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Essentially, the way I use it is if itâs a driving movement, ipsilateral produces the greatest power production and stability, meaning the right hand has the right leg back. Contralateral work provides the greatest reach potential for pulling, which means the right hand has the left leg forward or standing on. Funny enough, they both wind up being kind of the same position, which makes it that much easier.
The hand will show hyper-extension of the metacarpophalangeal joints (MCP) and flexion at the Interphalangeal (IP) joints of the 2nd and 3rd digits (index and middle). The pathogenesis is similar to that of ulnar clawing (loss of the relevant lumbricals and unopposed action of forearm flexors and extensors).