Exercises Techniques
Upper Extremity Lower Extremity Head, Neck , and Trunk
Rationale:
To improve Protection Phase: Protection Phase: Protection Phase:
Flexibility
Shoulder: Hip: Cervical:
Wand Exercises Hamstring Stretch Suboccipital Muscle Stretch
Initiate A-AROM using a cane, wand, Sitting with the leg to be stretched extended to another Sitting, Identify the spinous
or T-bar in the supine position to chair, or sitting at the edge of a treatment table and the process with your thumb.
provide stabilization and control of opposite foot on the floor. Have the patient lean the Have the patient slowly nod,
the scapula. Motions typically trunk forward the thigh, maintaining the back in neutral. doing just a tipping motion of
performed are flexion, abduction, 30 secs x 3 reps the head on the upper spine.
elevation in the plane of the scapula, Guide the movement by
and internal/external rotation. 10 Knee: placing the other hand across
reps x 3 sets Patellar Mobilization the patient’s forehead. 10
The patella must have mobility to glide distally on the reps x 3 sets
Elbow and Forearm: femur for normal knee flexion, and glide proximally for
Passive or Active-Assistive ROM normal knee extension. X 2 minutes Thoracic:
flexion/extension and Foam Roll Stretch
pronation/supination within pain-free Ankle: Supine, with a foam roll
range. 10 reps x 3 sets Passive or Active-Assistive ROM placed longitudinally down the
Plantarflexion/dorsiflexion and eversion/eversion ROM length of the spine. The
Wrist and Hand: exercises within pain-free range 10 reps x 3 sets patient elevates both arms
Tendon-Gliding exercises overhead in a “touchdown”
Have the patient perform full motion position and allows gravity to
in the uninvolved joints and as much stretch the force. 30 secs hold
motion as possible in the involved x 3 reps
joints to prevent adhesions between
the long tendons or between the Lumbar:
tendons and their synovial sheaths. Self Stretching the Lumbar
10 reps x 3 sets/6 seconds hold Erector Spinae
Hook-lying. Have the patient
, first bring one knee and then
the other toward the chest,
clasp the hands around the
thighs and pull them to the
chest, elevating the sacrum
off the mat.
Controlled Motion Phase: Controlled Motion Phase: Controlled Motion Phase:
Shoulder:
Pendulum (Codman’s) Exercises Hip: Cervical:
Standing, with the trunk flexed at the Quadruped Stretch Self-Traction: Cervical
hips about 90 degrees. The arm On hands and knees. Have the patient rock the pelvis Spine
hangs loosely downwards in a into an anterior tilt, causing lumbar extension, then Sitting or lying down. Have
position between 60 and 90 degrees maintain the lumbar extension and shift the buttocks the patient place his or her
elevation. X 2 minutes back in an attempt to sit on the heels. 30 secs hold x 3 hands behind the neck with
reps the fingers interlocking; the
Elbow and Forearm: ulnar border of the fingers
Passive Joint Mobilization Knee: and hands under the occiput
Techniques/Peripheral Joint Mob Heel Slides and mastoid process. The
The intensity of stretching and Let the patient lie on back with knees bent and feet flat patient then gives a lifting
mobilization techniques is dedicated on the floor. Slowly slide one heel along the floor, motion to the head. X 2
to the healing tissues, the specific straightening the knee as much as possible. Hold for a minutes
pathology, and the surgical few seconds and then slide your heel back to the
technique, as well as the amount of starting position. Repeat with the other leg. 10 reps x 3 Thoracic:
pain, motion, and end feel. sets Self Stretch: Increase
X 2 minutes Thoracic Anterior Thorax
Ankle: and Pectoralis
Wrist and Hand: Long sitting towel stretch Sitting on a firm,
Joint Mobilization Techniques Long-sitting with a towel or belt looped under the foot. straight-backed chair with the
Apply Grade III sustained or Grade Have the patient pull on the medial side of the towel to hands behind the head or
IV oscillation techniques to stretch cause the heel and foot to turn inward held abducted and externally
the capsules. X 2 minutes 30 secs hold x 3 reps rotated 90 degrees. The
patient then brings the elbows
out to the side as the
scapulae are adducted and
the thoracic spine is
, extended. 3 secs hold x 3
reps
Lumbar:
Self Stretch of the Lumbar
Spine
Quadruped. Have the patient
perform a posterior pelvic tilt
without rounding the thorax
(concentrate on flexing the
lumbar spine, not the thoracic
spine). Hold the position then
relax. Repeat; this time bring
the hips back to the feet, hold,
then return to the hands and
knees position
Return To Function Phase: Return To Function Phase: Return To Function Phase:
Shoulder:
Doorway Stretch Hip: Cervical:
Standing and facing a door frame Walking Lunges Scalene Muscle Stretch
with the palm of the hand against the Take a step forward with your right foot and lower your Standing next to a table and
edge of the frame and elbow flexed body into a lunge position, with both knees at a holding to its underside. The
90 degrees. While keeping the arm 90-degree angle. Push off with your right foot, bring patient positions the head in
against the side or in slight your left foot forward, and repeat the lunge on the axial extension, side bends
abduction, have the patient turn other side. Continue walking forward, alternating legs, opposite, and rotates toward
away from the fixed hand. 30 for a set distance or number of repetitions. 30 seconds the same side as the muscle
seconds hold x 3 reps hold x 3 reps being stretched. 30 secs hold
x 3 reps
Elbow and Forearm: Knee:
Self Stretch: Long Head of Triceps Rocking Forward on a Step Thoracic and Lumbar:
Sitting or standing. Have the patient Standing with the foot of the involved knee on a step. Prone Press Ups
flex the elbow and shoulder as far as Have the patient rock forward over stabilized foot, Prone, with hands placed
possible. The other hand can either flexing the knee to the limit of its range, then rock back under the shoulders. Have
push on the forearm to flex the and forth in a slow, rhythmic manner. the patient extend the elbows
elbow, or push the shoulder into and push the thorax up off the
Upper Extremity Lower Extremity Head, Neck , and Trunk
Rationale:
To improve Protection Phase: Protection Phase: Protection Phase:
Flexibility
Shoulder: Hip: Cervical:
Wand Exercises Hamstring Stretch Suboccipital Muscle Stretch
Initiate A-AROM using a cane, wand, Sitting with the leg to be stretched extended to another Sitting, Identify the spinous
or T-bar in the supine position to chair, or sitting at the edge of a treatment table and the process with your thumb.
provide stabilization and control of opposite foot on the floor. Have the patient lean the Have the patient slowly nod,
the scapula. Motions typically trunk forward the thigh, maintaining the back in neutral. doing just a tipping motion of
performed are flexion, abduction, 30 secs x 3 reps the head on the upper spine.
elevation in the plane of the scapula, Guide the movement by
and internal/external rotation. 10 Knee: placing the other hand across
reps x 3 sets Patellar Mobilization the patient’s forehead. 10
The patella must have mobility to glide distally on the reps x 3 sets
Elbow and Forearm: femur for normal knee flexion, and glide proximally for
Passive or Active-Assistive ROM normal knee extension. X 2 minutes Thoracic:
flexion/extension and Foam Roll Stretch
pronation/supination within pain-free Ankle: Supine, with a foam roll
range. 10 reps x 3 sets Passive or Active-Assistive ROM placed longitudinally down the
Plantarflexion/dorsiflexion and eversion/eversion ROM length of the spine. The
Wrist and Hand: exercises within pain-free range 10 reps x 3 sets patient elevates both arms
Tendon-Gliding exercises overhead in a “touchdown”
Have the patient perform full motion position and allows gravity to
in the uninvolved joints and as much stretch the force. 30 secs hold
motion as possible in the involved x 3 reps
joints to prevent adhesions between
the long tendons or between the Lumbar:
tendons and their synovial sheaths. Self Stretching the Lumbar
10 reps x 3 sets/6 seconds hold Erector Spinae
Hook-lying. Have the patient
, first bring one knee and then
the other toward the chest,
clasp the hands around the
thighs and pull them to the
chest, elevating the sacrum
off the mat.
Controlled Motion Phase: Controlled Motion Phase: Controlled Motion Phase:
Shoulder:
Pendulum (Codman’s) Exercises Hip: Cervical:
Standing, with the trunk flexed at the Quadruped Stretch Self-Traction: Cervical
hips about 90 degrees. The arm On hands and knees. Have the patient rock the pelvis Spine
hangs loosely downwards in a into an anterior tilt, causing lumbar extension, then Sitting or lying down. Have
position between 60 and 90 degrees maintain the lumbar extension and shift the buttocks the patient place his or her
elevation. X 2 minutes back in an attempt to sit on the heels. 30 secs hold x 3 hands behind the neck with
reps the fingers interlocking; the
Elbow and Forearm: ulnar border of the fingers
Passive Joint Mobilization Knee: and hands under the occiput
Techniques/Peripheral Joint Mob Heel Slides and mastoid process. The
The intensity of stretching and Let the patient lie on back with knees bent and feet flat patient then gives a lifting
mobilization techniques is dedicated on the floor. Slowly slide one heel along the floor, motion to the head. X 2
to the healing tissues, the specific straightening the knee as much as possible. Hold for a minutes
pathology, and the surgical few seconds and then slide your heel back to the
technique, as well as the amount of starting position. Repeat with the other leg. 10 reps x 3 Thoracic:
pain, motion, and end feel. sets Self Stretch: Increase
X 2 minutes Thoracic Anterior Thorax
Ankle: and Pectoralis
Wrist and Hand: Long sitting towel stretch Sitting on a firm,
Joint Mobilization Techniques Long-sitting with a towel or belt looped under the foot. straight-backed chair with the
Apply Grade III sustained or Grade Have the patient pull on the medial side of the towel to hands behind the head or
IV oscillation techniques to stretch cause the heel and foot to turn inward held abducted and externally
the capsules. X 2 minutes 30 secs hold x 3 reps rotated 90 degrees. The
patient then brings the elbows
out to the side as the
scapulae are adducted and
the thoracic spine is
, extended. 3 secs hold x 3
reps
Lumbar:
Self Stretch of the Lumbar
Spine
Quadruped. Have the patient
perform a posterior pelvic tilt
without rounding the thorax
(concentrate on flexing the
lumbar spine, not the thoracic
spine). Hold the position then
relax. Repeat; this time bring
the hips back to the feet, hold,
then return to the hands and
knees position
Return To Function Phase: Return To Function Phase: Return To Function Phase:
Shoulder:
Doorway Stretch Hip: Cervical:
Standing and facing a door frame Walking Lunges Scalene Muscle Stretch
with the palm of the hand against the Take a step forward with your right foot and lower your Standing next to a table and
edge of the frame and elbow flexed body into a lunge position, with both knees at a holding to its underside. The
90 degrees. While keeping the arm 90-degree angle. Push off with your right foot, bring patient positions the head in
against the side or in slight your left foot forward, and repeat the lunge on the axial extension, side bends
abduction, have the patient turn other side. Continue walking forward, alternating legs, opposite, and rotates toward
away from the fixed hand. 30 for a set distance or number of repetitions. 30 seconds the same side as the muscle
seconds hold x 3 reps hold x 3 reps being stretched. 30 secs hold
x 3 reps
Elbow and Forearm: Knee:
Self Stretch: Long Head of Triceps Rocking Forward on a Step Thoracic and Lumbar:
Sitting or standing. Have the patient Standing with the foot of the involved knee on a step. Prone Press Ups
flex the elbow and shoulder as far as Have the patient rock forward over stabilized foot, Prone, with hands placed
possible. The other hand can either flexing the knee to the limit of its range, then rock back under the shoulders. Have
push on the forearm to flex the and forth in a slow, rhythmic manner. the patient extend the elbows
elbow, or push the shoulder into and push the thorax up off the
