Another category of hand-operated device requires grasping (but not pulling) and rotating the hand and either the lower arm or the whole arm, about their axis. When the grip required is a fist grip, as with a door handle that has an arm rather than a knob to twist, the term "handle" unambiguously applies. Another clear case is a rarer device seen on mechanically complicated doors like those of airliners, where (instead of the whole hand moving down as it also rotates, on the door handles just described) the axis of rotation is between the thumb and the outermost fingers, so the thumb moves up if the outer fingers move down.

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