What Does “Distal to Proximal” Mean?

In the body:

• Distal = farther from the centre of the body (for example, fingers, hands, feet).
• Proximal = closer to the centre of the body (for example, shoulder, hip, trunk).

“From distal to proximal” means moving from the outer parts of the limb toward the body. For example:

• Arm: wrist (distal) → elbow → shoulder (proximal)
• Leg: ankle (distal) → knee → hip (proximal)

In some therapy techniques (such as joint compressions or massage), pressure or movement is sometimes applied from distal to proximal. This pattern is thought to give a clear, organized signal to the brain about the whole limb, ending near the body’s centre.

Important: These techniques should only be used after training from a qualified occupational therapist or physiotherapist.