Imakhala ndi chosinthira chapadera chosinthira kumbuyo chomwe chimalola ogwiritsa ntchito kusankha njira yomwe ikugwirizana ndi zosowa zawo payekhapayekha posintha malo opingasa amanja poyerekezera ndi mapewa. Mbali yapaderayi, yophatikizidwa ndi msonkhano wa unilateral compression mkono pa madigiri a 20 pamwamba ndi kutsogolo kwa wogwiritsa ntchito ndi zogwirizira zapawiri, zimalola kuti pakhale maphunziro osiyanasiyana oyenda popanda kukhudzidwa.
Mpandowu ukhoza kusinthidwa utakhala kapena utayima, ndipo umathandizidwa ndi mayendedwe apamwamba a mzere ndi masilindala kuti asinthe mokhazikika, otsika kwambiri.
Mikono yoponderezedwa ya unilateral imasinthasintha madigiri a 20 mbali iliyonse pamwamba ndi kutsogolo kwa mapewa, kulola kusuntha kwathunthu popanda kukhudzidwa.
Chapadera chosinthika kumbuyo chimalola wogwiritsa ntchito kusintha malo a chogwirira chopingasa ndi mapewa.