Exercise Booklet

Propping in long sitting and moving weight forwards

Client's aim
To improve your ability to prop in long sitting.
Client's instructions
Position yourself sitting with your legs straight out in front of you.
Practice transferring your weight from behind your hips to in front of
your hips.
Precautions
1. Preserve tenodesis grasp.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Propping back and forth in long sitting

Client's aim
To improve your ability to prop in long sitting.
Client's instructions
Position yourself sitting with your legs in front of you. Practice
transferring your weight from in front of your hips to behind your hips
then bringing your weight forwards again.
Precautions
1. Preserve tenodesis grasp.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Picking up an object between the thumb and fingertips
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with a small object, such as a pen lid, on a
table in front of you. Practice picking up the object using your thumb
and the tip of your first finger and placing it down again without
dropping it. Repeat using your second, third and fourth fingers to pick
up the object.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Touching the thumb to each fingertip

Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with your hand resting in front of you. Practice
touching the tip of your first finger to the tip of your thumb. Repeat
using your second, third and fourth fingers.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Picking up a coin
Client's aim
To improve your ability to pick up small objects with your hand.
Client's instructions
Position yourself sitting with a large coin on a table in front of you.
Practice picking up and placing down the coin.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Picking up and holding onto coins

Client's aim
To improve your ability to pick up and manipulate small objects with
your hand.
Client's instructions
Position yourself sitting with some coins on a table in front of you.
Practice picking up the coins one at a time keeping them in your hand
as the next coin is picked up.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Picking up coins and placing them in a jar
Client's aim
To improve your ability to pick up and put down small objects with
your hand.
Client's instructions
Position yourself sitting with some coins and a jar on a table in front of
you. Practice picking up the coins one at a time using your thumb and
index finger and placing them in the jar.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Pouring beans into a cup

Client's aim
To improve your ability to manipulate small objects with your hand.
Client's instructions
Position yourself sitting with a cup filled with beans on a table in front
of you. Practice pouring the beans from the cup into your hand then
back into the cup again.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Pouring water from one cup to another
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with two foam cups on a table in front of you.
Practice picking up the cups and pouring water from one cup to the
other without spilling it. Ensure that the cups do not deform.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Reaching from side to side in standing

Client's aim
To improve your ability to hold and move and object.
Client's instructions
Position yourself standing with a table in front of you and another
table to your side. Practice lifting an object with your hand from one
table to the other without dropping it.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Looking up and down in sitting
Client's aim
To improve your ability to sit unsupported.
Client's instructions
Position yourself sitting with your thighs supported on a bed, your feet
on the floor and your hands in your lap. Practice looking up and down.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Pushing down through the leg when leaning forwards

Client's aim
To improve your ability to weight-bear through your leg.
Client's instructions
Position yourself sitting with a set of scales placed underneath your
foot. Practice pushing down with your foot then leaning forwards,
using the scales as feedback.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Moving the shoulders forwards in sitting to a target
Client's aim
To improve your ability to stand up from sitting.
Client's instructions
Position yourself sitting with a table placed in front of you at chest
height. Practice bending your hips and moving your chest forwards to
touch the table. Ensure that your trunk does not bend, your toes are
aligned under your knees and you weight-bear through your affected
leg.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Moving the shoulders forwards in sitting using a moving table

Client's aim
To improve your ability to stand up from sitting.
Client's instructions
Position yourself sitting with your forearms resting on a moveable
table in front of you. Practice bending your hips and pushing the table
forwards to touch a target. Ensure that your trunk does not bend, your
toes are aligned under your knees and you weight-bear through your
affected leg.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Transferring weight laterally in standing
Client's aim
To improve your ability to take weight from one foot to the other for
standing or walking.
Client's instructions
Position yourself standing with your feet slightly apart. Practice
transferring your weight from one leg to the other. Ensure that your
shoulders remain over your hips.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Standing up and sitting down

Client's aim
To improve your ability to stand up or sit down.
Client's instructions
Position yourself sitting with your feet underneath your knees.
Practice standing up and sitting down. Ensure that your shoulders and
knees move forward while you move between sitting and standing,
and your weight is borne equally through both legs.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Walk heel to toe
Client's aim
To improve your ability to walk and balance.
Client's instructions
Position yourself standing on a line with one foot directly in front of the
other. Practice walking along the line by placing one foot straight in
front of the other, ie, heel to toe. Ensure that your feet do not step off
the line.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Ankle dorsiflexor strengthening in sitting without weights

Client's aim
To strengthen the muscles at the front of your ankle.
Client's instructions
Position yourself sitting with your feet together in front of you. Start
with your feet flat on the floor. Finish with your toes lifted up. Ensure
that you keep your heels on the ground.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Ankle dorsiflexor strengthening in long sitting
Client's aim
To strengthen the muscles at the front of your ankle.
Client's instructions
Position yourself sitting with your legs in front of you and a target held
above your toes. Practice bending your ankles to touch the target with
your toes.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Ankle dorsiflexor/plantarflexor strengthening in sitting by drawing circles with the

foot
Client's aim
To strengthen your ankle muscles.
Client's instructions
Position yourself sitting on a chair. Practice drawing circles in the air
with your toes. Ensure that only your ankle moves.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Ankle dorsiflexor/plantarflexor strengthening in supine
Client's aim
To strengthen your ankle muscles.
Client's instructions
Position yourself lying on your back. Start with your toes pointing
down. Finish with your toes pointing up.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Ankle invertor/evertor strengthening in sitting without weights

Client's aim
To strengthen the muscles on the inside and outside of your ankle.
Client's instructions
Position yourself sitting with your feet on the floor. Start with the soles
of your feet facing in. Finish with the soles of your feet facing out.
Ensure that your knees are kept still.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Ankle plantarflexor strengthening in sitting without weights
Client's aim
To strengthen your calf muscles.
Client's instructions
Position yourself sitting with your knees together. Start with your feet
flat on the floor. Finish with your heels lifted off the floor. Ensure that
you keep your toes on the floor.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Bilateral calf raises

Client's aim
To strengthen your calf muscles.
Client's instructions
Position yourself standing with your feet together. Start with your
heels on the ground. Finish with your heels off the ground.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Elbow extensor strengthening in lying without weights
Client's aim
To strengthen the muscles that straighten your elbow.
Client's instructions
Position yourself lying on your back with your arm held vertically. Start
with your elbow straight. Finish with your elbow bent and your palm
touching your forehead. Ensure that your upper arm doesn`t move
and only your forearm moves.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Finger flexor and intrinsic muscle strengthening

Client's aim
To strengthen the muscles that bend your fingers.
Client's instructions
Position yourself sitting with a small piece of foam between your ring
and little fingers and palm of your hand. Practice squeezing your ring
and little fingers to squash the foam into your palm.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Finger and thumb extensor strengthening using an elastic band
Client's aim
To strengthen the muscles that straighten your fingers and thumb.
Client's instructions
Position yourself sitting with the tips of your fingers and thumb held
together and an elastic band placed around them. Practice opening
your fingers and thumb outwards against the resistance of the elastic
band.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Finger and thumb flexor strengthening using foam

Client's aim
To strengthen the muscles that bend your fingers and thumb.
Client's instructions
Position yourself sitting with a piece of foam held in your hand.
Practice squeezing the foam to make a fist.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Bridging
Client's aim
To strengthen the muscles at the back of your hip.
Client's instructions
Position yourself lying on your back with your knees bent. Lift your
bottom off the bed.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Hip flexor strengthening in standing

Client's aim
To strengthen the muscles at the front of your hip.
Client's instructions
Position yourself standing with your feet together. Start with your hip
straight. Lift your hip and knee in front of you.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Hip flexor strengthening in supine
Client's aim
To strengthen the muscles at the front of your hip.
Client's instructions
Position yourself lying on your back with your legs straight. Lift your
knee towards your shoulder.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Straight leg raise with other knee bent

Client's aim
To strengthen the muscles at the front of your hip, knee and
abdomen.
Client's instructions
Position yourself lying on your back with one leg straight and your
other leg bent. Start with your leg straight and your heel on the bed.
Finish with your leg straight and your heel above the bed. Ensure that
your other leg remains bent and your lower back remains in contact
with the bed.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Straight leg raise
Client's aim
To strengthen the muscles at the front of your hip and knee.
Client's instructions
Position yourself lying on your back with your legs straight. Start with
your leg straight and your heel on the bed. Finish with your leg
straight and your heel above the bed.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Hip flexor strengthening in sitting

Client's aim
To strengthen the muscles at the front of your hip.
Client's instructions
Position yourself sitting with both feet on the floor. Start with your
knee bent and foot on the floor. Finish with your knee bent and foot off
the floor.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Bilateral squat in standing
Client's aim
To strengthen the muscles that straighten your leg.
Client's instructions
Position yourself standing with your knees straight. Bend your knees
and then stand up straight again.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Knee flexor strengthening in supported standing without weights

Client's aim
To strengthen the muscles at the back of your thigh.
Client's instructions
Position yourself standing with your hands resting on a table in front of
you. Start with your knee straight. Finish with your knee bent. Ensure
that your hip is kept straight.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Passive ankle movements
Client's aim
To stretch or maintain range in your ankle.
Client's instructions
Position yourself sitting with one foot up on your opposite knee. Move
your ankle up and down and around in circles.
Precautions
1. Ensure that the chair does not tip backwards.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Assisted ankle plantarflexor stretch

Client's aim
To induce transient increases in the extensibility of the muscles at the
back of your ankle.
Client's instructions
Position yourself lying down with a rolled towel underneath your knee.
Instruct a carer/therapist to place their hand around your heel and
push your ankle upwards with their forearm.
Precautions
1. Impaired or absent sensation of stretch.

Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Hand stretch of the MCP joints
Client's aim
To stretch or maintain range in your knuckle joints.
Client's instructions
Position yourself sitting with your hand on a table nearby. Push your
hand down with your knuckle joints bent and your finger joints straight.
Precautions
1. Preserve tenodesis grasp.

Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Hand webspace stretch

Client's aim
To stretch or maintain range in your hand.
Client's instructions
Position your hand around a large cup.
Precautions
1. Impaired or absent sensation of stretch.

Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Neck lateral flexor stretch
Client's aim
To stretch or maintain length in the muscles at the side of your neck.
Client's instructions
Position yourself with your head facing forwards. Move your neck to
the side to bring your ear towards your shoulder. Ensure that your
head faces forwards.
Precautions
1. Only administer after attaining medical approval.
2. Stop with first signs of pain.
3. Impaired or absent sensation of stretch.
Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Neck rotator stretch

Client's aim
To stretch or maintain length in the muscles at the side of your neck.
Client's instructions
Position yourself with your head facing forwards. Turn your head to
the side. Ensure that your head remains upright.
Precautions
1. Only administer after attaining medical approval.
2. Stop with first signs of pain.
3. Impaired or absent sensation of stretch.
Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Passive wrist flexion and extension
Client's aim
To stretch or maintain range in your wrist.
Client's instructions
Position yourself lying down with your forearm supported. Instruct a
carer/therapist to passively move your wrist up and down.
Precautions
1. Impaired or absent sensation of stretch. 2. Preserve tenodesis
grasp.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Passive wrist pronation and supination

Client's aim
To stretch or maintain range in your wrist.
Client's instructions
Position yourself lying down with your forearm supported. Instruct a
carer/therapist to passively rotate your wrist back and forth.
Precautions
1. Impaired or absent sensation of stretch.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Finger and wrist flexor stretch in sitting by weight-bearing through hands
Client's aim
To stretch or maintain range in your wrists.
Client's instructions
Position yourself sitting on a plinth with your arms out straight behind
you. Ensure that your fingers are kept straight.
Precautions
1. Impaired or absent sensation of stretch.

Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Active assisted shoulder flexion in supine

Client's aim
To maintain or improve range of motion of your shoulder.
Client's instructions
Position yourself in supine with your arms cradled in front of you. Hold
onto the hand of your affected arm with your unaffected hand. Using
your unaffected arm lift your affected arm away from your body and
towards your head.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Calf stretch in long sitting
Client's aim
To stretch your calf muscles.
Client's instructions
Position yourself in long sitting with your knee straight. Place a towel
around your foot and gently pull your foot towards your head until you
feel a stretch in your calf muscle.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Finger abduction resisted by an elastic band

Client's aim
To strengthen the muscles that spread your fingers apart.
Client's instructions
Position yourself with an elastic band around your finger. Hold one
end of the elastic band with your unaffected hand. Pull your finger
outwards

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Finger adduction resisted by an elastic band
Client's aim
To strengthen the muscles that bring your fingers together.
Client's instructions
Position yourself with an elastic band around your finger. Hold one
end of the elastic band with your unaffected hand. Pull your finger
inwards against the resistance of the elastic band.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Finger adduction strengthening with putty

Client's aim
To strengthen the muscles that bring your fingers together.
Client's instructions
Position yourself with putty between your fingers. Use your fingers to
squeeze the putty.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Finger and thumb adductor stretch
Client's aim
To stretch or maintain range in your finger and thumb.
Client's instructions
Position yourself with your fingers and thumb on the table. Attempt to
stretch your fingers and thumb apart. Ensure that your fingers and
thumb are kept straight.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Finger extension
Client's aim
To strengthen the muscles that straighten your fingers.
Client's instructions
Position yourself with your palm down on the table. Lift your finger off
the table.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Hand behind the back
Client's aim
To stretch or maintain range in your shoulder muscles.
Client's instructions
Position yourself holding on to a towel behind your back. Straighten
your top arm. Pull on the towel to bring your bottom arm higher up
your back.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Head rotation
Client's aim
To improve your head rotation.
Client's instructions
Position yourself in sitting or standing with a good posture. Gently turn
your head to one side, back to neutral and then to the other side. Try
to rotate a little further each time so that you can see over your
shoulder.
Precautions
1. This exercise may cause discomfort but it should not increase your
pain or symptoms. 2. Perform the exercise in a slow and controlled
manner.
Hold for __ seconds.
Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Neck extension
Client's aim
To improve your ability to extend your neck.
Client's instructions
Position yourself in sitting or standing with a good posture. Gently look
up towards the sky and return to the upright position. Ensure that your
chin is tucked in prior to carrying out the exercise.
Precautions
1. This exercise may cause discomfort but it should not increase your
pain or symptoms. 2. Perform the exercise in a slow and controlled
manner.
Hold for __ seconds.
Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Neck flexion
Client's aim
To improve your ability to bend your neck.
Client's instructions
Position yourself in sitting or standing with a good posture. Gently look
down towards your chest and then return to the neutral position.
Precautions
1. This exercise may cause discomfort but it should not increase your
pain or symptoms. 2. Perform the exercise in a slow and controlled
manner.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Neck lateral flexion
Client's aim
To improve side bending of your neck.
Client's instructions
Position yourself in sitting or standing with a good posture. Centre
your neck. Gently bring your ear down towards your shoulder. Return
to the centre. You should feel a gentle stretch in the side of your neck.
Precautions
1. This exercise may cause discomfort but it should not increase your
pain or symptoms. 2. Perform the exercise in a slow controlled
manner.
Hold for __ seconds.
Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Opposition of thumb to index finger

Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself with your hand resting in front of you. Practice
touching the tip of your index finger to the tip of your thumb.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Opposition of thumb to little finger
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself with your hand resting in front of you. Practice
touching the tip of your little finger to the tip of your thumb.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Opposition of thumb to middle finger

Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself with your hand resting in front of you. Practice
touching the tip of your middle finger to the tip of your thumb.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Opposition of thumb to ring finger
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself with your hand resting in front of you. Practice
touching the tip of your ring finger to the tip of your thumb.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Palmar abduction
Client's aim
To improve your ability to stretch your webspace.
Client's instructions
Position yourself with your hand resting in front of you. Position your
thumb so that it moves perpendicular to your palm.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Passive wrist flexion
Client's aim
To stretch or maintain range of your wrist.
Client's instructions
Position your wrist in a bent position. Use your other hand to maintain
the position.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Pinch and pull putty

Client's aim
To strengthen your pinch grip.
Client's instructions
Position yourself in sitting with putty in your hands. Pinch the putty
between the thumb, index and middle finger of both hands. Maintain
this position, pinch and stretch the putty.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Place and hold the finger
Client's aim
To improve your ability to maintain a bent finger.
Client's instructions
Position yourself with your hand resting in front of you. Push your
fingers into a fist with your other hand. Hold your fingers in a bent
position once the pressure is released.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Radial nerve glide

Client's aim
To improve the ability of your nerve to glide.
Client's instructions
Position a small light object in front of you. Pick up the object. Turn
the object over to place it on its top. Repeat the task.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Tendon gliding - full fist
Client's aim
To improve your ability to bend your fingers.
Client's instructions
Position yourself with your wrist extended. Make a fist and keep your
finger joints bent.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Tendon gliding - hook fist

Client's aim
To improve your ability to bend your fingers.
Client's instructions
Position yourself with your wrist extended. Keep your knuckle joints
extended and your finger joints bent.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Tendon gliding - straight
Client's aim
To improve your ability to straighten your fingers.
Client's instructions
Position yourself with your wrist in extension. Straighten your fingers
at all joints. Avoid hyperextending at the knuckles.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Tendon gliding - straight fist

Client's aim
To improve your ability to bend your fingers and to prevent adhesions
between the flexor digitorum superficialis tendon and surrounding
structures.
Client's instructions
Position yourself with your wrist extended. Keep your large and
middle knuckle joints bent. Keep the joint near the tip of your finger
straight.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Tendon gliding - table top
Client's aim
To improve your ability to bend your fingers at your large knuckles.
Client's instructions
Position yourself with your wrist extended. Bend at your knuckle
joints. Ensure that your fingers are kept straight maintaining a table
top position.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Three point pinch

Client's aim
To strengthen the pinch between your thumb, index and middle finger.
Client's instructions
Position yourself with a peg between the thumb, index and middle
finger. Pinch the peg.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Thumb abduction
Client's aim
To improve your ability to open your thumb.
Client's instructions
Position yourself with your hand resting on a table in front of you.
Slide your thumb away from your finger. Ensure that you keep your
thumb on the table.

Hold for __ minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Thumb flexion to distal palmar crease

Client's aim
To improve your ability to bend your thumb.
Client's instructions
Position yourself with your hand resting in front of you. Bend your
thumb towards the crease of the palm nearest to the little finger.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Thumb flexion to metacarpophalangeal joint of the little finger
Client's aim
To improve your ability to bend your thumb.
Client's instructions
Position yourself with your hand resting in front of you. Touch the tip
of your thumb to the base of your little finger.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Thumb flexion to proximal interphalangeal joint of the little finger

Client's aim
To improve your ability to bend the thumb.
Client's instructions
Position yourself with your hand resting in front of you. Bend your
thumb towards the middle crease of the little finger.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Thumb interphalangeal joint flexion and extension in opposition.
Client's aim
To improve your ability to bend and straighten the tip of your thumb.
Client's instructions
Position yourself with your hand resting in front of you. Touch the tip
of your thumb to the base of your little finger. Slide your thumb up
your little finger. Slide your thumb down your little finger.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Thumb metacarpophalangeal joint flexion and extension

Client's aim
To improve your ability to bend and straighten your thumb.
Client's instructions
Position yourself with one hand blocking just below the large joint of
the thumb. Bend and straighten the thumb from the large thumb
knuckle.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Thumb movements resisted by an elastic band
Client's aim
To strengthen the muscles that move your thumb.
Client's instructions
Position yourself with an elastic band around your thumb. Place an
elastic band around your thumb and first finger. Move the thumb
against the resistance of the elastic band as if you opening their and
to grasp a cup.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Thumb retropulsion
Client's aim
To improve your ability to lift your thumb.
Client's instructions
Position yourself with your hand resting in front of you. Lift your thumb
off the table.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Walk backwards with big steps
Client's aim
To improve your ability to walk backwards and balance.
Client's instructions
Position yourself in standing. Practice walking backwards taking big
steps. Ensure you check that the path is clear behind you.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Walk on uneven ground

Client's aim
To improve your ability to walk and balance in different environments.
Client's instructions
Position yourself standing on uneven ground. Practice walking over
the uneven ground ensuring you take big steps while staying steady.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Wringing a towel in pronation
Client's aim
To strengthen your hand grip.
Client's instructions
Position yourself with a rolled up towel in your hands and palms facing
up. Grip the towel and move your hands in a wringing motion.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Wringing a towel in supination

Client's aim
To strengthen your hand.
Client's instructions
Position yourself with a rolled up towel in your hands and palms facing
upward. Grip the towel and move your hands in a wringing motion.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Wringing putty
Client's aim
To strengthen your hand grip.
Client's instructions
Position yourself with putty in your hands. Grip the putty and move
their hands in a wringing motion.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Wrist extension prayer stretch

Client's aim
To stretch or maintain range in your wrist and fingers.
Client's instructions
Position yourself in sitting with your palms together. Ensure that your
fingers are touching and are kept straight. Slowly lower your wrists.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Wrist flexion and extension
Client's aim
To improve your ability to bend and straighten your wrist.
Client's instructions
Position yourself with your hand resting in front of you. Bend your
wrist letting the fingers straighten and straighten your wrist letting the
fingers bend.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Wrist flexion with weight

Client's aim
To strengthen the muscles that control lowering of your wrist.
Client's instructions
Position yourself with your wrist over the edge of the table, palm
facing down and a weight in your hand. Slowly lower your hand.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Wrist radial and ulnar deviation
Client's aim
To improve your ability to move your wrist from side to side.
Client's instructions
Position yourself with your hand resting in front of you. Move your
wrist from side to side. Ensure that you keep your wrist in line with
your forearm.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Passive shoulder flexion

Client's aim
To maintain or improve range of motion of your 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.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Controlling finger flexor force by lowering peg from horizontal to vertical
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting while holding onto the end of a peg between
your index finger and thumb. Hold the peg horizontally. Practice
reducing the pressure on the peg to allow the peg to lower slowly to a
vertical position. Ensure that you don`t let go of the peg.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Opening a container
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting while holding a plastic container with the lid
closed in your unaffected hand. Practice opening and closing the lid
with your affected hand.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Connecting a plug and socket
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting in front of a table with a socket in your
unaffected hand. Practice connecting and disconnecting the plug from
the socket.
Precautions
1. Ensure that the socket is not connected to the power supply.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Moving objects between two containers

Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with some small objects and two containers
on a table in front of you. Practice picking up an object from one
container carrying it to the other container without dropping it.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Turning nuts and bolts
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with some nuts and bolts on a table in front of
you. Practice picking up a nut with your affected hand and threading it
onto a bolt using your thumb and index finger.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Opening a leash clip

Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with your affected hand grasping a leash clip.
Practice opening the leash clip with your thumb.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Threading macaroni
Client's aim
To improve your ability to manipulate objects with your hand.
Client's instructions
Position yourself sitting with some nylon line and some macaroni in a
container on a table in front of you. Practice picking up the macaroni
one at a time using your affected thumb and index finger and
threading it onto the nylon line held in your unaffected hand.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Abducting the thumb to a target

Client's aim
To improve your ability to open your thumb to help pick up a cup or
glass.
Client's instructions
Position yourself sitting with your hand resting vertically on a table in
front of you and your wrist bent back. Position a cup near your thumb
and another cup touching your knuckles. Practice opening your thumb
to touch the cup. Ensure that you keep your knuckles in contact with
the other cup as you move your thumb.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Marching on the spot
Client's aim
To improve your ability to walk.
Client's instructions
Position yourself standing with a table nearby for support. Practice
marching on the spot. Ensure that your legs lift up an equal amount.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Ankle plantarflexion strengthening with theraband

Client's aim
To strengthen your calf muscles.
Client's instructions
Position yourself in long sitting with some theraband around your
forefoot. Adjust the theraband so that the direction of pull is from your
knee. Start with your ankle upwards. Point your toe downwards.
Finish with your ankle downwards.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Heel raise
Client's aim
To strengthen your calf muscles.
Client's instructions
Position yourself standing. Start with your heels on the ground. Push
up on your toes.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Elbow flexor range of motion

Client's aim
To improve range of motion in your 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
tucked in beside your body.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Hip abduction in standing
Client's aim
To strengthen the muscles on the outside of your hip.
Client's instructions
Position yourself standing with their feet together. Start with your leg
beside your body. Lift your leg out to the side. Ensure that you keep
your body upright and your toes pointing forward.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Hip extensor strengthening in standing

Client's aim
To strengthen the muscles at the back of your hip.
Client's instructions
Position yourself standing with your hands resting on a table in front of
you. Take your leg back with your knee straight and body upright.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Hip external rotator strengthening standing beside a wall - 2
Client's aim
To strengthen the muscles that rotate your hip.
Client's instructions
Position yourself standing beside a wall. Bend the knee closest to the
wall and rest it on the wall. Push your knee into the wall while keeping
your other leg straight.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Knee extensor strengthening in sitting without weights

Client's aim
To strengthen the muscles at the front of your thigh.
Client's instructions
Position yourself sitting with your legs over the side of a bed or chair.
Start with your knee bent. Finish with your knee straight.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Dynamic knee control with hip extension
Client's aim
To strengthen the muscles that straighten your leg.
Client's instructions
Position yourself standing. Practice sliding back and forwards with
your unaffected leg. Ensure that both feet point forwards and the
weight is mostly on the front leg. Ensure your front knee bends in line
with the foot and you keep your pelvis level.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Dynamic knee control with hip abduction

Client's aim
To strengthen the muscles that straighten your leg.
Client's instructions
Position yourself standing holding onto the back of a chair or table.
Start with your feet together. Slide your unaffected leg sideways while
slightly bending your affected knee and then slide your affected leg in.

Perform exercise for __

minutes.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Active assisted knee flexion and extension
Client's aim
To strengthen the muscles at the front and back of your thigh and to
stretch or maintain range in your knee.
Client's instructions
Position yourself sitting with your knees bent. Practice straightening
your affected knee as much as possible while assisting with your
unaffected leg, then bending your affected knee as much as possible
while assisting with your unaffected leg.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Hamstring strengthening in standing

Client's aim
To strengthen the muscles in the back of your knee.
Client's instructions
Position yourself standing holding onto the back of a chair. Start with
your knee straight. Take your heel towards your bottom. Finish with
your knee bent. Ensure that you keep your thigh straight.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Walking fingers up the wall
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.
Client's instructions
Position yourself standing facing the wall. Place the palm of your hand
against the wall and slowly `walk` your fingers up the wall.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Anterior deltoid strengthening - stage 2

Client's aim
To strengthen your shoulder.
Client's instructions
Position yourself in supine with your arm by your side. Flex their
shoulder and bring it up to 90 degrees. Move your arm backward and
forward in a small arc. Ensure that the movement is slow and
controlled.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Anterior deltoid strengthening - stage 3
Client's aim
To strengthen your shoulder muscles.
Client's instructions
Position yourself lying on your back with your arm by your side. Flex
your shoulder to 90 degrees. Move your arm in an arc above and
below shoulder height. Ensure that the movement is slow and
controlled.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Anterior deltoid - stage 1

Client's aim
To strengthen the muscles that lift your arm.
Client's instructions
Position yourself in supine with a towel or pillow under your upper
arm. Push your hand towards the ceiling.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Bending the knee in sitting
Client's aim
To stretch or maintain range in your knee.
Client's instructions
Position yourself sitting with a towel underneath your foot. Slide your
foot backwards along the floor to bend your knee.
Precautions
1. Impaired or absent sensation of stretch.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Active assisted shoulder ROM exercises - position 3

Client's aim
To stretch or maintain range in your shoulder.
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.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Active assisted shoulder flexion 90 degrees
Client's aim
To improve range of motion of your shoulder.
Client's instructions
Position yourself in supine and hold a walking stick with both of your
hands. Raise both hands over your head so that you feel a stretch in
your shoulder.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Active assisted shoulder ROM exercises - position 2

Client's aim
To stretch or maintain range in your shoulder.
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.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Posterior capsule stretch in standing
Client's aim
To stretch or maintain length in the muscles behind your 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.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Active assisted shoulder flexion 90 to 180 degrees

Client's aim
To improve range of motion of your shoulder.
Client's instructions
Position yourself in supine and hold a walking stick with both of your
hands. Raise both hands above your head so that you feel a stretch in
your shoulder. Try and touch the pillow behind your head.

Perform __ sets of __ reps.

Do__ sessions per week.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Wrist and finger extensor stretch in standing
Client's aim
To stretch or maintain length of your wrist and finger extensors.
Client's instructions
Position yourself in standing with your arm outstretched and your
palm facing down. Bend your fingers and your wrist with your other
hand. Ensure that your elbow remains straight.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Wrist and finger flexor stretch in standing

Client's aim
To stretch or maintain length of your wrist and finger flexors.
Client's instructions
Position yourself in standing with your arm outstretched and your
palm facing upwards. Straighten your fingers and bend your wrist
back with your other hand. Ensure that your elbow remains straight.

Hold for __ seconds.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Pouring water between cups
Client's aim
To improve your ability to rotate your forearm.
Client's instructions
Position yourself sitting with two cups on a table and holding onto a
third cup filled with water. Practice pouring water into each cup on the
table by rotating your forearm one way and then the other. Ensure
that you keep your elbow bent.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2

Bending the wrist to a target

Client's aim
To improve your ability to straighten your wrist.
Client's instructions
Position yourself sitting with your forearm resting on a block on a table
in front of you and your palm facing down. Place a cup in your hand, a
sandbag on your forearm and tape a flexible straw to the top of your
forearm so that the bend of the straw is over your wrist. Practice
straightening your wrist so that your hand touches the tip of the straw
then relaxing your hand back down again.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2
Bending the wrist while holding a cup
Client's aim
To improve your ability to bend your wrist.
Client's instructions
Position yourself sitting with your hand grasping a cup and hanging
over the edge of a table. Practice tilting the cup up by bending your
wrist to a point level with, or higher than the table.

Repeat __ times.

Mon Tue Wed Thu Fri Sat Sun

Wk 1

Wk 2