Hand/Occupational Therapy Home Program Thumb Active Range of Motion These exercises should be done slowly and smoothly using your own muscle power. Only do this if it's within your range of motion restriction. PDF Reverse Total Shoulder Arthroplasty Rehabilitation Protocol Hand Strengthening Exercises * 30. 3. They should be performed within your comfort zone unless otherwise instructed. 1. 5. 2. Stroke Exercises for Your Body 10 Wrist Motion When you are sitting or standing, extend the elbow and rotate your wrist through a full range of motion. Bend& straighten thumb tip only. Do range of motion exercises with each diaper change. PDF Home Exercises - Orthopedic Associates of Hartford Duration of Care a. Self-range of motion exercises for the arm and hand Page - 6 5. 3. *If you have any questions or concerns, please call your Occupational Therapist at _____. Sway your whole body slowly forward and back, letting your arm swing forward and back. Continue cryotherapy as needed. Phase II: Weeks 6 to 12. eeks 6 to 8W Brace • None Shoulder Motion Passive Range of Motion: • Continue exercises Active Assisted Range of Motion: • Continue exercises Active Range of Motion: • Flexion in scapular plane, abduction, external . They are especially helpful for improving fine motor skills after a neurological event like stroke or brain injury. The list below links to specific stretching exercises with pictures and instructions. PDF Rotator Cuff Repair Post-operative Rehabilitation Protocol Hold for ____ seconds. PDF Assisted Range of Motion Exercises - Health Online ©2020 Hospice of Cincinnati Range of motion is defined as the full movement potential of a joint. Wrist and forearm exercises pdf These exercises strengthen the muscles in the wrist, hand, and forearm which can help the injury heal and prevent further injuries. Stretching exercises can help to relax the neck muscles and restore range of motion (fig. Duration depends on severity of wound, complications, and . His arm should turn at the shoulder and his elbow should remain bent at a 90° angle. Do the stretching exercises 5 to 10 times a day. ©2020 Hospice of Cincinnati Range of motion is defined as the full movement potential of a joint. 2. Hold for 3 seconds. Stand behind a chair, as shown. 3. 1. Passive Range of Motion Passive range of motion is the extent of motion possible in a joint when moved Self-Range of Motion Exercises. Rotate your hands so the palm of your affected hand is facing downwards. Shoulder Flexion (0-180°): • Always make sure the person's thumb is up (as if they are hitchhiking) • Caregiver should be on the same 4. Wrist stretch: Press the back of the hand on your injured side with your other hand to help bend your wrist. Back 2. 56. 9. Make sure client is wearing adequate clothing. • maintain/increase range of motion (ROM) Instructions • exercises should be done at least once per day • do one arm at a time • perform exercises slowly . Do this exercise 5 times a day. o Hinged Brace Range of Motion Progression (ROM progression may be adjusted base on Surgeon's assessment of the surgical repair.) carpal tunnel area fold. You can get more examples of hand exercises for arthritis here. End position: Move thumb away from the index finger, keeping it in line with the index finger. This prevents Lower Extremity Passive Range of Motion. 57. range of motion exercises of the digits, hand and wrist b. To increase the range of movement, move the limb to the end of the comfortable range and hold that position for 30 seconds to 1 minute, depending how stiff the joints and muscles feel. After an injury or surgery, an exercise conditioning program will help you return to . Press putty against index finger with the thumb. Unless your doctor feels that you have adhesive capsulitis or frozen shoulder, these exercises should not cause pain. 2. They also improve the range of motion of the wrist and hand which can make the area less prone to injury. Hand therapy exercises can help improve strength and dexterity in the hands and fingers. Move into the range until mild resistance is felt and hold there for 30 seconds. Lift the knee and bend it toward the chest, with the kneecap pointed toward the ceiling. Hold 3 seconds. Continue this exercise a few times to encourage greater motion in the wrist. Do each motion 10 to 15 times and NOT to the end of the range of motion. 3. Hold each position for 5-10 seconds. Intermediate Arm Exercises (cont.) Exercise #1: Scapular circumduction. 2. SHOULDER RANGE OF MOTION - PULLEYS The following is your personalized exercise program prescribed by your physical therapist. • soup or . This rolls your shoulder blade slowly in a large circle. 13-14). Generally extends over 6-12 weeks b. Wrist Range of Motion #2 Turn your palm face down. General instructions • Lay on your back. The foot should stay in a straight However, if your spinal cord injury results in quadriplegia (weakness or paralysis throughout the arms, trunk, and legs), it can become challenging to participate in exercises. Active motion is when your injured wrist moves without any help from your other hand. It is advisable to start with a lower number of repetitions and sets and gradually build up over a few weeks. Duration of Care a. Hold for 15 to 30 seconds. If you cannot use your muscles to move one arm, you may use the stronger arm to help with movement. Your therapist may recommend range of motion exercises when you are unable to easily move your legs on your own due to weakness or illness. The exercises can typically be performed 4-6X/day or as tolerated with 10-15 repetitions being the norm. This includes lifestyle interventions like eating enough protein and exercising regularly. Other benefits of these exercises include: • Improved blood flow • Reduced swelling • Integrated sensory and motor function • Improved awareness of body • Improved body symmetry The pendulum Wrists 2 Rest your arm on a table and hang your wrist over the edge. Keep the arm on your injured side straight during this exercise. for the Arm and Hand After a stroke, it is important to do the exercises in this handout for your affected arm and hand. Wrist Sprain: Exercises (page 2) Resisted ulnar deviation 1. Use this printout to identify an activity, and track goals and frequencies. Wrist range of motion exercises Range of motion exercises require simple movements of the wrist. Their hands, arms or legs may feel numb, which can affect dexterity. If directed, move on to arm and then hand exercises. Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers These exercises will help keep your muscles strong and mobile, and your joints flexible. 2. Occupational Therapy Assisted Range of Motion Exercises. Hold 3 seconds. Hold for 15 to 30 seconds. Raise your arm above the level of your heart and do hand pumps several times a day. HAND AND FINGER EXERCISES Finger Lift then lower i once, and then lower. Shoulder Range of Motion Exercises. swelling go away. Use only your body movement to move your arm. their full range of motion. Active Range of Motion Exercises: Wrists, Elbows, Forearms, and Shoulders Wrists 1 Rest your arm on a table and hang your hand over the edge. Performing the exercises two to three days a week will maintain strength and range of motion in your shoulders. exercises. Note: May begin use of heat before range of motion exercises. Your occupational or physical therapist may change the exercises to meet your needs. moist warm towel, or using a heating pad. These gentle movements are called "self-range of motion" exercises, and they help to maintain your movement, prevent stiffness, improve blood flow, and increase awareness . Web Stretch (abduction) Hand positions: Place one hand under palm and hold thumb near its base. ELBOW RANGE OF MOTION EXERCISES The exercises described below can be used for a stiff elbow following injury, immobilization, or post surgery per your doctor's or therapist's recommendation. Getting Started _____ Warmup: Before doing the following exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle. Before your injury you usually moved your joints many times during the day. Exercises: Please try the following exercises as indicated, but stop if they cause you any problems. If soreness persists after these exercises, contact your therapist: _____ at _____ Next, stretch the hand back by pressing the fingers in a backward direction. 32. . Do the exercises very gently. Exercise after spinal cord injury is essential because it helps promote circulation and maintain range of motion, bone density, and muscle mass. Perform the exercises a minimum of 5 repetitions, once daily To keep the range of movement that is present, do these movements slowly through a pain-free range. Range of motion exercises for the hand are movements and stretches that straighten and bend the joints in the fingers, thumb, and wrist. If joints which do not appear on this chart are affected, please indicate the degree of limited motion in your narrative. Do not allow the hip to twist during this movement. Upper Extremity Passive Range of Motion (PROM) Repeat stretches___times and hold for seconds. Therefore, it's wise to start off with simple bodyweight palm rotations before moving onto this exercise. This will help drain the fluid out of your arm. Stretching Exercises for the Hand and Face. These exercises help to improve movement, reduce stiffness and swelling, and help your hand move in all the ways that you need for everyday activities. PIPJ extension stretch Bend all fingers using other hand *Apply pressure on back of PIPJ with simultaneous counterpressure on front of DIPJ 3. Hand range of motion exercises pdf Self-range of motion exercises for the arm and hand Page - 3 2. Using your body to initiate movement, swing the arm gently forward and backward and in a 1. of structured relaxation exercises. Explain what you are going to do. Rotate your hands so the palm of your affected hand is facing downwards. 1. Exercises help to: Maintain the flexibility of your joints and soft tissue Reduce pain and swelling Minimize muscle weakness and joint stiffness Shoulder Motion Active range of motion (AROM) exercise of the shoulder A. Purpose. With your elbows straight and your hands together, raise your hands to shoulder or eye level. Range of motion and stretching exercises to increase your wrist and hand movement (see page 4). Bend the base joints (knuckles) of your fingers while keeping the end and the middle joints and your wrist straight, forming a "tabletop." 3. Nerve Gliding Exercises * 31. Put your affected hand in your non-affected hand. The following range of motion exercises help maintain flexibility and reduce stiffness in your legs. Self-range of motion exercises for the arm and hand Page - 6 5. Slowly bend your wrist up and down. Finger Flexion/Extension Make a fist. Stiff joints can be painful and make it hard for a person to do things for themselves . 2. 1. Return both hands to your chest. o External Rotation to 60°, advance as tolerated o Abduction to 120°, advance as tolerated • Active assisted forward flexion using pulleys or cane to 90° • Elbow extension and flexion • No cross-body or internal rotation motion at this phase Return gently to the start position. To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. Do 3 times a day. Bend his forearm up then down. Please review the instructions and perform the exercises as prescribed (frequency, number of repetitions). Place your affected hand on your lap or supported on a table. Printout PDF Paraffin wax treatment It's normal to lose some muscle mass as we age. Gently tilt your hand toward the thumb side of your wrist, then gently tilt . Sit leaning forward with your legs slightly spread. • Bring thumb across palm, bending both thumb joints. Hand Active ROM Exercises * 29. Slowly bend your wrist up and down. The movements should be done smoothly. Forearm Stretch Interlock your fingers, or clasp your hands together. Neck Range Of Motion Exercises, Neck Exercises One very powerful way of controlling your neck pain is to do daily range of motion exercises, putting your neck through full movement several times a day. Shoulder Stretching Exercises 2010 1 SHOULDER: Stretching Exercises This handout illustrates some basic range of motion exercises for the shoulder. Printout PDF Range-of-motion exercises: Hands. Grasp one end of an exercise band with your hand facing toward your other thigh, and step on the other end. You should be on the same side of his body as the arm you are working with. Without movement your joints can become tight. Joint Range of Motion Range of Motion, or ROM is the range through which a joint can be moved. Perform six repetitions of each exercise with the whole group performed 6-8 times per day. 4. Closely watch the infant's face for signs of pain or discomfort. You can apply an ice pack or a bag of frozen vegetables over the wrist area for 10 to 15 minutes. Wrist Curls: With your hands in gentle fists, curl the palms of your hands back toward your forearms. The pictures and text below make it easy. If you want some effective, therapeutic exercises … 39 Restorative . Shoulder Rotation: Use one hand to hold your baby's upper arm steady. Do one set of 10 repetitions, three times a day. 4. Hold 3 seconds. A short guide for hand and face stretches. Bending only at the large knuckles, press putty down against the thumb. Thumb Exercises . seconds at your tolerated end range PASSIVE RANGE OF MOTION (PROM) WRIST *Using your opposite hand, bend your wrist *Using your opposite hand, bend your as far down as possible to feel a stretch wrist upward as far as tolerated and (not pain) and hold for 10-15 seconds hold for 10-15 seconds PRAYER STRETCH Place your _________ hand on the back of the chair, and let your ________ hand hang down. Your therapist will modify the program if you have any movement restrictions and provide information Repeat. Blocking exercises allow to focus tendon glide. • Facilitate comfort for the patient. Curl your hands down, as though you're trying to curl your knuckles toward your arms. Wash your hands. Your attendant cups the front of your shoulder with 1 hand, then places their other hand so their baby finger is next to your shoulder blade. Grip strengthening exercises, when indicated c. Activity modification may be necessary. Keep the arm on your injured side straight during this exercise. Motions should be smooth, not bouncy. 2: Scapular Protraction. If you have weakness in 1 arm, you can change the exercises as described in the instructions. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. 3 WRIST EXTENSION AND FLEXION. Wrist stretch: Press the back of the hand on your injured side with your other hand to help bend your wrist. Your movement may be limited because of this tightness. Furthermore, hand strengthening exercises like these can also help prevent conditions like arthritis from getting worse. Keep your feet flat on the floor. Movements of your shoulder, wrist and hand are safe and beneficial for your recovery. The arm exercises below will help you work on a range of muscle groups. Bend and then straighten the last two joints of your affected finger. Strengthening exercises to improve how well your wrist and hand work (see page 13). Keep all . Recommendations: • commercial wrist weights, 1 to 2 lbs. Hand Dexterity, Strength and Range of Motion Touch and Hand Dexterity Problems with the sense of touch may make it diffi cult for people to discriminate between textures and shapes or hot and cold surfaces, or to sense changes in pressure. If the movement is sore stop. 4. Bring them back together as close as possible. Exercises To increase strength in the upper extremities, some type of weight (or resistance) should be used. With your hand flat on a table, spread all of your fingers apart. 1. Put your hand with the affected finger on top of your good hand. Page 2. Thumb Bend (flexion) Hand positions: Place one hand under palm and hold thumb near its base. In fact, the average person can expect to lose 3 to 8 percent of muscle mass per decade after the age of 30!. After a spinal cord injury you may move less. Exercise Tips • Dress comfortably. Lower Body: Passive Range of Motion Exercises Author: Jennifer Kahn, PT The following exercises have been prescribed by your physical therapist. Using Your Left Arm as a Gross Motor Assist . Place your affected hand on your lap or supported on a table. If your symptoms feel worse with any exercise, stop doing the exercise until you check with your physical . Instructions • Sit up straight in a firm chair to support your back. Straighten fingers fully. If you experience any pain or numbness after or during these wrist releases below, seek medical attention. Shoulder: Rock the Baby Stretch Hold your affected arm. Active Range of Motion Exercises: Wrists, Elbows, Forearms, and Shoulders Wrists 1 Rest your arm on a table and hang your hand over the edge. RANGE OF MOTION EXERCISES PROCEDURE FOR GIVING RANGE OF MOTION EXERCISES: NOTE: CHECK SERVICE PLAN FOR INSTRUCTIONS BEFORE PERFORMING RANGE OF MOTION EXERCISES. Exercise #5. Range Of Motion Exercises Definition: The movement of a joint to the extent possible without causing pain Purposes: • Promote and maintain joint mobility • Prevent contractures and shortening of muscles and tendons • Increase circulation to extremities. Wrist extension and flexion. Hold for 15 to 30 seconds. Passive Range of Motion for Hemiplegic Upper Extremity These exercises should be done slowly, moving the joint to point of tension NOT pain. Tendon Gliding Exercises * Parkinson's . Then go in the opposite direction. Start with your forearm on a table and your wrist over the table edge. Duration depends on severity of wound, complications, and . Range of Motion Exercises 1. The exercises illustrated and described in this document should be performed only after instruction by your physical therapist or Dr. Gill's office. Theraputty Exercises - Hand Strengthening . Wrist extension and flexion Palm turning exercise Opening and closing fist Range of Motion Exercises: Patient/Caregiver Training Range of Motion Exercises: Patient/Caregiver Training Range of Motion Training: Range of Motion Exercises. Generally extends over 6-12 weeks b. Do 3 sets. • Passive range of motion o Forward Flexion to140°, advance as tolerated . Depending on the severity of your spinal … Quadriplegic Exercises: Rehab . PASSIVE RANGE OF MOTION (PROM) Perform the stretch positions (1, 2, 3) shown below and hold for a count of 10-15 seconds. o Week 2-3: 30°-60° o Week 4-5: 15°-90° o Week 6-7: 10°-110° o Week 8: 0°-125° o Forearm: Initiate AAROM pronation and supination o Progress to active pronation and supination (wk 4) Lift your hand while keeping your fingers relaxed. Hold for a count of 3 for each exercise. Using Your Left Arm as an Active Stabilizer . Hold his forearm with your other hand. Do 10-30 repetitions. • Lay hand flat on a table. 3. Grip strengthening exercises, when indicated c. Activity modification may be necessary. Your child should lie on his or her back on a firm surface while doing the exercises. If range of motion was normal for all joints, please comment in your narrative summary. With the other hand, grasp the heel for stabilization. • Start with shoulder exercises. Applying ice after exercise. Self Range of Motion - Left Hemiparesis . Simple Neck Exercises This article focusses on quick, simple and easy neck exercises. Straighten your wrist and point your fingers and thumb upward. Range of motion exercises keep your child's joints and muscles loose and easy to move. Use the thumb and fingers of your good hand to grasp below the middle joint of your affected finger. Pinch putty with thumb and each finger in turn. Stiff joints can be painful and make it hard for a person to do things for themselves . These exercises move your wrist and fingers through their normal ranges of motion and require all the hand's tendons to perform their specific functions. 3 5. Provide privacy. Repeat 5-10 times. Printout PDF Exercise log. Elbow ROM should be performed as instructed. Place your good hand on a table, palm up. Range of Motion Exercises for the Hands Make a fist - heel of one hand may need to press on the back of the other hand near the knuckle joints Push hand flat to try to get the fingers to lay flat on a table Use three points of pressure Abduction - put pads of index finger and thumb together and
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