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3
Take the thumb across in front of the palm. Bend both thumb joints.
Bring the thumb back until it is at a 90-degree angle beside the index
finger. Repeat with the other hand.








Take the thumb straight out in front of the index finger until it is at a 90-
degree angle with the fingers.








Take the thumb across in front of the palm of the hand until it touches the
base of the little finger.















8/2007. Developed through a partnership of Mount Carmel Health, Ohio State University Medical Center,
and OhioHealth, Columbus, Ohio. Available for use as a public service without copyright restrictions at
www.healthinfotranslations.org.