IMG Physical Therapy

805 N. Richmond St., Suite 103 Fleetwood, PA 19522 610-944-8140

Chris Gordos, DPT Center Manager
Eric Parrish, MPT Staff Therapist

Shoulder Stretching and Strengthening

Home Exercise Sheet
Rehabilitation of the shoulder may take an extended period of time. A loss of strength, range of
motion, and use is common after an injury or surgery. Your strength, range of motion, and use of the
shouldercanbe regained. It may become frustrating at times, but you canbe successfulwith hard
work, patience, and listening to your body.

When you are exercising on your own athome there are some things to remember....

* Any specific exercise that causes pain, especially sharp knife like pain,is hindering the healing
process for your injury and should be modified or discontinued until you notify your
therapist.

*
Increased swelling after exercise indicatesthat the exercise may be too difficult or it is not
being done correctly. Be sure to ice that area of swelling.

Re-injuries during the rehabilitation process will slow your progress. If you
get recurring pain either lower the resistance; lower the number of sets or
repetitions; or reduce the rangeof motion to avoid the area of pain.

*
You should experience muscle soreness, dull ache, fatigue, and stretching sensations,but the
exercises should not increase the pain or swelling.

* When in doubt about how much weight to use for exercises, guess low. It is
safer and easier to add weight than to hurt your self with too much weight.

* Consult your Physician or Physical Therapist if any problems arise or if you

have any questions regarding an exercise. It is better to make sure that you are
doing an exercise correctly than to cause further injury by doing an exercise
incorrectly.

These exercises are to be done 1 time per day OR 3 to 5 days per week.
**Perform 2 sets of 15 repetitions for strengthening exercises**
**Stretch for 3-10repetitions holding 10-30 seconds each time.**

Ice for 15 minutes after exercise and at the end of the day. Do not ice before exercising.
 STRETCHES
HOLD FOR 15-30 SECONDS. REPEAT 5-15 TIMES. PERFORM DAILY

PROMshld fix supine self

^AROM shld Hx supine w/cane
• Lie on back. .. " ,
11- nn hark with arms atside, holding cane. . Grasp wrist of involved arm with uhmvolved hand
mW**W ™to telp involved arm. . Genlly raise arm upward and in front, througn available range.
Keep elbows straight. . Return to startposition andrepeat.
Lower and repeat.

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Par RFH1NDTHE BACKSJTjETCH:
Injured arm grasping bar w/ palm
facing backward. Good arm grasping
bar with palm facing forward. Pull
with good arm away from injured side.
Progress totowel stretch when easy.
51 FFPFR STRETCH:
Lay on the side of the injured shoulder. ^
Put injured arm straight out with the shoulder@ 90 .
Bend elbow to 90°. Place Chin on injured shoulder.
Using non-injured hand, pull injured hand toward the table.
ck TKe B<xb\j) 3 rn inores £o.ch
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Bene Arm Flexion

Using opposite arm,
raise affectedarm as high as you can while keeping Begin with affected arm bent. Using opposite arm.
ann as relaxed as possible.
raise affected arm as high as you can while keeping
arm as relaxed as oossiblc,
Routine For:
Created By: Eric Parrish / Chris Gordos

SHOULDER - 26 ROM: Pendulum (Circular) SHOULDER - 3 ROM: External / Internal Rotation - Wand
Holding wand with
injured hand palm up,
push out from body with
Let injured arm move in
other hand, palm down.
circle clockwise, then
Keep both elbows bent.
counterclockwise, by
When stretch is felt, Hold
rockingbody weight
30 seconds. Repeat to
in circular pattern.
other side, leading with
same hand. Keep elbows
bent.

Circle 20 times Repeat 3-10 times

each direction per set. per set.
Do 20 sets Do 1 sets
per session. per session.
Do 1-2 sessions Do 1-2 sessions
per day. per day.

SHOULDER-73 ROM: CERVICAL SPINE - 24 Flexibility: Corner Stretch

Towel Stretch - with Interior Rotation

Standing in corner with hands

just above shoulder level and
Pull injured arm up behind feet 12 inches from
back by pulling towel up with corner, lean forward until
other arm. a comfortable stretch
Hold 30 seconds. is felt across chest.
Hold 30 seconds.

Repeat 3-10 times per set. Repeat 3-5 times per set.
Do 1 sets per session. Do 1 sets per session.
Do 1-2 sessions per day. Do 1-2 sessions per day.

SHOULDER- 7 ROM: Flexion SHOULDER - 72 ROM: Posterior Capsule Stretch

Gently pull on injured forward

elbow with other hand until
stretch is felt in shoulder.
Hold 30 seconds.

Keepingarm on table, slide body away until stretch is felt.

Hold 30 seconds.
Repeat 3-10 times per set.
Repeat 3-10 times per set. Do 1 sets per session. Do 1 sets per session.
Do 1-2 sessions per day. Do 1-2 sessions per day.

Copyright© 1999-2009, VHI Page 1 of6

Routine For:
Created By: Eric Parrish / Chris Gordos

SHOULDER- 71 ROM: Inferior Capsule Stretch SHOULDER -101 Scapular Retraction (Standing)

With arms at sides,

Gently pull on raised elbow with other pinch shoulder blades
hand until stretch is felt together.
in shoulder.
Hold 30 seconds.

Repeat 15
times per set.
Do 2 sets
Repeat 3-10 times per set. per session.
Do 1 sets per session. Do 1-2 sessions
Do 1-2 sessions per day. per day.

CERVICAL SPINE - 22B Strengthening: SHOULDER - 27 ROM: Saw (Protraction / Retraction)

Shoulder Shrug (Phase 2) - Resisted

Using surgical tubing or Reach arm out in front, then

pound dumbbells, shrug pull arm back, pinching
shoulders up, back, and then shoulder blades together.
down. Shoulder pattern should
make a Capital D.

Repeat 15 times per set. Repeat 15 times per set.

Do 2 sets per session. Do 2 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

SHOULDER - 57 Scapular: Protraction - 90° of Flexion SHOULDER - 65 Progressive Resisted: Extension (Prone)

Holding 0 pound weights, attempt to push arms up Holding 0-5 pound weights, arms back, raise arms from floor
toward ceiling, keeping elbows straightand back against only to body height (not as pictured), keeping elbows
floor. straight.
Repeat 15 timesper set. Do 2 sets per session. Repeat 15 times per set. Do 2-3 sets per session.
Do 1 sessions per day. Do 3-5 times per week.

Copyright © 1999-2009, VH1 Page 2 of6

Routine For:
Created By: Eric Parrish / Chris Gordos

SHOULDER - 29 Strengthening: Isometric Flexion SHOULDER - 34 Strengthening: Isometric Adduction

Using wall for resistance,

Using body for resistance,
gently press arm
press fist into ball using
into ball using
light pressure. Hold 10
light pressure.
seconds.
Hold 10 seconds.

Repeat 10 times per set. Repeat 10 times per set.

Do 1 sets per session. Do 1 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

SHOULDER-36 Strengthening: SHOULDER - 37 Strengthening:

Isometric External Rotation Isometric Internal Rotation

Using wall to provide Using door frame for resistance,

resistance, and keeping arm press palm of hand into ball using
at side, press back of hand light pressure. Keep elbow in at
into ball using light pressure. side.
Hold 10 seconds. Hold 10 seconds.

Repeat 10 times per set. Repeat 10 times per set.

Do 1 sets per session. Do 1 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

SHOULDER - 32 Strengthening: Isometric Abduction SHOULDER - 31 Strengthening: Isometric Extension

Using wall for resistance, press Using wall for resistance, press
arm into ball using light back of arm into ball using light
pressure. pressure.
Hold 10 seconds. Hold 10 seconds.

Repeat 10 times per set. Repeat 10 times per set.

Do 1 sets per session. Do 1 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

Copyright © 1999-2009, VH1 Page 3 of6

Routine For:
Created By: Eric Parrish / Chris Gordos

SHOULDER - 44 Strengthening: Resisted Internal Rotation SHOULDER - 45 Strengthening:Resisted Extension

Hold tubing in hand, elbow

at side and forearm out.
Rotate forearm in across Hold tubing in hand, arm
body. forward. Pull arm
back, elbow straight.

Repeat 15 times
per set.
Do 2 sets
per session. Repeat 15 times per set.'
Do 1 sessions Do 2 sets per session. ^^v
per day. Do 1 sessions per day

SHOULDER - 43 Strengthening: Resisted External Rotation SHOULDER - 80 Strengthening: Depression

Holdtubing in hand, elbow Stand with tubing around hand, arm

at side and forearm across
straight at side. Shrug shoulder down,
body. Rotate keeping arm
forearm out.
against side.

Repeat 15 timesper set. Repeat 15 times per set.

Do 1 sets per session. Do 2 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

SHOULDER - 68 Progressive Resisted: SHOULDER - 58 Scapular: Stabilization (Prone)

External Rotation (Side-Lying)

Holding 0 pound weight, towel under arm, raise forearm Holding 0 pound weights, raise both arms out from
toward ceiling. Keep elbow bentand at side. sides. Keep elbows straight.
Repeat 15 times per set. Do 2 sets per session. Repeat 15 times per set. Do 2 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

Copyright© 1999-2009, VHI Page 4 of6

Routine For: shoulder routine
Created By: Eric Parrish

SHOULDER-75 Strengthening: SHOULDER - 83 ROM: Flexion (Standing)

Scaption - with External Rotation

Bring arms straight out in front

Holding pound weight, raise arm and raise as high as possible
diagonally from hip to abovehead. Keep without pain. Keep thumbs
elbow straight, thumb up, only to shoulder facing up, only to shoulder
height. height.

Repeat 15 times per set. Repeat. 15 times per set.

Do 2 sets per session. Do 2 sets per session.
Do 1 sessions per day. Do J sessions per day.

SHOULDER- 84 ROM: Abduction (Standing) SHOULDER -113 Resisted Horizontal Abduction: Bilateral

Sit or stand, tubing in both

hands, arms out in front.
Keeping arms straight, pinch
shoulder blades together and
stretch arms out.

Bringarms straight out from sides and raise as high as

possible withoutpain, to shoulderheight only Weight
lbs.
Repeat 15 times per set.
Repeat 15 times per set. Do 2 sets per session. Do 2 sets per session.
Do 1 sessions per day. Do 1 sessions per day.

SHOULDER -112 Resisted External Rotation: in Neutral

- Bilateral
(4) Place the anns/hands below'the waist and repeat the exercii
Sit or stand, tubing in
both hands, elbows at
sides, bent to 90°,
forearms forward. Pinch
shoulder blades together
and rotate forearms out.
Keep elbows at sides.

Repeat 15 times
per set.
Do 2 sets
per session.
Do 1 sessions
per day.

Copyright© 1999-2009, VHI

Page 5 of5
 The Tray Exercise
-The purpose ofthis exercise is to glide the nerves to allow for improved motion while performing in safe range.

Correct Performance of the Exercise:

1." Start by lifting your rib cage as high as possible (Can often be accomplished by taking in adeep breath)
2. Bend both Elbows to 90°so thatyour palms are facing up. Imagine thatyou arecarrying afull tray.
3. Lift your shoulders straight up towards your ears. Must be done'in apain-free range.
4. Straighten yourelbows, while keeping shoulders shrugged up.
5. If still pain/symptom free attempt to bend wrist so palms are facing UP / DOWN.
6. Return arms to step #2, as if holding a tray
7. Relax / lower your shoulders to a natural position.

Frequency: The exercise should be performed up to 30 times aday. In the beginning 10-15 at atime will be tough enough.
Remember that the exercises should not cause pain or increase your symptoms dramatically.

SHOULDER - 81 Strengthening: Alphabet on Wall.

With injured arm locked in a

straight position and hand
pushing in enough to dimple
ball (not pictured), slowly use
your shoulder blade to trace
the Alphabet in Capital
Slowly draw your head Letters. Do NOT allow your
Sit in-astraight back chair elbow to bend.
backwards, keeping your eyes
supported to the level of your
level.
shoulder blades. Your bottom
The movement is similar to
should be as far back in the
avoiding something being
chairas possible. Relax against
pushed in your face. Repeat 1-3 sets per session.
the back of the chair.
Try to make the movement Do Daily.
smooth and draw your head
further back with each
repetition.

Perform 30 repetitions every Dav<