EXERCISE

Type of Activity Allowed/ to be Procedure/ Steps Use of Equipment Restriction Rationale

continued

Passive range of Motion a patient taking his NONE Never force movement to maintain flexible
strong arm and moving if you feel resistance or joints and prevent joint
the weak or paralyzed the patient expresses contracture. Joint
arm, a caregiver or pain. contracture occurs when
therapist moving an there are structural
affected limb, or a changes to the soft
machine moving an tissue such as tightening
extremity or shortening of
muscles and tendons
that restrict movement.
partially lift their
Active Assistive Range of arm and a therapist NONE As long as the client can helpful in strengthening
Motion (AAROM) assists them in tolerate and never to a limb that does not yet
lifting the arm force have full range of
further (or they use motion
their strong arm as
an assist)
Active Range of Motion promote joint
(AROM) Hip NONE Not to lie on bumpy flexibility,
Abduction/Adduction surfaces strengthening, and
increased muscular
Lying on your back, endurance
slide the affected leg
out to the side and back
in.

Heel Slides
 Lying on your back,
slide the affected foot
up toward your
buttocks, bending your
knee and then slide
back down until the
knee is straight.

Bridging

Lying on your back

with your knees bent
and feet on the bed or
mat, lift your hips up
toward the ceiling and
back down.
Strengthening or Resistance Shoulder Flexion gradually and
Training Hold weight in hand NONE None, as long as the progressively overload
(food cans can be used client can tolerate the muscles so that they
as well). Keeping elbow will get stronger
straight, raise arm
overhead and back
down. Repeat 10 times.
Switch arms and repeat.

Elbow Extension
Lean forward slightly,
hold elbow up behind
you, straighten elbow
lifting weight behind
you then bend elbow.
Repeat 10 times. Make
 sure the elbow stays
behind you and that you
only move the arm from
the elbow down. Switch
arms and repeat on
other side.

Overhead Press
Push arms overhead and
back down. Repeat 10
times.
Balance Exercises Weight Shift Side to balance is affected, one
Side Crane for support Make sure that there are of the first things a
Shift weight over the no edges that may harm patient must learn in
right hip then the left the patient in case of stroke rehab is the
hip. Ribcage should fall ability to maintain their
move side to side and balance in sitting.
hip should lift off of Sitting balance
surface. Do not bend at exercises focus on
the waist to lean. Repeat strengthening the core
10 times. Books are or trunk musculature.
placed under the hands Standing balance
while sitting to allow exercises will help
weight bearing through improve a patients
arms and to keep the ability to stand in place
hands from coming up as well as walk or
off the sitting surface. perform activities
without loss of balance.
Weight Shift Forward Balance exercises are
and Back important in helping
Shift your weight prevent falls.
forward and back by
arching and rounding
 your low back. Repeat
10 times.

Gross Motor Skills walking, throwing, and Coordination exercises

moving the limbs in a Ball for throwing NONE for gross motor skills
coordinated manner. emphasize fine tuning
large muscle
movements
Fine Motor Skills Pick up small objects Fine motor exercises
one at a time Small objects NONE help a patient improve
transferring each one to (marbles, checkers) use of the hand for
the palm of your hand manipulating small
and holding onto it as objects.
you pick up the next
object. Then without
letting objects fall out
of the hand, place each
object back down one at
a time.