UE Exercise Prescription Flashcards
(54 cards)
AROM scapula elevation
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AROM scapula depression
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AROM scapular retraction
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AROM scapular protraction
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AROM scapular superior rotation (with sh abd)
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AAROM – shoulder Flexion, Extension
- 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
AAROM - shoulder Abduction, adduction
- Abduction
- Use stick (one hand each side at the end and push with strong hand)
- Crawling up wall with finger
- Pulley
- Adduction
- No adduction
AAROM shoulder internal and external rotation
- 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)
AAROM Horizontal abduction adduction
- Use stick
- Use the arm stretch (pull arm across shoulder (add)
- Against the wall
strength - shoulder extension
- 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
strength - shoulder flexion
- 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)
strength - shoulder abduction
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
strength - shoulder adduction
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)
strength - shoulder IR/ER
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
strength - horizontal shoulder abd
o Prone with weights and lift back
o Sitting with theraband (one in each hand)
strength - horizontal shoulder add
o Theraband lying supine and pulling across chest
strength - middle traps
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
strength - rhomboids
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)
strength - lower traps
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
strength - upper traps
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
strength - serratus ant
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
strength - lat dorsi
o Prone and extension
o Prone with weight
o Stand with theraband
flexibility - lat dorsi
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)
flexibility - pec minor
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
