S: Sequential

S: SEQUENTIAL When approaching the treatment of a damaged hand different movements can be affected by the pathological process. Quite often treating one structure can put other structures at risk. Working towards finger flexion in a passive and intensive way can...

P: Progressive

P: PROGRESSIVE We know as hand therapists that when we treat an injured hand, progression in the resistance of the tissue is modified from one day to the next. In the beginning there is no resistance of the tissues apart from the artificial resistance created by the...

A: Analytical

A: ANALYTICAL The most complex decision regarding hand treatment is how to pinpoint treatment on the area actually causing the problem. As the hand is such a complex area with numerous small structures this challenge is particularly great. Cyriax described the need to...