Elbow/wrist/hand Rehab - West Ada School District

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Elbow/wrist/hand Rehab
Sports med 2
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
Phase 1 Wrist/Hand
• General Body Conditioning
• ROM
– Traction, joint mobilizations
– Stretching PROM
• Extension, flexion
• Strength
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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
Phase 2 Elbow
• General body conditioning
• Proprioception
• Strengthening
– PNF, Isokinetic
– PRE
• Tubing, weights, or manual resistance
• ROM
– Joint mobilizations
– Stretches
Phase 2 Wrist/Hand
• General Body Conditioning
• ROM
– Traction, joint mobilizations
– Stretching AROM
• Extension, flexion
• Strength
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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
Phase 3 Elbow
• General Body Conditioning
• Functional Progressions
– Swimming
– Throwing
– Pushups
– Sitting pushup
– Weight shifting on ball
Phase 3 Wrist/Hand
• General Body Conditioning
• Sports specific activities
• Full grip strength is goal

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