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    Upper Extremity Exercise Program: Patient Information Booklet

    Uploaded by

    Muhammad Fahmy
    This document provides instructions for 17 upper extremity exercises to help patients maintain mobility, strength, and endurance while in the hospital. The exercises target the shoulders, elbows, wrists, hands and fingers through motions like elevation, retraction, circles, flexion, extension, and opposition. Patients are advised to do the exercises slowly and stop if painful, and to discuss any questions with their occupational or physical therapist.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Upper Extremity Exercise Program: Patient Information Booklet

    Uploaded by

    Muhammad Fahmy
    16 views8 pages
    This document provides instructions for 17 upper extremity exercises to help patients maintain mobility, strength, and endurance while in the hospital. The exercises target the shoulders, elbows, wrists, hands and fingers through motions like elevation, retraction, circles, flexion, extension, and opposition. Patients are advised to do the exercises slowly and stop if painful, and to discuss any questions with their occupational or physical therapist.

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    This document provides instructions for 17 upper extremity exercises to help patients maintain mobility, strength, and endurance while in the hospital. The exercises target the shoulders, elbows, wrists, hands and fingers through motions like elevation, retraction, circles, flexion, extension, and opposition. Patients are advised to do the exercises slowly and stop if painful, and to discuss any questions with their occupational or physical therapist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views8 pages

    Upper Extremity Exercise Program: Patient Information Booklet

    Uploaded by

    Muhammad Fahmy
    This document provides instructions for 17 upper extremity exercises to help patients maintain mobility, strength, and endurance while in the hospital. The exercises target the shoulders, elbows, wrists, hands and fingers through motions like elevation, retraction, circles, flexion, extension, and opposition. Patients are advised to do the exercises slowly and stop if painful, and to discuss any questions with their occupational or physical therapist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    PATIENT INFORMATION

    BOOKLET

    Upper Extremity Exercise Program

    Introduction

    This booklet has exercises to help you prevent the loss of:
    • Movement.
    • Strength.
    • Endurance.
    This can occur due to decreased activity while you are in the hospital. The arm exercises will help you work on a
    range of muscle groups. Do the exercises as your occupational or physical therapist taught you.

    General Instructions

    • Do these exercises slowly to get the most from them.


    • Wear clothes that are comfortable and do not restrict your movement.
    • Do the exercises lying in bed or sitting up straight in a chair. You can also try to do them while sitting at the
    edge of your bed or standing. If you do them this way, make sure another adult is around. This will help to
    ensure your safety and to reduce your risk of falling.
    • Breathe deeply throughout all exercises. Try to breathe from your diaphragm. This will relax your body. It may
    enable you to have a greater range of movement with your arms. Counting out loud will help you remember
    to breathe.
    • Stop and/or alter the exercises if you feel any pain. You can alter any exercise by doing only part of the
    movement.
    • If you have weakness in one arm, adapt the exercises. Do this as described in the instructions.
    • Discuss any questions or concerns about this exercise program with your:
    – Doctor.
    – Occupational therapist.
    – Physical therapist.

    Upper Extremity Exercise Program [ 1 of 8 ]


    Exercise 1

    Shoulder Elevation/Depression

    Shrug your shoulders up towards your ears


    and then drop them down.
    ______ repetitions; ______ times per day.

    Exercise 2

    Shoulder Retraction/Protraction
    A. Retraction (pull back)
    Squeeze your shoulder blades together.
    Hold for ______ counts.
    Relax and repeat ______ times.
    B. Protraction (draw forward)
    Round your shoulders forward. Hold for
    ______ counts.
    Relax and repeat ______ times.

    ______ repetitions; ______ times per day.

    Upper Extremity Exercise Program [ 2 of 8 ]


    Exercise 3

    Composite Shoulder Circles


    Roll your shoulders forward in a circle ______ times and roll
    them backwards ______ times. Relax and repeat the exercise.
    ______ repetitions; _____ times per day.

    Exercise 4

    Modified Horizontal
    Abduction/Adduction
    Clasp your hands together with arms
    extended to shoulder height. Without
    rotating from the waist, move your arms
    to the left side, return to the center, then
    to the right side. Repeat ______ times.
    ______ repetitions; ______ times per
    day.

    Exercise 5

    Shoulder Flexion/Extension
    (A) Begin with your arms at your side. Extend
    your arms in front of you with your palms
    facing each other. Raise your arms up as far
    as you can and then return to starting posi-
    tion. Repeat _______.
    (B) Begin with your arms at your side. Raise
    your arms behind you as far as you can.
    Return to starting position. Repeat _______.
    If one arm is weaker than the other, adapt the
    exercise. Do this by clasping your hands togeth-
    er and raising them over your head.
    ______ repetitions; ______ times per day.

    Upper Extremity Exercise Program [ 3 of 8 ]


    Exercise 6
    Shoulder Abduction/Adduction
    Begin with your arms extended out to the side. Slowly
    raise your arms above your head, then return to the
    starting position. Repeat ______ times.
    ______ repetitions; ______ times per day.

    If one arm is weaker than the other, have someone


    help you with your weaker arm.

    Exercise 7

    Internal Rotation
    Place your hands behind your back and use one hand to grasp
    your other wrist. Slowly slide your hands up the center of your
    back as far as possible. Hold ______ seconds, then return to
    starting position. Repeat ______ times.
    ______ repetitions; ______ times per day.
    If one arm is weaker than the other, adapt the exercise. Do
    this by using your stronger arm to help your weaker arm slide
    up your back.

    Exercise 8
    External Rotation
    Clasp your hands together on your lap.
    Slowly raise your hands over your head
    until you reach the back of your neck.
    Spread your elbows as far apart as possible.
    Hold for ______ counts. Return to starting
    position. Repeat ______ times.
    ______ repetitions; ______ times per day.

    Upper Extremity Exercise Program [ 4 of 8 ]


    Exercise 9

    Elbow Extension/Flexion
    Begin with your arms at your sides. Bend at your
    elbows, palms up, and touch your shoulders.
    Return to starting position. Repeat ______ times.
    ______ repetitions; ______ times per day.
    If one arm is weaker than the other, clasp the
    wrist of your weaker hand and bend your
    elbows.

    Exercise 10

    Forearm Supination/Pronation
    Begin by resting your forearms on your lap
    with your palms down. Turn your palms up
    towards the ceiling and return to starting
    position with palms down. Repeat ______
    times.
    ______ repetitions; ______ times per day.
    If one arm is weaker than the other, clasp
    the wrist of your weaker arm. Rotate your
    forearm turning palms up and down.

    Exercise 11

    Wrist Extension/Flexion
    Position your arms on a supported surface leaving
    your wrists free to move. Turn your palms up
    towards the ceiling and bend your wrists up and
    down. Repeat ______ times.
    ______ repetitions; ______ times per day.
    If one arm is weaker than the other, use your
    stronger hand to clasp the weaker wrist. Bend it
    up and down.

    Upper Extremity Exercise Program [ 5 of 8 ]


    Exercise 12
    Wrist Radial/Ulnar Deviation
    Position your arms on your lap or a table. Without
    moving your elbow or forearm, move your wrists side
    to side. Repeat ______ times.
    ______ repetitions;
    ______ times per day.
    If one arm is weaker than the other, use your
    stronger hand to help the weaker hand. Bend your
    wrist side to side.

    Exercise 13

    Gross Finger Flexion/Extension


    Begin with your forearms supported on a surface such as your
    lap or an armrest. Make a tight fist, and then open your hand
    and extend your fingers out until they are straight. Repeat
    ______ times.
    ______ repetitions; ______ times per day.
    If one arm is weaker than the other, use your stronger hand
    to bend and straighten the fingers of the weaker hand.

    Exercise 14

    Finger Abduction/Adduction
    Position your hands on a supported surface such as your lap or a
    table. Slowly spread your fingers apart, then bring them back
    together. Repeat _____ times.
    ______ repetitions; ______ times per day.

    Upper Extremity Exercise Program [ 6 of 8 ]


    Exercise 15

    Finger Opposition
    Touch each fingertip to your thumb.
    Repeat ______ times. 1.

    ______ repetitions; ______ times per day.

    2.

    3.

    4.

    Exercise 16

    Pendulum Exercise
    Lean over a table and support yourself with your
    uninvolved arm. Allow involved arm to hang
    down freely. Swing involved arm in clockwise
    and counterclockwise circles and forward and
    back. Let gravity assist your arm with the
    motion.
    Repeat ______ times.
    ______ repetitions; ______ times per day.

    Upper Extremity Exercise Program [ 7 of 8 ]


    Exercise 17

    Cane Exercise
    Lie on your back with your arms at
    your side, holding a cane or stick. Lift
    the cane up toward the ceiling, over
    your head, keeping both arms level.
    Return your arms to the starting posi-
    tion.
    Repeat ______ times.
    ______ repetitions;
    ______ times per day.

    Conclusion

    While you are less active, doing these exercises will help maintain your:
    • Mobility.
    • Strength.
    • Endurance.
    Remember to adapt or stop doing the exercises if you feel any pain. Please share any questions or concerns with
    your occupational or physical therapist.

    Important Telephone Number

    Occupational or Physical Therapist __________________________

    Telephone Number ______________________________________

    ©1999 Memorial Sloan-Kettering Cancer Center


    1275 York Avenue, New York, New York 10065
    Revised 2002; reviewed 2004; revised 2005, 2008a; reviewed 2010

    Upper Extremity Exercise Program [ 8 of 8 ]

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