An apparatus comprising as upper plate mounted on a pillar with pivotal means for motion is placed close to the axes of wrist action. By this construct a wide range of wrist positional opportunities is realized without producing unwanted elbow motion in a longitudinal or vertical plane. The practitioner enjoys ample access to the anatomy while being unburdened from repositioning the upper extremity due to unwanted shifts of the elbow and the shoulder. The hand and digits are secured to the upper plate. All materials of the apparatus are made from available stout material able to support the well-positioned upper extremity. A specialized positioning technique with guidelines for verification of proper apparatus utilization further separates the apparatus from the prior art.