View source for Disabled Village Children:Complete Range-of-Motion Exercises—Upper Limbs

{{bctrail|segments=3|chaptitle=Chapter 42: Range-of-Motion and Other Exercises}}
{{DISPLAYTITLE:Complete Range-of-Motion Exercises—Upper Limbs}}
{{SideSupplement|bookabbreviation=dvc|pagealt=is from pages 378 to 379 of|chapterpdf=http://hesperian.org/wp-content/uploads/pdf/en_dvc_2023/en_dvc_2023_42.pdf|bookurl=Disabled Village Children|booktitle=Disabled Village Children}}
{{chaptertoc|In this chapter:|
 <ul class{{=}}"noprint">
<li>[[Disabled Village Children:Chapter 42: Range-of-Motion and Other Exercises|Chapter 42: Range-of-Motion and Other Exercises]]</li>
    <li>[[Disabled Village Children:Different Exercises for Different Needs|Different Exercises for Different Needs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion (Rom) Exercises|Range-of-Motion (Rom) Exercises]]</li>
    <li>[[Disabled Village Children:Guidelines for Doing Stretching and Range-of-Motion Exercises|Guidelines for Doing Stretching and Range-of-Motion Exercises]]</li>
    <li>[[Disabled Village Children:There Are 3 Main Ways of Doing Range-of-Motion Exercises|There Are 3 Main Ways of Doing Range-of-Motion Exercises]]</li>
    <li>[[Disabled Village Children:Common Sense Precautions When Doing Exercises|Common Sense Precautions When Doing Exercises]]</li>
    <li>[[Disabled Village Children:Ideas for Making Exercises Fun|Ideas for Making Exercises Fun]]</li>
    <li>[[Disabled Village Children:Complete Range-of-Motion Exercises—Upper Limbs|Complete Range-of-Motion Exercises—Upper Limbs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion Exercises —Lower Limbs|Range-of-Motion Exercises —Lower Limbs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion Exercises—Neck and Trunk|Range-of-Motion Exercises—Neck and Trunk]]</li>
    <li>[[Disabled Village Children:Exercise Instruction Sheets—for Giving to Parents|Exercise Instruction Sheets—for Giving to Parents]]</li>
    <li>[[Disabled Village Children:Stretching Exercise to Help Your Child Put Her Foot Down Flat|Stretching Exercise to Help Your Child Put Her Foot Down Flat]]</li>
    <li>[[Disabled Village Children:Stretching Exercise to Straighten a Stiff Knee|Stretching Exercise to Straighten a Stiff Knee]]</li>
    <li>[[Disabled Village Children:Stretching Exercises for a Bent-Hip Contracture|Stretching Exercises for a Bent-Hip Contracture]]</li>
    <li>[[Disabled Village Children:Exercises and Positions to Help Avoid Pressure Sores and Contractures|Exercises and Positions to Help Avoid Pressure Sores and Contractures]]</li>
    <li>[[Disabled Village Children:Exercise for a Straighter Back|Exercise for a Straighter Back]]</li>
   <li>[[Disabled Village Children:Strengthening Exercises to Get Arms Ready to Walk with Crutches|Strengthening Exercises to Get Arms Ready to Walk with Crutches]]</li>
   <li>[[Disabled Village Children:Strengthening Exercises to Help Your Child Have Stronger Thighs|Strengthening Exercises to Help Your Child Have Stronger Thighs]]</li>
  <li>[[Disabled Village Children:Strengthening Exercise for the Muscles on the Side of the Hip|Strengthening Exercise for the Muscles on the Side of the Hip]]</li>
<li>[[Disabled Village Children:Range-of-Motion and Strengthening Exercises for the Hand and Wrist|Range-of-Motion and Strengthening Exercises for the Hand and Wrist]]</li>
 </ul>
}}
Do these exercises slowly and steadily. Never use force, as this could damage a joint.

Do one joint at a time. Hold the limb steady (stabilize it) with one hand just above the joint, and place your other hand below the joint to move the part through its full range of motion. Here we show the basic exercises only. But remember, try to do them in ways that make it fun!

<table width=62% frame=box  cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''SHOULDER:''' arm up and down</td></tr>

<tr>
<td colspan=2 style="padding-bottom:40px;padding-top:20px;">
<div style{{=}}"position:relative;line-height:110%;">
[[Image:DVC_Ch42_Page_378-1.png|300px|left|alt=An adult lifting a babies hand up and down]]
<div style{{=}}"position:absolute; width:50px; left:75px; top:10px; ">''Stabilize here.</div>
<div style{{=}}"position:absolute; width:80px; left:300px; top:120px;">''Raise arm straight forward, and up.</div></div></td></tr>
</table>
<br>
<div class{{=}}page-break></div>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''SHOULDER:''' arm back and forward</td></tr>

<tr>
<td colspan=2 >
[[Image:DVC_Ch42_Page_378-2.png|350px|center|alt=Baby's arm being moved forward and back with assistance]]</td></tr>

<tr valign=top>
<td style="width:50%;padding-left:30px; padding-right:30px;padding-bottom:40px;">''Move arm all the way back,</td>
<td style="padding-bottom:40px;">''and then all the way forward over the chest.</td>
</tr>
</table>
<br>


<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=3  style="padding-top:10px;padding-bottom:20px;">'''SHOULDER:''' rotation</td></tr>

<tr>
<td colspan=3>[[Image:DVC_Ch42_Page_378-3.png|350px|center|alt=Baby's arm being rotated]]</td></tr>

<tr valign=top>
<td style="width:33%;padding-left:20px;padding-bottom:20px;">''With elbow bent''</td>
<td style="width:33%;padding-left:20px;padding-bottom:20px;">''turn the arm all the way up,''</td>
<td style="width:33%;padding-left:20px;padding-bottom:20px;">''then all the way down.</td>
</tr>
</table>
<br>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr valign=top>
<td colspan=2 style="padding-top:10px;">'''SHOULDER:''' out to side</td>
<tr>
<td colspan=2 >[[Image:DVC_Ch42_Page_378-4.png|300px|center|alt=Baby's arm being opened to the side and back ]]</td></tr>
<tr valign=top>
<td colspan=2  align=center style="padding-bottom:15px;">''Raise arm straight out to side.</td></tr>
</table>
<br>
<div class{{=}}page-break></div>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''ELBOW:''' straighten and bend</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_378-5.png|300px|center|alt=Baby's arm being bent with assistance]]</td></tr>

<tr>
<td style="width:25%;padding-bottom:20px;padding-left:30px;">''Straighten the arm out from the side,</td>
<td style="padding-left:35px;width:25%;padding-bottom:20px;">''then bend the elbow to bring hand up to shoulder.</td></tr>
</table>
<br>


<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''FOREARM:''' twist</td>
</tr>

<tr>
<td colspan=2 align=center>[[Image:DVC_Ch42_Page_378-6.png|300px|center|alt=Baby's hand being twisted up and down with assistance]]</td></tr>

<tr valign=top>
<td style="width:25%; padding-bottom:20px;padding-left:30px;">''Holding the wrist twist the&nbsp;hand up,</td>
<td style="padding-left:25px;width:25%;padding-bottom:20px;">''and then twist it down (gently).</td>
</tr>
</table>
<br>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr valign=top>
<td colspan=2 style="padding-top:10px; ">'''WRIST:''' up and down</td></tr>
<tr>
<td colspan=2 >[[Image:DVC_Ch42_Page_379-1.png|300px|center|alt=Baby's wrist being bent back and forth]]</td></tr>

<tr>
<td style="width:50%; padding-bottom:20px;padding-left:30px;">''Bend wrist back,</td>
<td style="width:50%;padding-bottom:20px;">''and then forward.</td></tr>
</table>
<br>
<div class{{=}}page-break></div>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''WRIST:''' side to side</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_379-2.png|330px|center|alt=Baby's hand being bent out and in]]</td></tr>

<tr valign=top>
<td style="width:50%;padding-left:30px;">''Bend to outside.</td>
<td style="padding-left:25px;">''Bend to thumb side. (It will not bend very far to thumb side. Do not force.)
</td></tr>
</table>
<br>

<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px; ">'''FINGERS:''' close and open</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_379-3.png|300px|left|alt=A baby's arm being made into a fist and being straightened with assistance]]</td></tr>

<tr>
<td  style="width:50%;padding-left:30px;">''Make a fist.</td>
<td>''Straighten gently.</td></tr>
</table>
<br>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''FINGERS:''' spread</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_379-4.png|300px|center|alt=Baby's fingers being spread with assistance]]</td></tr>

<tr valign=top>
<td colspan=2 align=center>''Spread each finger one at a time.</td></tr>
</table>
<br>
<div class{{=}}page-break></div>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px; ">'''FINGERS:''' straighten while bent at hand</td></tr>

<tr>
<td colspan=2 ><div class{{=}}speechbub style{{=}}"position:relative;">
[[Image:DVC_Ch42_Page_379-5.png|340px|center|alt=Child's hand with fingers bent forward and arrows pointing to joints, adult hand bending fingers of child's hand.]]
<div style{{=}}"position:absolute; width:75px; left:170px; top:29px; line-height:100%; text-align:left;">''Bend here<br> and</div>
<div style{{=}}"position:absolute; width:75px; left:170px; top:50px; line-height:100%; text-align:left;"><br>''straighten fingers.</div></div></td></tr>
</table>
<br>


<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''THUMB:''' for grasping</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_379-6.png|300px|center|alt=Adult hands extending and bending thumb of child's hand.]]</td></tr>

<tr valign=top>
<td colspan=2 align=center>''Bend thumb toward base of little finger.</td></tr>
</table>
<br>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr valign=top >
<td colspan=2 style="padding-top:10px;">'''THUMB:''' shut and open</td></tr>

<tr>
<td colspan=2>[[Image:DVC_Ch42_Page_379-7.png|300px|center|alt=Adult hands bending and extending thumb of child's hand.]]</td></tr>

<tr>
<td style="padding-left:30px;">''Bend the joints of the thumb in all the way,</td>
<td>''then open thumb all the way to the side.</td></tr>
</table>
<br>
<div class{{=}}page-break></div>
<table width=62% frame=box cellpadding=7 style="line-height:100%;">
<tr>
<td colspan=2 style="padding-top:10px;">'''THUMB:''' up and down</td></tr>

<tr>
<td colspan=2><div style{{=}}"position:relative; height:150px;">[[Image:DVC_Ch42_Page_379-8.png|300px|center|alt=Adult hands bending and extending thumb of child's hand.]]
<div style{{=}}"position:absolute; width:110px; left:65px; top:105px; line-height:110%">down</div>
<div style{{=}}"position:absolute; width:110px; left:215px; top:126px; line-height:110%">up</div></div></td></tr>

<tr valign=top>

<td colspan=2 align=center style="padding-left:50px; padding-right:50px;">''Move straightened thumb down and then up, with palm flat and fingers open.</td></tr>
</table>


*Drawings are adapted from [[Other_Resources:People_with_Disabilities#home|''Home Program Instruction Sheets'']] by Jaeger. 




{{Previous and next sections|Ideas for Making Exercises Fun|Range-of-Motion Exercises —Lower Limbs}}
{{LastEditDate}}

[[es:Disabled_Village_Children:Ejercicios_completas_para_mantener_el_movimiento_de_las_coyunturas—de_todas_las_partes_de_los_brazos_y_manos]]

[[en:Disabled_Village_Children:Complete_Range-of-Motion_Exercises—Upper_Limbs]]
[[ru:Disabled_Village_Children:Упражнения_на_сохранение_полного_объема_движений_в_суставе_–_верхние_конечности]]