PMC5759923_01
Pegboard work. a Sliding of flexors tendons of the hand (zones 4/5). b Anterior translation of the first carpal row of the wrist to improve wrist extension. c Anterior translation of the first phalanx to improve metacarpophalangeal joint flexion. d Posture to improve the extension of the proximal interphalangeal joint
40945_2016_28_Fig1_HTML.jpg
PMC5759923_01_40945_2016_28_Fig1_HTML.jpg
Fig1
Pegboard work (Fig. 1) was used as a mechanotherapy tool in order to shape the joint and tendon adhesions by active sliding tendon postures and passive joint postures.  As tendon sliding improved, the dorsal peg was displaced to increase tendon tension (Fig. 1a). As the articulation yielded, we tighten the elastic band without causing pain (Fig. 1b). In this posture an anterior translation of the first phalanx was achieved by placing an elastic band at the base of the first phalanx while stabilizing the metacarpophalangeal and wrist joints with pegs (Fig. 1c). An elastic band was placed at the level of the second phalanx and was progressively tighten to bring the second phalanx backwards (Fig. 1d).