Exercise Booklet: Sep-2021. HTTPS://WWW - ptx.rehab/ZZNR0A Page 1/12

Exercise Booklet
This booklet was created using software freely available at www.physiotherapyexercises.com on 12- Page 1/12
Sep-2021. https://www.ptx.rehab/ZZNR0A
Anterior chest, neck and chin stretch
Client`s aim
To stretch tight tissue over the front of your neck, chest and chin.
Client`s instructions
Position yourself in sitting. Look towards the ceiling with your mouth
open. Slowly close your mouth with your chin thrust forward.
Close eyes tightly

Client`s aim
To maintain or improve your eye closing and to re-establish your
normal facial movement.
Practice closing your eyes tightly.
Close eyes tightly and then open wide

Client`s aim
To maintain or improve your eye closing, eye opening and to re-
establish your normal facial movement.
Practice closing your eyes tightly and then opening them as wide as
possible.
Progressions and variations
A mirror could be used to provide visual feedback.
Ear to the shoulder
Client`s aim
To stretch tight tissue over the side of your neck.
Position yourself sitting with good posture. Tilt your head to the side
with your opposite shoulder lowered. You may need to adjust your
position to find the maximal area of stretch by rotating or tilting your
neck or a combination of both as instructed by your physiotherapist.
More advanced: 1. Increase the stretch by taking your ear closer to
your shoulder. 2. Use your hand to assist the stretch.
Ear to the shoulder with overpressure

Client`s aim
To stretch tight tissue over the side of your neck.
Position yourself in sitting. Tilt your head to the side with your
opposite shoulder pulled down and lowered. You might need to adjust
your position to find the maximal area of stretch by rotating or tilting
your neck or a combination of both as instructed by your
physiotherapist.
Forehead exercise/raise the eyebrows

Client`s aim
To maintain or improve movement of your forehead and to re-
establish normal facial movement.
Practice raising your eyebrows to reveal lines in your forehead.
Ensure that the left and right eyebrows raise equally.
A mirror could be used to ensure equal movement on the left and right
hand sides of the face.
Frown
Client`s aim
To maintain or improve your frown and to re-establish normal facial
movement.
Practice frowning. Ensure that the right and left sides of your face
move equally.
Head turn
Client`s aim
To stretch tight tissue over your neck and shoulder.
Position yourself in sitting with good posture. Turn your head to the
side with your opposite shoulder lowered. You might need to adjust
your position to find the maximal area of stretch by tilting, extending or
turning your neck or a combination of all as instructed by your
physiotherapist.
More advanced: 1. Increase the stretch by turning your head further.
2. Use your hand to assist the stretch.
Head turn with over pressure

Client`s aim
To stretch tight tissue over your neck.
Position yourself in sitting with good posture. Turn your head to the
side with your opposite shoulder lowered. You might need to adjust
your position to find the maximal area of stretch by tilting, extending or
turning your neck or a combination of all as instructed by your
physiotherapist. You can increase the stretch by over pressing with
your hand.
Horizontal mouth stretch
Client`s aim
To maintain or improve the horizontal opening of your mouth and to
re-establish normal facial movement.
Stretch your mouth as wide as possible into a smile to reveal your
teeth. Increase the stretch by using one or two fingers on each side of
your mouth to improve opening. Ensure that the right and left sides of
your mouth move equally and that you apply petroleum jelly or
lubricant as recommended by your physiotherapist. This is to avoid
the lips cracking.
Variations: A mirror could be used to ensure equal movement on the
left and right hand sides of the face. Progressions: More advanced –
Complete the exercise without manual guidance of the fingers.
Make lips disappear

Client`s aim
To maintain or improve flexibility in your lip muscles, stretch the skin
over and below your mouth and to re-establish normal facial
movement.
Roll your lips over your teeth to stretch the skin above and below your
mouth. Ensure that the left and right side of your mouth move equally
and that you apply petroleum jelly or lubrication to the lips as
recommended by your physiotherapist. This is to avoid your lips
cracking.
Neck stretch over the edge of the bed
Client`s aim
To stretch tight tissue over the front of your neck and chest.
Lie on your back with your shoulders in line with the edge of the bed.
Close your mouth and thrust your chin forwards. You might need to
rotate or tilt or a combination of the two to find the maximal area of
stretch as instructed by your physiotherapist.
Palm down
Client`s aim
To stretch tight tissue over your forearm.
Position yourself standing with your elbow bent 90 degrees. Turn your
palm facing downwards. Ensure that you keep your elbow tucked into
your side.
1. Use your other hand to increase the stretch.
Palm up
Client`s aim
To stretch tight tissue over your forearm.
Stand with your elbow by your side and bent 90 degrees. Turn your
palm facing upwards. Ensure that you keep your elbow tucked into
your side.
1. Use your other hand to increase the stretch.
Posterior shoulder stretch
Client`s aim
To stretch tight tissue over the back of your shoulder.
Use one hand to apply a stretch to the back of the opposite shoulder.
You may need to adjust your position to find the maximal area of
stretch as instructed by your physiotherapist.
Pucker lips
Client`s aim
To maintain or improve your ability to move your mouth and to re-
establish normal facial movement.
Practice puckering your lips. Ensure that the left and right side of your
mouth move equally and that you apply petroleum jelly or lubrication
to the lips as recommended by your physiotherapist. This is to avoid
your lips cracking.
Puff out cheeks

Client`s aim
To maintain or improve your cheek flexibility and to re-establish
Practice closing your lips tightly and puffing out your cheeks. Ensure
that your left and right cheeks puff out equally.
Table-top stretch
Client`s aim
To stretch tight tissue over your knuckles.
Position yourself with your wrist extended. Bend at your knuckle
joints. Ensure that your fingers are kept straight maintaining a table-
top position.
Thigh stretch
Client`s aim
To stretch tight tissue over your hip and thigh.
Position yourself in standing with one knee bent. Hold onto the ankle
of your bent knee and pull it towards your bottom. Ensure that your
thigh remains vertical and as close to the other thigh as possible.
Stretching the cheek with the tongue

Client`s aim
To maintain or improve your cheek flexibility and to re-establish
Close your lips tightly and use your tongue to push out one side of
your cheek. Repeat other side. Concentrate pressure over any areas
of tightness.
A mirror could be used for visual feedback.
Trunk flexion stretch
Client`s aim
To stretch tight tissue over your back, neck and shoulders.
Lean forward and hug your knees. You should feel a stretch over your
back, neck and shoulders. You may need to adjust your position to
find the maximal area of stretch as instructed by your physiotherapist.
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Exercise Booklet

Close eyes tightly

Close eyes tightly and then open wide

Ear to the shoulder with overpressure

Forehead exercise/raise the eyebrows

Head turn with over pressure

Make lips disappear

Puff out cheeks

Stretching the cheek with the tongue

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