Exercise Booklet

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Apr-2023
Active assisted shoulder ROM exercises - position 4
Hold for __ seconds.
Repeat __ times.
Passive shoulder flexion after shoulder surgery
Perform __ sets of __ reps.
Do__ sessions per week.
Elbow flexion and extension skimming body
Perform __ sets of __ reps.
Do__ sessions per week.
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Therapist`s aim
To stretch or maintain range of motion of shoulder.
Client`s aim
To stretch or maintain range in your shoulder.
Therapist`s instructions
Position the patient in sitting with hands clasped together on lap.
Instruct the patient to place their hands on top of their head. Instruct
the patient to return their hands to their lap.
Client`s instructions
Position yourself sitting in a chair with your hands clasped together on
your lap. Place your hands on top of your head. Return your hands to
your lap.
Therapist`s aim
To maintain range of motion in your shoulder after shoulder surgery.
Client`s aim
To maintain range of motion in your shoulder after shoulder surgery.
Therapist`s instructions
Position the patient standing against a wall. Instruct the patient to take
their arm out of the sling, lean forward and allow the affected arm to
passively flex with gravity. Instruct the patient to use the other arm to
slowly lift the shoulder into flexion. Ensure that the patient does not
actively use the affected arm.
Client`s instructions
Position yourself standing against a wall. Take your arm out of the
sling, lean forward and allow the affected arm to passively flex with
gravity. Use your other arm to slowly lift the shoulder into flexion.
Ensure that you do not actively use the affected arm.
Therapist`s aim
To maintain or improve range of motion of elbow with arm in a sling.
Client`s aim
To maintain or improve range of motion of your elbow with your arm in
a sling.
Therapist`s instructions
Position the patient in standing with arm outside of the sling. Instruct
patient to slowly extend and flex the elbow. Ensure that the hand is
kept against the body and that your shoulder remains still.
Client`s instructions
Position yourself standing with your arm outside of the sling. Keep
your hand against you stomach and slowly straighten your elbow as
much as possible. Keep your hand against your stomach and bend
your elbow. Ensure that your hand skims your body and that your
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 shoulder remains still.

Finger ROM in a sling

Therapist`s aim
To maintain or improve range of motion of fingers with arm in a sling.
Client`s aim
To maintain or improve range of motion of your fingers with your arm
in a sling.
Therapist`s instructions
Position the patient with their arm supported in a sling. Instruct the
patient to fully open and close the hand.
Client`s instructions
Position yourself with your arm supported in a sling. Fully open and
close your hand.
Perform __ sets of __ reps.
Do__ sessions per week.

Forearm pronation in a sling

Therapist`s aim
To maintain or improve forearm rotation with arm in a sling.
Client`s aim
To maintain or improve range of motion of your forearm with your arm
in a sling.
Therapist`s instructions
Position the patient sitting with arm supported in sling. Instruct the
patient to pronate the forearm so that their palm faces the floor.
Client`s instructions
Position yourself sitting with your arm in the sling. Slowly turn the
palm of your hand down towards the floor.
Perform __ sets of __ reps.
Do__ sessions per week.

Forearm supination in a sling

Therapist`s aim
To maintain or improve forearm rotation with arm in a sling.
Client`s aim
To maintain or improve range of motion of your forearm with your arm
in a sling.
Therapist`s instructions
Position the patient sitting with arm supported in sling. Instruct the
patient to supinate the forearm so that the palm of their palm faces
the roof.
Client`s instructions
Position yourself sitting with your arm in the sling. Slowly turn the
Perform __ sets of __ reps.
palm of your hand towards the roof.
Do__ sessions per week.

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Passive shoulder flexion post shoulder surgery
Perform __ sets of __ reps.
Do__ sessions per week.
Passive shoulder flexion
Perform __ sets of __ reps.
Do__ sessions per week.
Pendular exercises after shoulder surgery - passive swinging in circle
Perform __ sets of __ reps.
Do__ sessions per week.
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Apr-2023
Therapist`s aim
To maintain or improve range of motion of the shoulder.
Client`s aim
To maintain or improve range of motion of your shoulder.
Therapist`s instructions
Position the patient sitting in a chair with their arm out of the sling.
Use an assistant to slowly lift the arm into shoulder flexion. Ensure
that the movement is passive and that the patient does not assist at
all.
Client`s instructions
Position yourself sitting in a chair with your arm out of the sling. Use
an assistant to slowly lift the arm forwards. Ensure that the assistant
performs the movement and that you remain relaxed.
Therapist`s aim
To maintain or improve range of motion of the shoulder into flexion.
Client`s aim
To maintain or improve range of motion of your shoulder.
Therapist`s instructions
Position the patient in standing, leaning against a wall with feet
slightly apart and knees bent. Instruct the patient to use their
uninvolved arm to support the elbow of the involved arm. Instruct the
patient to lean forward, allowing gravity to passively flex the shoulder.
Client`s instructions
Position yourself standing, leaning with your bottom against a wall
and feet slightly apart and knees bent. Support the elbow of your
involved arm with your uninvolved arm. Lean forward, allowing gravity
to move your arms passively forward.
Therapist`s aim
To maintain or improve range of motion of the shoulder after shoulder
surgery.
Client`s aim
To maintain or improve range of motion of your shoulder after
shoulder surgery.
Therapist`s instructions
Position the patient standing, holding onto the back of a chair with
uninvolved arm. Instruct the patient to lean forward allowing the
involved arm to flex with gravity. Instruct the patient to sway their body
in clockwise and counter clockwise directions to initiate circular
passive shoulder movements. Ensure the exercise remains passive.
Client`s instructions
Position yourself in standing holding onto the back of a chair with your
uninvolved hand. Lean forward letting your involved arm hang
Page 4/11
 relaxed. Sway your body slowly in clockwise and counter clockwise
directions to initiate movement in the arm. Ensure to keep your arm
relaxed.

Wrist flexion and extension in sling

Therapist`s aim
To maintain or improve range of motion of wrist with arm in a sling.
Client`s aim
To maintain or improve range of motion of your wrist with your arm in
a sling.
Therapist`s instructions
Position the patient in sitting with arm supported in sling. Instruct the
patient to slowly flex and extend the wrist.
Client`s instructions
Position yourself in sitting with your arm in the sling. Slowly bend your
wrist up and down.
Perform __ sets of __ reps.
Do__ sessions per week.

Elbow flexor range of motion

Therapist`s aim
To improve range of motion in the elbow.
Client`s aim
To improve range of motion in your elbow.
Therapist`s instructions
Position the patient in sitting or standing with their elbow and shoulder
extended. Instruct the patient to flex their elbow.
Client`s instructions
Position yourself in sitting or standing with your arm down beside your
body. Start with your elbow straight. Move your hand towards your
shoulder. Finish with your elbow bent. Ensure you keep your elbow
Perform __ sets of __ reps.
tucked in beside your body.
Do__ sessions per week.

Walking fingers up the wall

Therapist`s aim
To strengthen the shoulder flexors and stretch or maintain length of
the shoulder extensors.
Client`s aim
To strengthen the muscles at the front of your shoulder and stretch or
maintain length of the muscles at the back of your shoulder.
Therapist`s instructions
Position the patient in standing facing the wall. Instruct patient to
slowly `walk` their fingers up the wall.
Client`s instructions
Position yourself standing facing the wall. Place the palm of your hand
Perform __ sets of __ reps.
against the wall and slowly `walk` your fingers up the wall.

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Do__ sessions per week.
Active assisted shoulder ROM exercises - position 3
Hold for __ seconds.
Repeat __ times.
Active assisted shoulder ROM exercises - position 1
Hold for __ seconds.
Repeat __ times.
Hand behind back stretch in standing
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Therapist`s aim
To stretch or maintain range of motion of the shoulder.
Client`s aim
To stretch or maintain range in your shoulder.
Therapist`s instructions
Position the patient in sitting with hands clasped together in their lap.
Instruct the patient to raise their hands upwards together to rest on
the top of their head. Instruct the patient to slide their hands behind
their head as far as they can. Instruct the patient to reach upwards
and slightly backwards with both hands. Instruct the patient to
straighten their elbows and hold the position for 5 seconds. Instruct
the patient to return their hands to their lap.
Client`s instructions
Position yourself sitting in a chair with your hands clasped together on
your lap. Raise your hands upwards to rest on the top of your head.
Slide your hands behind your head as far as you can. Reach
upwards and slightly backwards with both hands. Straighten their
elbows and hold the position for 5 seconds. Return your hands to your
lap.
Therapist`s aim
To stretch or maintain range of motion of the shoulder.
Client`s aim
To stretch or maintain range in your shoulder.
Therapist`s instructions
Position the patient in sitting with hands clasped together in their lap.
Instruct the patient to raise their hands upwards together to rest
behind the head. Instruct the patient to slide their hands behind their
head as far as they can. Instruct the patient to return their hands to
their lap.
Client`s instructions
Position yourself sitting in a chair with your hands clasped together on
your lap. Raise your hands upwards to rest behind your head. Slide
your hands behind your head as far as you can. Return your hands to
your lap.
Progressions and variations
More advanced: 1. Hands on head. 2. Hands further behind the head.
Page 6/11

Hold for __ seconds.
Repeat __ times.
Active assisted shoulder ROM exercises - position 2
Hold for __ seconds.
Repeat __ times.
Pectoralis stretch in doorway
Hold for __ seconds.
Repeat __ times.
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Apr-2023
Therapist`s aim
To stretch or maintain length of the shoulder external rotators.
Client`s aim
To stretch your shoulder muscles.
Therapist`s instructions
Position the patient in standing with their hand behind their back and
palm facing outwards. Instruct the patient to hold the wrist of the
affected arm with the other hand and to pull the arm upwards along
the spine.
Client`s instructions
Position yourself standing with your hand behind your back and palm
facing outwards. Hold the wrist of your affected hand with your other
hand and gently pull the arm upwards along the spine until you feel a
stretch.
Therapist`s aim
To stretch or maintain range of motion of the shoulder.
Client`s aim
To stretch or maintain range in your shoulder.
Therapist`s instructions
Position the patient in sitting with hands clasped together in their lap.
Instruct the patient to raise their hands upwards together to rest on
the top of their head. Instruct the patient to slide their hands behind
their head as far as they can. Instruct the patient to push their elbows
back as far as they can. Instruct the patient to return their hands to
their lap.
Client`s instructions
Position yourself sitting in a chair with your hands clasped together on
your lap. Raise your hands upwards to rest on the top of your head.
Slide your hands behind your head as far as you can. Push your
elbows back as far as you can. Return your hands to your lap.
Therapist`s aim
To stretch or maintain length of the pectoralis.
Client`s aim
To stretch or maintain length in the muscles across your chest.
Therapist`s instructions
Position the patient standing beside a doorway with their shoulder
abducted and externally rotated and forearm resting against the door
frame. Instruct the patient to lean forward and to use the door frame
to stretch their pectoralis.
Client`s instructions
Position yourself standing beside a doorway with your arm raised
sideways and your elbow and hand resting against the door frame.
Lean forward and use the door frame to apply a stretch to the
muscles across the front of your chest.
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Posterior capsule stretch in standing
Therapist`s aim
To stretch or maintain length of posterior deltoid and shoulder
capsule.
Client`s aim
To stretch or maintain length in the muscles behind your shoulder.
Therapist`s instructions
Position the patient in standing. Instruct the patient to use one hand to
apply a stretch to the posterior structures of the opposite shoulder.
Client`s instructions
Position yourself in standing. Use one hand to stretch your opposite
shoulder by pulling your arm across your body.
Perform __ sets of __ reps.
Do__ sessions per week.

Active assisted shoulder ROM exercises - start position

Therapist`s aim
To maintain good posture prior to stretching your shoulders.
Client`s aim
To maintain good posture prior to stretching your shoulders.
Therapist`s instructions
Position the patient in sitting with hands clasped together on their lap.
Instruct the patient to sit upright in preparation for the shoulder
stretch.
Client`s instructions
Position yourself sitting in a chair with your hands clasped together on
your lap. Sit upright in preparation for a shoulder stretch.
Hold for __ minutes.

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Apr-2023
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