Optimal Positioning Splinted Area      Desired Position Neck/Head/Face neutral slight extension head of bed elevated 30-45 degrees Axilla abduction to 90 degrees forearm supinated (palm facing up) horizontal adduction to 20 degrees Elbow elbow in full extension forearm supinated elbow elevated above the level of shoulder Hand wrist 15-40 degrees extension MCP's 70-90 degrees flexion IP's fully extended thumb abducted and opposed hand elevated above level of the elbow Trunk midline Hip abduction 15-20 degrees hips in full extension Knee full extension Foot/Ankle neutral dorsiflexion