elbow/wrist/hand rehab sports med. phase 1 elbow general body conditioning rom – joint...

Elbow/wrist/hand Rehab

Sports Med

Phase 1 Elbow

• General Body conditioning• ROM– Joint Mobilizations

• Inferior, anterior and posterior glides

– Humeroulnar traction– Passive stretching

• Low force and long duration• Flexion and extension

• Strengthening– Low resistance, high reps

• Flexion, extension, pronation, supination, grip, and shoulder

http://www.google.com/url?sa=i&rct=j&q=pronation+and+supination+exercises&source=images&cd=&cad=rja&docid=G_WxwnnKXy-N0M&tbnid=Fug4YT43yWvY1M:&ved=0CAUQjRw&url=http://www.milfordathleticclub.org/injury_guide.html&ei=CsZ-UceJKqHKigKznoE4&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNFP2IEjmkXO12WWdCGhFJJcdjhaTQ&ust=1367349007619586

http://www.google.com/url?sa=i&rct=j&q=humeroulnar+distraction&source=images&cd=&cad=rja&docid=Oiw38I0F6n5rpM&tbnid=wsDrMt6dffqLlM:&ved=0CAUQjRw&url=http://www.digplanet.com/wiki/humeroulnar&ei=g7h-UYTBA6jtiQKzqIHwAQ&bvm=bv.45645796,d.cGE&psig=AFQjCNGisnTXE5q184aAyu1pGy33VHL0Tg&ust=1367345585061404

http://www.google.com/url?sa=i&rct=j&q=pronation+and+supination+exercises&source=images&cd=&cad=rja&docid=EcsbX6H_19Z9vM&tbnid=-KjRCOakVu6Y6M:&ved=0CAUQjRw&url=http://www.sportsinjuryclinic.net/rehabilitation-exercises/wrist-hand-finger-exercises/prolonged-wrist-stretches&ei=tcV-Ue_sH8PHiwKAoIH4CQ&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNFP2IEjmkXO12WWdCGhFJJcdjhaTQ&ust=1367349007619586

Phase 1 Wrist/Hand• General Body Conditioning• ROM

– Traction, joint mobilizations– Stretching PROM

• Extension, flexion

• Strength– Towel/flex bar twists– Wrist roll– Flexion and extension (no or decreased weight)– Ulnar/radial deviation (no or decreased weight)– Pronation/supination (no or decreased weight)– Grip

• Web, stress ball, machine, rubberbands

• Neuromuscular control– Coin pickup– Tying shoes/knots– Buttoning buttons

http://www.google.com/url?sa=i&rct=j&q=grip+strength+web&source=images&cd=&cad=rja&docid=3j1fJaFXQOBhrM&tbnid=qHHdwzwXawMjpM:&ved=0CAUQjRw&url=http://www.reflexpainmanagement.com/hand-exercise-web-p-197.html&ei=7dF-UeboEaWIiALOnYD4Aw&psig=AFQjCNF9AVs95mASaFAYk0bHkVS6mq0Tyg&ust=1367352157353298

http://www.google.com/url?sa=i&rct=j&q=flex+bar+twists&source=images&cd=&cad=rja&docid=mbHvU3pw2u3XfM&tbnid=Vj0lQ8yYHBSi8M:&ved=0CAUQjRw&url=http://www.bpp2.com/physical_therapy_products/01-exercise-010306.html&ei=mdF-UeD8DcfxiwK-xYDgBw&psig=AFQjCNE-t3lqZI3XEcqdMSm0qWoP4oUOEA&ust=1367352080270154

http://www.google.com/url?sa=i&rct=j&q=wrist+rolls&source=images&cd=&docid=a0tfeQreULFvXM&tbnid=1BxH0R9rtbM4FM:&ved=0CAUQjRw&url=http://worldchirocenter.com/custom_content/c_254161_wrist_exercises_and_stretches.html&ei=ZNF-UYTnBaL7iwLTv4G4Aw&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNH6ApCuuUahFZNVWGI64ZoWnbDWSA&ust=1367352022460258

Phase 2 Elbow

• General body conditioning• Proprioception• Strengthening– PNF, Isokinetic– PRE• Tubing, weights, or manual resistance

• ROM– Joint mobilizations– Stretches

http://www.google.com/url?sa=i&rct=j&q=elbow+flexion&source=images&cd=&cad=rja&docid=GcWqfaL3lYiFxM&tbnid=El_OJZn-QO4EaM:&ved=0CAUQjRw&url=http://www.borgess.com/default.aspx?pId=2150&ei=e8R-UerLAsnRiALh9oGwBw&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNGRYFrX2Nj4aFm01nJq6WDYCJiHdQ&ust=1367348719910125

http://www.google.com/url?sa=i&rct=j&q=elbow+proprioception+exercises&source=images&cd=&cad=rja&docid=O_RV-MN-84Vf9M&tbnid=p9Go2PtzyG89FM:&ved=0CAUQjRw&url=http://www.hygenicblog.com/2010/04/27/researchers-encourage-proprioceptive-exercises-for-shoulder-rehabilitation/&ei=3cR-UeugJemUjAL0mYHIDg&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNEIh612piBeZ7t9ZT3uywFECetxWA&ust=1367348791531496

Phase 2 Wrist/Hand• General Body Conditioning• ROM

– Traction, joint mobilizations– Stretching AROM

• Extension, flexion

• Strength– Towel/flex bar twists (thicker bar)– Wrist roll (more weight)– Flexion and extension (dumbbells/bands)– Ulnar/radial deviation (dumbbells/bands)– Pronation/supination (dumbbells/bands)– Grip

• Web, stress ball, machine, rubberbands

• Neuromuscular control– Coin pickup– Handwriting – Buttoning buttons

http://www.google.com/url?sa=i&rct=j&q=coin+pickup&source=images&cd=&cad=rja&docid=TL0IMIMrWjWckM&tbnid=VWJBu3FcQ_wneM:&ved=0CAUQjRw&url=http://www.businessinsider.com/how-to-use-mint-2011-3?op=1&ei=ONN-UejrOqSXigKL0YGQCA&psig=AFQjCNFv7VNhOSsWljgOcQP1UlCYDRELPg&ust=1367352475436744

http://www.google.com/url?sa=i&rct=j&q=wrist+flexion+and+extension+with+dumbell&source=images&cd=&cad=rja&docid=be6xagVP12gPoM&tbnid=j7wIG3aPeSeJDM:&ved=0CAUQjRw&url=http://bootcamp.freestyler.net/wrist-flexors-seated-wrist-flexor-stretch.html&ei=7NJ-UZDPJKOgiQL_5IGgBw&psig=AFQjCNG-cjO_nMn3SztBhN8Y4mR7lr_5Fg&ust=1367352328137006

http://www.google.com/url?sa=i&rct=j&q=wrist+flexion+and+extension+with+dumbell&source=images&cd=&cad=rja&docid=7rRl22L7gUBp1M&tbnid=5tHw1TVcGBk6QM:&ved=0CAUQjRw&url=http://ihamedical.com/mesc/rehabworks/basicwristelbow.html&ei=rdJ-UcLYO6ixiQKvt4DwBA&psig=AFQjCNG-cjO_nMn3SztBhN8Y4mR7lr_5Fg&ust=1367352328137006

Phase 3 Elbow

• General Body Conditioning• Functional Progressions– Swimming– Throwing– Pushups– Sitting pushup– Weight shifting on ball

http://www.google.com/url?sa=i&rct=j&q=weight+shifting+exercise&source=images&cd=&cad=rja&docid=bSqfTYZBJ8xS6M&tbnid=phJCV7QCzTKcdM:&ved=0CAUQjRw&url=http://www.mhhe.com/hper/physed/athletictraining/ch22.mhtml&ei=I8R-Udb0DanziwKujoGACg&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNH7PMm9sWhm6Yl8MFon6iFKJk4zIA&ust=1367348616126754

http://www.google.com/url?sa=i&rct=j&q=sitting+push+up&source=images&cd=&cad=rja&docid=hccgaScHx6FECM&tbnid=aG3N0ongsTOcbM:&ved=0CAUQjRw&url=http://www.healthline.com/health-slideshow/exercises-before-total-knee-replacement-surgery&ei=0MN-Uf6bPOSKjAKVpoCIBQ&bvm=bv.45645796,bs.1,d.cGE&psig=AFQjCNEysqTJvxUWCKQIefumrz5kOkDTEQ&ust=1367348472535399

Phase 3 Wrist/Hand

• General Body Conditioning• Sports specific activities• Full grip strength is goal

http://www.google.com/url?sa=i&rct=j&q=throwing&source=images&cd=&cad=rja&docid=EbW0FOPes2f0GM&tbnid=NVO_QOkyQfkj2M:&ved=0CAUQjRw&url=http://www.exercise-ball-exercises.com/exercise-ball-exercises-for-throwing.html&ei=CNR-UZvNDsaziwKZzIHoCw&psig=AFQjCNE_RrPz23G-r71HSMm7Lf7bZeO3Kg&ust=1367352645019970