Patient J had stroke and was getting physiotherapy at Therapyroom1 however one of the last things to do was getting her hands working. Nerve and muscle control in the hands is very difficult as the fingers are often weak and immovable.
She had been treated in the past for stroke injury but the previous physio who worked for the NHS had left her hands stating that they did not have the allotted time to treat the hands but to try and get her walking, which in the end they were unable to do. When she came to us her hand and fingers was stuck in the flexed position with no signs of movement available.
In of the first things we did was to ignore finger flexion and focus on the extensor muscles which lay on the back on the hand. When a patient has a stroke strangely enough the extensor which often straighten a joint becomes one of the first things to go. In patient J’s case we applied finger frogs to 2 fingers (1 and 3 fingers control the other fingers)
The patient was left with the frogs on for a few weeks and given homework which developed extensor strength to the fingers. Over the next 4 weeks the patient had the frogs removed and was able to straighten her fingers on her own.
If you want to know more and the exercises then please contact us at Therapyroom1