ELBOW - 1 FLEXION: ROM (Supine / Sitting)
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1 ELBOW - 1 FLEXION: ROM (Supine / Sitting) Position (A) Patient: Place arm against side of trunk. Helper: Hold elbow to stabilize. (B) - Lift hand toward shoulder, palm up. - Keep wrist straight. Do sessions per day. Resist seconds. (see card ELBOW - 7 Extension: Stretch Forearm Extensors (Sitting) Position Helper: Support arm at elbow. - Helper bends wrist down gently and folds fingers into fist. - Then straighten elbow fully. Do not force Hold seconds. Repeat times. Repeat with other arm. Do sessions per day. Variation: Bend wrist down and in direction of little finger during motion. Page 1 of 6
2 ELBOW - 13 Pronation: Resisted (Sitting) Position Patient: Bend elbow to 90. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. - Cue patient to turn forearm so palm faces down. - Helper resists throughout motion with hand on palm side of forearm. - Elbow remains in place. Hold seconds. Relax. ELBOW - 14 Supination: ROM (Sitting) Position (A) Helper: Bend elbow to 90. Hold arm at side with thumb up. (B) - Turn forearm so palm faces up. Do not push into elbow joint. Hold seconds. Variation: Contract method: Resist seconds. (see card Page 2 of 6
3 FINGER - 11 Flexion: ROM Position (A) Helper: Stabilize arm near wrist. (B) - Fold fingers into fist. Variation: Cue patient to make fist with other hand at same time. Perform with wrist bent back to. FINGER - 15 Extension: ROM Position (A) Helper: Stabilize hand near wrist. Support fingers at tips. (B) - Straighten fingers fully. - Helper assists by guiding all fingers straight. Do not force movement. Variation: Perform with wrist bent back to. Perform with wrist flexed toward palm. Page 3 of 6
4 SHOULDER - 1 Flexion: ROM (Supine) Position (A) Helper: Hold arm close to side of trunk. (B) - Lift arm over head in line with trunk, palm turned inward. Do not push into shoulder joint. Do not force Do sessions per day. Resist seconds. (see card SHOULDER - 3 Flexion: ROM (Sitting) Position (A) Helper: Stabilize trunk and grasp arm. (B) - Raise arm up, palm turned inward. - Helper assists with gentle lift. Do not push into shoulder joint. Do not force (See card Page 4 of 6
5 SHOULDER - 6 Extension: ROM (Sitting) Position (A) Patient: Keep trunk steady. Relax shoulder. Helper: Stabilize behind shoulder. Hold arm above elbow with other hand. (B) - Bring elbow back gently. Do not force motion if painful. Hold seconds. (see card SHOULDER - 10 Abduction: ROM (Sitting) Position (A) Helper: Bend your knees to reach for arm. - Keep thumb pointed in direction of movement. - Lift arm out to side. (B) - Raise above head to complete an arc. (C) Do not force Do not push into shoulder joint. (see card Page 5 of 6
6 SHOULDER - 12 Horizontal Abduction / Adduction: ROM (Sitting) Position Helper: Hold arm with both hands. Do not twist your back, move feet. - Lift arm out to side, level with shoulder. (A) - Bring across to opposite side. (B) - Patient's trunk must not twist. Resist seconds. (see card G.G.-14) TRUNK - 14 Rotation: ROM (Sitting) Position Patient: Sit with buttocks firmly in place. Helper: Place one hand behind shoulder blade, other hand in front of opposite shoulder near collarbone. - Gently turn to side by twisting at waist. - Stop at point of tension or discomfort. Repeat in other direction. Resist seconds. (see card Page 6 of 6
7 CHART COPY Routine For: ELBOW - 1 FLEXION: ROM (Supine / Sitting) Position (A) Patient: Place arm against side of trunk. Helper: Hold elbow to stabilize. (B) - Lift hand toward shoulder, palm up. - Keep wrist straight. Do sessions per day. Resist seconds. (see card ELBOW - 7 Extension: Stretch Forearm Extensors (Sitting) Position Helper: Support arm at elbow. - Helper bends wrist down gently and folds fingers into fist. - Then straighten elbow fully. Do not force Hold seconds. Repeat times. Repeat with other arm. Do sessions per day. Variation: Bend wrist down and in direction of little finger during motion. ELBOW - 13 Pronation: Resisted (Sitting) Position Patient: Bend elbow to 90. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. - Cue patient to turn forearm so palm faces down. - Helper resists throughout motion with hand on palm side of forearm. - Elbow remains in place. Hold seconds. Relax. ELBOW - 14 Supination: ROM (Sitting) Position (A) Helper: Bend elbow to 90. Hold arm at side with thumb up. (B) - Turn forearm so palm faces up. Do not push into elbow joint. Hold seconds. Variation: Contract method: Resist seconds. (see card FINGER - 11 Flexion: ROM Position (A) Helper: Stabilize arm near wrist. (B) - Fold fingers into fist. Variation: Cue patient to make fist with other hand at same time. Perform with wrist bent back to. FINGER - 15 Extension: ROM Position (A) Helper: Stabilize hand near wrist. Support fingers at tips. (B) - Straighten fingers fully. - Helper assists by guiding all fingers straight. Do not force movement. Variation: Perform with wrist bent back to. Perform with wrist flexed toward palm. SHOULDER - 1 Flexion: ROM (Supine) SHOULDER - 3 Flexion: ROM (Sitting) SHOULDER - 6 Extension: ROM (Sitting) Position (A) Helper: Hold arm close to side of trunk. (B) - Lift arm over head in line with trunk, palm turned inward. Do not push into shoulder joint. Do not force Do sessions per day. Resist seconds. (see card Position (A) Helper: Stabilize trunk and grasp arm. (B) - Raise arm up, palm turned inward. - Helper assists with gentle lift. Do not push into shoulder joint. Do not force (See card Position (A) Patient: Keep trunk steady. Relax shoulder. Helper: Stabilize behind shoulder. Hold arm above elbow with other hand. (B) - Bring elbow back gently. Do not force motion if painful. Hold seconds. (see card SHOULDER - 10 Abduction: ROM (Sitting) Position (A) Helper: Bend your knees to reach for arm. - Keep thumb pointed in direction of movement. - Lift arm out to side. (B) - Raise above head to complete an arc. (C) Do not force Do not push into shoulder joint. (see card SHOULDER - 12 Horizontal Abduction / Adduction: ROM (Sitting) Position Helper: Hold arm with both hands. Do not twist your back, move feet. - Lift arm out to side, level with shoulder. (A) - Bring across to opposite side. (B) - Patient's trunk must not twist. Resist seconds. (see card G.G.-14) TRUNK - 14 Rotation: ROM (Sitting) Position Patient: Sit with buttocks firmly in place. Helper: Place one hand behind shoulder blade, other hand in front of opposite shoulder near collarbone. - Gently turn to side by twisting at waist. - Stop at point of tension or discomfort. Repeat in other direction. Resist seconds. (see card COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 1 of 1
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