PIP Resistance

Put palm of hand around cam post of proper size. Place mobile post or other cam post in hole best positioned at the midshafts of the proximal phalanges. Turning the cam post(s) will stabilize the MP's. A mobile post is then situated at the dorsum of the wrist to extend and stabilize the wrist. Set a resistance post in position to provide flexion/extension resistance at the appropriate angle. Resistance may be increased/decreased by selecting a hole nearer or further from the finger of by turning the resistance post to wind the rubber band about the post.

MP Resistance

Position palm of hand around cam post of proper size. Put mobile post or cam post at dorsum of wrist to extend wrist. Place a resistance post in position to provide flexion/extension resistance at the appropriate angle. Adjust resistance.

DIP Resistance

Place palm of hand around cam post of proper size. Insert mobile post in the hole best suited to provide a fulcrum on the volar surface of the middle phalanges. Put other cam post in hole best positioned at the dorsum of the PIP's. Turning the cam post will stabilize the PIP's. A mobile post is set at the dorsum of the wrist to extend/stabilize the wrist. As in photo may then be positioned for flexion/extension resistance.

Thumb IP Resistance

Lay palm of hand on pegboard with cam post of proper size positioned in the thumb/finger angle. Place mobile post or cam post at Radial side of wrist for stabilization. Put resistance post in position to provide flexion/extension resistance. Cam post should be on dorsum of 2nd phalynx of thumb to block extension.

Thumb MP Resistance

Situate palm of hand on pegboard with mobile post inserted in the thumb web space. Place mobile post or cam post at Radial side of wrist for stabilization. Put resistance post in position to provide flexion/extension resistance. Not photo on right. When performing resistive extension, a mobile post must be at web space between index and long fingers with post in thumb web space removed.

Thumb Abduction/Adduction Resistance

Wrap palm of hand around cam post of proper size. Set mobile post or other cam post at volar or dorsal side of wrist (depending on stabilization required). Locate long resistance post to resist abduction/opposition. Position standard resistance post for Adduction resistance.

Thumb MP/IP Flexion Resistance

Position palm of hand around cam post of proper size. Place mobile post or other cam post at dorsum of wrist for stabilization. Use long resistance post positioned to give proper angle of pull for thumb flexion resistance.

 

The pegboard is designed for versatility in positioning the hand not only for mobilization in flexion/extension. It may also be used for passive mobilization of the thumb web and passive abduction of the fingers via the use of mobile posts and the cam posts. For example, posts may be placed to stabilize the fingers and a properly situated cam post may be turned to increase the passive forces to abduct the MP's.

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