward palm. Patient is passive.

FINGER - 16 Extension: Isolated

Position Patient: Place hand on firm surface, palm down. Motion - Patient lifts finger. - Helper holds other fingers to prevent movement.

Repeat times. Repeat with finger. Do sessions per day.

Page 9 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 17 Extension: Stretch – FlexorsPosition Helper: Support arm near wrist. Place palm against fingers. Motion - Helper applies steady pressure

to straighten fingers fully. - Bend wrist back gently.

CAUTION: Stop at point of tension in muscle or joint. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with gentle pressure on top of finger joints for added control.

FINGER - 18 Extension: FacilitatedPosition Helper: Stabilize wrist. Motion - Helper folds fingers into a snug fist. (A) - Helper releases fingers and

cues patient to straighten fingers immediately. (B)

Repeat sequence times. Repeat with other hand.

Do sessions per day. Variation:

Perform with wrist bent in direction of palm.

Cue patient to straighten fingers of other hand at the same time.

Page 10 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 19 Extension: Isometric

Position Helper: Stabilize hand near wrist.

Place hand on back of fingers. Motion - Cue patient to straighten fingers. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with:

fingertips curled under knuckles held still

FINGER - 20 Abduction / Adduction: Isolated

Position Patient: Place hand, palm down, on smooth flat surface. Motion - Helper holds other fingers to keep from moving while patient slides finger from side to side.

Repeat times. Repeat with finger. Do sessions per day.

Page 11 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 21 Abduction: Stretch – Webspace

Position Patient: Keep

arm steady. Helper: Hold fingers close to base. Motion - Helper spreads fingers apart

to stretch webspace between: index and middle fingers ring and middle fingers ring and little fingers

Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day.

FINGER - 22 Abduction: Isometric

Position Patient: Keep arm steady. Helper: Place thumb and forefinger on outer edge of fingers. Motion - Cue patient to spread apart:

index and middle fingers ring and middle fingers ring and little fingers

- Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

Page 12 of 12Copyright © 1999-2010, VHI

Routine For: Created By: OT Finger - Assisted

FINGER - 23 Adduction: IsometricPosition Patient: Keep arm steady, fingers slightly apart on flat surface. Helper: Stabilize middle finger to keep in midline of hand. Motion - Cue patient to press

finger toward middle finger. - Wrist does not move and

fingers remain straight. - Helper blocks movement. Hold seconds. Relax. Repeat

times. Repeat with finger. Do sessions per day. Variation: Cue patient to press fingers together tightly. Helper applies gentle force as if to pull apart.

Page 1 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT Finger - Assisted

FINGER - 1 MP Flexion: ROM

Position (A) Helper: Stabilize hand near wrist. Hold

finger near knuckle. Motion (B) - Bend knuckle down. - Helper assists using

gentle downward pull at the same time.

Repeat times. Repeat with

finger. Do sessions per day. Variation: Patient is passive.

FINGER - 2 MP Flexion: ROM With IPs ExtendedPosition (A) Helper: Stabilize

hand near wrist. Support fingers at tips. Motion (B) - Bend knuckles at right

angle to palm. - Keep middle and end

joints straight.

CAUTION: Do not force movement. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with

finger individually. Patient is passive.

FINGER - 3 MP Flexion: Isolated

Position Patient: Place back of hand on firm surface. Motion - Patient bends finger at knuckle, keeping middle and end joints straight. - Helper holds other fingers in place.Repeat times. Repeat with finger. Do sessions per day.

FINGER - 4 MP Extension: ROMPosition (A) Helper: Stabilize hand. Hold finger close to knuckle. Motion (B) - Straighten knuckle. - Helper assists using

gentle pull at the same time.

Repeat times. Repeat with

finger. Do sessions per day. Variation: Perform with wrist bent in direction of palm. Patient is passive.

FINGER - 5 PIP Flexion: ROM

Position (A) Helper: Stabilize finger at knuckle. Other

hand grasps finger at midsection. Motion (B) - Bend finger at middle

joint toward palm. - Helper assists using gentle

downward pull at the same time. CAUTION: Do not force movement. Repeat times.

Repeat with finger. Do sessions per day. Variation: Alternate position for helper: Place thumb on back of finger. Patient is passive.

FINGER - 6 PIP Flexion: Isolated

Position Patient: Place back of hand on firm surface, fingers straight. Motion - Patient bends finger at middle joint. - Helper holds other fingers in place. - Keep knuckle flat and end joint straight.Repeat times. Repeat with finger. Do sessions per day.

FINGER - 7 PIP Extension: ROMPosition (A) Helper: Stabilize finger at knuckle. Motion (B) - Straighten finger

at middle joint.

Repeat times. Repeat with

finger. Do sessions per day. Variation:

Perform with wrist bent in direction of palm.

Patient is passive.

FINGER - 8 DIP Flexion: ROMPosition (A) Helper: Stabilize

finger at midsection. Other hand holds fingertip. Motion (B) - Bend end joint. - Helper assists using gentle

downward pull at the same time.

CAUTION: Do not force movement. Repeat times.

Repeat with finger. Do sessions per day. Variation: Alternate position for helper: Place finger on back of finger near nail. Patient is passive.

FINGER - 9 DIP Flexion: Isometric

Position Helper: Stabilize finger at middle joint. Motion - Cue patient to bend fingertip. - Middle joint does not bend. - Helper blocks movement under fingertip.Hold seconds. Relax. Repeat times. Repeat with finger. Do sessions per day.

FINGER - 10 DIP Extension: ROMPosition Helper: Stabilize

finger at midsection. Other hand holds fingertip. Motion - Straighten end joint. - Helper assists using slight

pull at the same time. Repeat times. Repeat with finger. Do sessions per day. Variation: Perform with wrist bent in direction of palm.

Alternate position for helper: Place finger under tip of finger.

Patient is passive.

FINGER - 11 Flexion: ROM

Position (A) Helper: Stabilize

arm near wrist. Motion (B) - Fold fingers into fist.

Repeat times. Repeat with other hand.

Do sessions per day. Variation:

Cue patient to make fist with other hand at same time.

Perform with wrist bent back to °.

Patient is passive.

FINGER - 12 Flexion: ROM With MPs Extended

Position (A) Helper: Stabilize

hand near wrist.

Motion (B) - Bend both middle and end

joints at the same time. - Keep knuckles straight. - Helper assists with gentle

pressure on back of fingertips.

Repeat times. Repeat with other hand.

Do sessions per day. Variation:

Patient is passive.

Page 2 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT Finger - Assisted

COMMENTS: Patient Name/Number: Clinician Name/Signature: Date:

FINGER - 13 Flexion: Stretch – ExtensorsPosition Helper: Support

arm near wrist. Motion - Helper curls fingers, tucking

them fully into palm. - Bend wrist gently in

direction of palm.

CAUTION: Do not force movement. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation:

Perform with finger individually.

FINGER - 14 Flexion: Isometric

Position Helper: Stabilize hand near wrist. Place

hand on palm side of fingers. Motion - Cue patient to bend fingers toward palm. - Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with:

knuckles straight knuckles bent,

fingers straight

FINGER - 15 Extension: ROMPosition (A) Helper: Stabilize

hand near wrist. Support fingers at tips. Motion (B) - Straighten fingers fully. - Helper assists by guiding

all fingers straight. CAUTION: Do not force movement. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with wrist bent back to °.

Perform with wrist flexed toward palm. Patient is passive.

FINGER - 16 Extension: Isolated

Position Patient: Place hand on firm surface, palm down. Motion - Patient lifts finger. - Helper holds other fingers to prevent movement.Repeat times. Repeat with finger. Do sessions per day.

FINGER - 17 Extension: Stretch – FlexorsPosition Helper: Support arm near wrist. Place palm against fingers. Motion - Helper applies steady pressure

to straighten fingers fully. - Bend wrist back gently.

CAUTION: Stop at point of tension in muscle or joint. Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with gentle pressure on top of finger joints for added control.

FINGER - 18 Extension: FacilitatedPosition Helper: Stabilize wrist. Motion - Helper folds fingers into a snug fist. (A) - Helper releases fingers and

cues patient to straighten fingers immediately. (B)

Repeat sequence times. Repeat with other hand.

Do sessions per day. Variation:

Perform with wrist bent in direction of palm.

Cue patient to straighten fingers of other hand at the same time.

FINGER - 19 Extension: Isometric

Position Helper: Stabilize hand near wrist.

Place hand on back of fingers. Motion - Cue patient to straighten fingers. - Helper blocks movement. Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day. Variation: Perform with:

fingertips curled under knuckles held still

FINGER - 20 Abduction / Adduction: Isolated

Position Patient: Place hand, palm down, on smooth flat surface. Motion - Helper holds other fingers to keep from moving while patient slides finger from side to side.Repeat times. Repeat with finger. Do sessions per day.

FINGER - 21 Abduction: Stretch – Webspace

Position Patient: Keep

arm steady. Helper: Hold fingers close to base. Motion - Helper spreads fingers apart

to stretch webspace between: index and middle fingers ring and middle fingers ring and little fingers

Hold seconds. Repeat times.

Repeat with other hand. Do sessions per day.

FINGER - 22 Abduction: Isometric

Position Patient: Keep arm steady. Helper: Place thumb and forefinger on outer edge of fingers. Motion - Cue patient to spread apart:

index and middle fingers ring and middle fingers ring and little fingers

- Helper blocks movement.

Hold seconds. Relax. Repeat times.

Repeat with other hand. Do sessions per day.

FINGER - 23 Adduction: IsometricPosition Patient: Keep arm steady, fingers slightly apart on flat surface. Helper: Stabilize middle finger to keep in midline of hand. Motion - Cue patient to press

finger toward middle finger. - Wrist does not move and

fingers remain straight. - Helper blocks movement. Hold seconds. Relax. Repeat

times. Repeat with finger. Do sessions per day. Variation: Cue patient to press fingers together tightly. Helper applies gentle force as if to pull apart.