UE Exercise Prescription

Question 1

AROM scapula elevation

Answer 1

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Question 2

AROM scapula depression

Answer 2

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Question 3

AROM scapular retraction

Answer 3

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Question 4

AROM scapular protraction

Answer 4

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Question 5

AROM scapular superior rotation (with sh abd)

Answer 5

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Question 6

AAROM – shoulder Flexion, Extension

Answer 6

• Crawling up the wall (flex)
• On counter or table and bending down (both) – be careful of biceps stretch with hand position
• Stick (behind back and in front)
• Pull with other hand (for both)
• Pulley
• Can do supine with stick as well

Question 7

AAROM - shoulder Abduction, adduction

Answer 7

• Abduction
• Use stick (one hand each side at the end and push with strong hand)
• Crawling up wall with finger
• Pulley
• Adduction
• No adduction

Question 8

AAROM shoulder internal and external rotation

Answer 8

• Pull with other hand into internal rotation (put pillow between body and elbow to keep it at the side) – watch to make sure scapula is ok, not flexed forward
• Stick: push with good hand (for both int and ext)

Question 9

AAROM Horizontal abduction adduction

Answer 9

• Use stick
• Use the arm stretch (pull arm across shoulder (add)
• Against the wall

Question 10

strength - shoulder extension

Answer 10

• theraband tied to something at hip height (look to make sure they aren’t just moving at elbow)
  o Use weight in hand and bending forward then extend back

Question 11

strength - shoulder flexion

Answer 11

• with weight in hand – raise straight up

o Use theraband (harder) – same position (level of wrist = easier, lower levels = harder – standing on it for hardest)

Question 12

strength - shoulder abduction

Answer 12

o Note often a really difficult movement to do – often cant lift against gravity
o Go side lying to get more out of them (standing requires more stabilization
o SL with weight
o Standing with theraband – same applications as before with theraband

Question 13

strength - shoulder adduction

Answer 13

o Theraband with standing (tied higher = harder)
o Isometric = towel hold on body
o Note with weight and lifting up from the side (take not of eccentric and eccentric)

Question 14

strength - shoulder IR/ER

Answer 14

o With theraband (elbows at side)
o Progression easy to hard = first with elbow at side, then side lying, then supine (high up) then standing (high up) – higher angles = harder!! Lying down = easier than standing!!
o Theraband in hand and pulling out (ext) – unilaterally for each can be done
o Side lying with eight (for int on same side, for ext on opposite side)
o Supine with weight (good because works concentric, eccentric, etc)
o Theraband standing and tied to something high (for both) – be careful to note for compensation in this position!
o *keep noting about the elbow close to body = towel to squeeze

Question 15

strength - horizontal shoulder abd

Answer 15

o Prone with weights and lift back

o Sitting with theraband (one in each hand)

Question 16

strength - horizontal shoulder add

Answer 16

o Theraband lying supine and pulling across chest

Question 17

strength - middle traps

Answer 17

o Thumb up and push back on wall (isometric)
o Theraband in each hand stretch (thumbs up!)
o Prone position – squeeze shoulder blades together and bent elbows (90 deg) and hold arms up – for 5 seconds (not meant for explosive movements!) – hand ith plams facing floor

Question 18

strength - rhomboids

Answer 18

o	Prone – with weights and make sure thumbs are pointing down – up then hold for 5 sec then down
o	Theraband (make sure thumbs are down)

Question 19

strength - lower traps

Answer 19

o Prone – tell them they want to bring shoulder blade back and down
o Go in the v position and raise arms up (against gravity)
 If too hard, arms on shoulder
 If that too hard, hands my sides
o Standing – on a wall = wall slide – put arms in V pattern up and down the wall – good exercise for people with uneven scapulas (even easier than prone!)
o Can also do one side at a time – good for showing them they have weakness on one side

Question 20

strength - upper traps

Answer 20

o With tubing, stand on tube then pull up (straight up shrug movement)
o Overhead with weights – pull straight up
o Cue = tips of shoulders right behind ears

Question 21

strength - serratus ant

Answer 21

o Supine and punch up with weight
o Can also use stick for lifting
o Wall position (go up and down on wall)
o Modified pushup (not all the way down, just protraction movement – can do against wall and increase difficulty by going on floor)
o Tubing (punch forward) = harder than supine
 Can go into protraction and then tell them to trace alphabet

Question 22

strength - lat dorsi

Answer 22

o Prone and extension
o Prone with weight
o Stand with theraband

Question 23

flexibility - lat dorsi

Answer 23

o child’s pose (palms up! – can walk over to side to stretch one side over another)
o thumbs out holding onto bar and lean forward
o reach to side
o clasp hands above head thumbs facing out
o against wall, thumbs in and push against wall and bend at waist
o back against wall thumbs back on wall and lift up as far as you can before elbows start to go out (active stretch)

Question 24

flexibility - pec minor

Answer 24

o hand on wall and rotate body away from hand (hand slightly behind them and above head) – make sure its stretching pec area! – if at the back or sharp pain might be stretching capsule of shoulder

Question 25

flexibility - pec major clavicular head

Answer 25

o same as previous but arm more horizontal

o can also use both arms against wall |.| (facing wall)

Question 26

flexibility - pec major sternal head

Answer 26

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Question 27

AAROM elbow flexion

Answer 27

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Question 28

AAROM elbow extension

Answer 28

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Question 29

AAROM forearm pronation

Answer 29

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Question 30

AAROM forearm supination

Answer 30

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Question 31

AROM elbow flexion

Answer 31

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Question 32

AROM elbow extension

Answer 32

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Question 33

AROM forearm pronation

Answer 33

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Question 34

AROM forearm supination

Answer 34

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Question 35

strengthening elbow flexion

Answer 35

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Question 36

strengthening elbow extension

Answer 36

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Question 37

strengthening forearm pronation

Answer 37

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Question 38

strengthening forearm supination

Answer 38

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Question 39

flexibility - biceps

Answer 39

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Question 40

flexibility - triceps

Answer 40

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Question 41

AAROM - wrist flexion/extension

Answer 41

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Question 42

AAROM - wrist radial/ulnar deviation

Answer 42

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Question 43

AAROM - Fingers & thumb ( Flexion, Extension, Abduction/adduction, Opposition)

Answer 43

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Question 44

AROM - wrist flexion/extension

Answer 44

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Question 45

AROM - wrist radial/ulnar deviation

Answer 45

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Question 46

AROM - CMC thumb (flex, ext, add, abd)

Answer 46

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Question 47

AROM - MCP thumb and fingers (flex, ext, add, abd)

Answer 47

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Question 48

AROM - PIP and DIP thumb and fingers (Flexion, Extension, Opposition, Fist, tuck)

Answer 48

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Question 49

strength - wrist flexion/extension

Answer 49

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Question 50

strength - wrist radial/ulnar deviation

Answer 50

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Question 51

strength - fingers

Answer 51

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Question 52

strength - thumb

Answer 52

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Question 53

flexibility - wrist flexors/extensors

Answer 53

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Question 54

flexibility - finger flexors/extensors

Answer 54

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