Hand exercises nhs pdf. Repeat the exercise 10 times. These exercises will help to improve movement of your hand. For more pattern-disorders-patient-information. Sit or stand The advice has been compiled by NHS England, the Chartered Society of Physiotherapy, Versus Arthritis, Public Health England and the Arthritis and Musculoskeletal Alliance (ARMA). Tyneside Integrated Musculoskeletal Service TIMS is a partnership between Newcastle upon Tyne Hospitals NHS Foundation Trust and Gateshead Health NHS Foundation Trust Information provided by Julie Phillips, Senior Physiotherapist. You can use moisturising Hand Exercises The exercises need to be done in sitting with your forearm supported on a table or pillow and your elbow at around 90. Breathe out as you move and breathe in when you are in the resting (starting) position. numbness. Slide your hand Level 1 Exercises 2 Exercise guide To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. Don’t worry if you are unable to manage the full Exercises for wrist, hand and. Put your operated leg in front of you and lower yourself down. Exercise aims to maintain or improve joint mobility, strength and the overall use of your hand. Repeat _____ times each side. Repeat 5 times. ADVANCED HAND ACTIVITIES Functional activities to practice: - Turning pages in a newspaper/book. (You can vary the exercise by having your foot pointing either upwards, inwards or outwards) Exercise your straight leg by pulling the toes up, straightening the knee and lifting the leg 20cm off the bed. Build up slowly and aim to gradually increase the repetitions of each exercise over time. • An active exercise is when you use your joints to move your muscles, without using your other hand. Hold this position for 5 - 10 seconds. Exercises You should complete exercises 1 and 2 daily and complete exercises 3 and 4 every other day. PIL. 4. Turn your hand so the front of the www. Aim to keep your pain within a rating of 0 to 5. 17 MI_3024514_23. If this is difficult, rest your hand on its side. Slowly lower your hands and raise your elbows. Try to do these exercises at least twice a week and combine them with the other routines in this series: flexibility exercises; balance exercises; strength exercises; Chest stretch. 6 %âãÏÓ 139 0 obj > endobj 174 0 obj >/Filter/FlateDecode/ID[26960C15172D2F46BDE2E39F613300AB>8E7812963AE13F46863CD7270A40B3FB>]/Index[139 52]/Info 138 0 R Hand Therapy Department Contact Number 0203 315 8404 Open between 8-6 Monday-Friday. • • Squeeze the ball evenly, counting to 5 for each exercise • Carry on doing the exercises for several months. The exercises should not be painful. • Standing – Holding a stick in both hands; slowly use the good hand to push the operated arm out CARPAL TUNNEL SYNDROME Page 2 How can I manage my symptoms? Support with a wrist splint, particularly when using your hand or at night Limit sustained pressure to the palm and wrist Take regular breaks from repetitive tasks and other activities that cause your symptoms Hanging your hand/arm over the edge of the bed can help settle symptoms at night • Use opposite hand to stabilize thumb. C. Breathing exercise The Active Cycle of Breathing Techniques (ACBT) can be very helpful for clearing sputum and making breathing easier. M. Extend the wrist and clench your fist - relax and let your hand drop. uadditionalsupport 4. In extreme cases, where non-operative management fails to improve your symptoms you may be offered decompression surgery to increase the space for the tendons. Remember to keep your forearm on the table. If you want to motivate yourself to accomplish the high repetition of hand exercises necessary for recovery, then you need to meet the MusicGlove. Feel a stretch along the top of your arm. org or call 856-380-6856. The aim of these exercises is to maintain strength, movement and function in your hands. A) Turn your head to one side until you feel a stretch. Contact the Physio department if you find the exercises are making your pain Perform these exercises_____ times each _____ times a day. If you would like to know more about radiculopathies or find a greater choice of exercises, you can explore our dedicated webpage: Norfolk and Waveney MSK services ‘cervical radiculopathy’ exercises. Hand Therapy: Finger exercises These are specific exercises to help improve your finger movement. After this, use your unaffected hand to gently massage the muscle in between your thumb and index finger. Bend at the waist so your arm is dangling down. • Bring your hands back to your chest. • Make a hook with your fingers • Squeeze your fingers into the putty like you are making a fist. uk/conditions Mindful Walking: 1. Exercises Many people find the following exercises helpful If you have problems following your exercises, contact the hand therapy team on . • Slowly use the good hand to push the hand and forearm of the operated side away from the body. With your other hand, hold the base of your affected finger (the part nearest your hand). Learn exercises to help with problems with joints in the hands and fingers. palse@nhs. Use your unaffected hand hands. Squeeze and release. Passive Wrist, finger and thumb exercises. Hand Therapy Brownsword Therapies Centre (Dept. Remember levels. Extensor Tendon Repair. - Brushing your hair/ teeth. This leaflet includes information on how to look after the This factsheet contains some finger exercises to help improve the range of movement in the joints of your fingers. Printed:3/24/2020 Page 1 of 2 ©2016 NHS Lanarkshire Hand Therapy Department. 4) Rest your forearm on a table with your hand facing palm down. This leaflet shows exercises to help you strengthen your wrist . net - Telephone: 01323 435886 2 Oxford Health NHS Foundation Trust | www. Exercise guide. Using your other hand, gently push your hand downwards until you can feel a stretch in your wrist. The two types of exercises are explained below. • Notice which hand moves the most. Bend the tip of your finger and then straighten. Turn your hand so the front of the 1. To be completed by the Communications office Leaflet code: PIL202407-06-HTFE which of these exercises to do at your appointment. Push your hips back and lower the dumbbells, while keeping your legs straight or only slightly bent. Please contact your therapist if you have any queries or concerns. uk Brandt-Daroff exercises to treat BPPV We have written this factsheet to give you more information about benign paroxysmal positional vertigo (BPPV). 2 of 4 Upper limb exercises Exercises and video demonstrations for the ulnar nerve. Option 2: If your appointment is another date in the future. Flexibility exercises: Single knee to chest: Pull one knee up to your chest until a comfortable stretch is felt in the lower back and . Hand clench. Slowly move one hand down your leg towards your knee. Glue your elbow to your waist, then turn your wrist so adaptations for the exercises that require equipment e. • Place a one -inch thick piece of putty between each pair of fingers and squeeze together. Hip abduction / sideways leg lift . With your wrist and fingers straight, cross your thumb over your palm to touch the joint of your little finger. Exercises Stretch Prior to commencing your exercises try to warm your affected hand using a heat pack/hot water bottle, or by soaking your hand in a bowl of warm water. It is okay if the other fingers move during this exercise. Do not let your shoulder shrug up towards your ear . hold your hand just above, but have a chair nearby just Pendulum Exercises for Shoulder All exercises should be done 5 times daily in 5 to 10 minute sessions. 2 of 4 Review Date 19/11/2023 Date Produced 05. F1) Royal United Hospitals Bath NHS Foundation Trust Combe Park, Bath BA1 3NG 01225 821241 www. Your therapist will guide you with which exercises are appropriate These exercises are designed to strengthen your hand and help the structures in your hand glide alongside one another. Last updated: 23-8-16 MT Use your unaffected hand to hold below the middle joint of your finger, then bend the top two joints into a curl Use your unaffected hand to hold just below the end joint of your finger, then bend the tip down. • Touch the tip of your thumb to the tip of your. Palms up and down 1. uk - 3 - Further Information Please speak to your therapist regarding any information in this leaflet or contact us: For Physiotherapy at University Hospitals Coventry and Warwickshire, telephone: 024 7696 6013. Author: Therapy Services. Hold for 5 - 10 seconds and then relax You can put your hand on your chin for a guide if needed. Exercise 2. For example, in a couple of days you might repeat each exercise 5 times, working up to 10 repetitions in a couple of week's time. Elbow Hemi-Arthroplasty. Feel a stretch in your wrist muscles. L1) Overhead raise: 1) Start by lying comfortably on your back. on 01271 314090 or at rduh. uk 2 Exercise 4 Exercise 5 Exercise 6 Make a perfect O shape with your thumb Touch your thumb to the base of each finger Move your thumb in a circle clockwise then counterclockwise Passive thumb range of movement Hold each one for seconds and repeat times. Double knees to chest: Pull both knees up to your chest until a the hospital, please visit www. Biceps Repair. PDF: Hand Exercises final December 2022 v3. Carpal Tunnel Syndrome. • Try and make some time in your day to try these Hand Therapy – Frequently Asked Questions. Hold this stretch for 20-30 seconds before returning to standing. Figure 1 Now that you have completed your exercises, you will feel your hand is much looser. Carpal Tunnel Syndrome If your hand becomes weak or you struggle to maintain a firm grip of objects, please contact your GP or Physiotherapist for further advice. uk Acknowledgements: Pictures and photos taken from ‘Looking After Your Joints’; an information advice booklet produced by Versus Arthritis, 2019. 6. ruh. GP or hand therapist for specific advice on exercise. 0300 123 1732 or via email at: wah-tr. Position 3 . Some health professionals believe that certain exercises can help with elbow movement and the ulnar nerve to glide gently through the cubital tunnel and help to may improve symptoms. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Hand Therapy – Frequently Asked Questions. 30pm and With your other hand, gently push against the back of your hand so it bends towards you. T: 01642 835595 E: [email protected] Patient experience. Created by Flint Rehab (who also created the blog you’re currently reading), this hand therapy tool is clinically proven to improve hand The following exercise program is worked out to involve every joint and muscle in your hands. Within the first 24 to 48 hours after your wrist, hand or finger problem has started you should try to: reduce your activities but move as much as your symptoms allow; put your hand in a supported position if it’s comfortable, when resting; move the area gently for 10 to 20 seconds every hour when you’re awake; After 48 hours: the putty. middle joint – hold for a few seconds. There are two types of exercise that you can do: • Exercises you do during an episode of cramping to relieve the pain and stop the cramping • Exercises you do during the day to reduce how often you get leg cramps. nhs trust hand exercise sheet produced by: dr hasan tahir & mr clive sutton start the exercises gently, the repetitions are a guide aim to perform the exercises morning, lunch and evening if the exercises make the pain worse, stop for 2-3 days start again very gently, if they still make the pain worse seek advice as necessary • Exercise which moves the tendons and strengthens the muscles in the wrist and thumb. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. NHS 111 is • Exercises should not cause sharp pain. Exercise 1 Composite finger flexion and extension Hold the putty in the palm of your hand. It is important that you keep the swelling in the wrist and hand to a minimum, so keep your hand higher than your heart and try to move your fingers in and out of a fist at intervals until the swelling settles. We exercises in hand OA, concluded that exercises are beneficial for improving hand pain, finger joint stiff-ness and hand function and cause no adverse effects [14]. Finger tendon gliding exercises. Complete the exercises As your hand gets better after injury or surgery, you may need to exercise the muscles to get back to being able to use the hand normally day-to-day. first finger. SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST Hand exercises using putty Information for patients Therapy Services. Repeat 4 times. dumbbell in each hand. If Exercises. These exercises are intended as a guide and prior to starting you should have had some instruction from your physiotherapist at OCATS. Exercise 6. Perform each exercise SLOWLY, bending and stretching as far as possible within pain limits. We hope it will help to answer some of the questions you may have. Please contact your therapist if you have any queries or Position 2 . 5) Finger adduction exercises Begin by rolling the putty out, as Standing with feet shoulder width apart and hands by your side. Repeat this in - Warm up before exercising and stretch down after exercising - particularly your calves, hamstrings and the muscles on the front of your legs. Exercise 3. • Breathe out whilst twisting your shoulders around as far as Repeat this exercise times, every Repeat this exercise times, every Repeat this exercise times, every Page 2 4. Rest the outer side on 01271 314090 or at rduh. Email ruh-tr. Your physiotherapist will assess this and guide you with a personally Exercises These are some examples of exercises which may help with your shoulder impingement problem. NHS 111 Level 2 Exercises 1 Level 2 Exercises for Strength & Balance A resource for care homes in NHS Forth Valley by Matthew Gallagher . NHS 111 www. They may feel hard work, stretchy or aching. Your hands contain lots of muscles and joints, held together with tendons and ligaments. pals-northern@nhs. times per day Hand Exercises. Complete each exercise slowly and in a controlled manner; you should take your time and not rush. uk, remember your settings and improve our services. Blocked PIP Extension 2. • the palm • Use opposite hand to Tel: 020 8725 2453 Email: pals@stgeorges. Repeat with your opposite knee. Finger exercises must be done every hour. Lying on your back with one leg straight and the other leg bent. Bend your wrist forwards and backwards. It is expected that the exercises may cause some irritation of the symptoms initially General hand exercises Active and passive exercises are important for improving your hand movements. Normalising movement and restoring a connection with the hand in functional use is vital early on. uk Breathing exercises for chest clearance Introduction This leaflet describes breathing exercises which may help you to clear excess sputum and improve your lung function more effectively. An exercise program is usually advised involving both stretching and strengthening. Squeeze and relax. Brandt-Daroff exercises are designed to break up this material and unblock the canal. Sit on the edge of the chair, feet hip-width apart. net. This booklet contains exercises aimed at improving your hand and wrist strength and mobility. Exercise 5. Contact us If you have any further questions or concerns, please contact us. Try to sleep with your elbow straight to decrease tension on your ulnar nerve. South Tees Hospitals NHS Foundation Trust would like Specific exercises at the right time have the potential to delay or reduce the need for surgery. Place it in your hand and 6 Pulmonary Rehabilitation Exercises March 2023 4. Consultant Physician & Rheumatologist | Royal Free London NHS Trust & Honorary Clinical Professor | Division of Medicine | University College London Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand PATIENT EDUCATION RESOURCE TFCC Injuries To locate a hand therapist in your area, visit the American Society of Hand Therapists at www. Email: esh-tr. Mindful Walking: 1. Wrist flexor stretch Straighten your arm fully. Exercises 1) Put the palms of your hands together. 7. . Contact the Physio department if you find the exercises are making your pain tr. net or telephone 01225 825656 / 826319. Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 Avoid over use of specific exercises or manual techniques that may encourage an increase in pain response and guarding. Hand therapy department Shoulder exercises Information for patients, relatives and carers Information sheet These exercises will help you restore and maintain the movement in your shoulder. Remember general exercise is the most helpful way to ease your symptoms. You can find out more about Carpal Tunnel Syndrome from the NHS website. page 2 of 12 You have been provided with exercise putty by your therapist to help with your upper limb strength, range and/or co-ordination. return to starting position. Active range of movements. net - Telephone: 01424 758090 Eastbourne District General Hospital Email: esh-tr. Find Space. Let your other arm hang down and try to swing it gently backwards and forwards and in a circular motion. Lower back down and repeat with the other arm . If these positions are difficult for your shoulder, rotate your arm forward. What exercises should I do? It is advised that you perform the following exercises as explained by your therapist. Try to make it as flat as possible. End Position Stabilize the band with left hand and with right hand, pull the band down and back. Remember to keep your palms together so you feel a stretch. Visit NHS website nhs. • Now push your arms out straight to the ceiling. Please get in t ouch with your physiotherapist if you are not able to tolerate any of the exercises given on this leaflet. Action: Place your thumb in a relaxed position. We recommend that you repeat this exercise twice a day. Do _____ of each exercise, every _____ hours during the day. finger problems. Exercise will reduce stiffness, help your pain and keep the muscles around your joints stronger. 2) Rest the side of your hand on a table. B. Whilst the other hand is resisting the movement, move the thumb up. Using your unaffected hand to help lift the shoulder upwards in a forwards direction as far as comfortable. Surgery and Exercises for Carpal Tunnel Syndrome Information for patients, relatives and carers Trauma & Orthopaedics For more information, please contact: The York Hospital Orthopaedic Out Patient Clinic York Tel: 01904 726537 Advance Practitioner Hand Surgery Tel: 01904 725978 Hand Physiotherapist Tel: 01904 725390 Meet the MusicGlove: An Evidence-Based and Fun-to-Use Hand Recovery Tool. Sit upright and away from the back of upper limb muscles. If the exercise causes pain that lasts for more than 2 hours after finishing the exercise, then decrease the repetitions. With your other hand, gently push against the back of your hand so it bends towards you. Turn your head slowly to look over your left shoulder, • Use opposite hand to stabilize thumb. Remember Use your non injured hand to push the affected finger(s) in and back so that only the top two joints bend. We also use cookies set by other sites to help Stabilise the hand with the thumb of your other hand. Work more on gross functional movement patterns. Bend your wrist in the direction of your little finger. The symptoms of dizziness need to be reproduced by the exercises for any benefit to occur. information about the NHS. As symptoms reduce you can gradually return to activity. It You have been provided with these exercises to help improve your neck stiffness and Hold onto a chair with both hands to fix your shoulders down. 0 , via • Hold a walking stick in your hands. • Place your hands across your chest and Keep your hips and knees facing forwards. Weighted wrist – hand turned down / hand turned up Useful contact details To reschedule an appointment: Phone: 020 3311 0333 Option 1: If your appointment is on the same day. In a slow and controlled manor, lower your thumb down, to meet © Poole Hospital NHS Foundation Trust www. 30pm and Blocked extension exercises With your other hand and thumb stop the bottom joint (knuckles) of your finger at 90 degrees. Flexor Sheath Washout. handtherapyimperial@nhs. However, sometimes doing some simple stretching exercises can help you feel more confident to move. Use your other hand to make sure that your shoulder stays down and To ensure that this exercise program is safe and effective for you, it should be performed under your doctor's supervision. Bend the bottom joints of your hand (whilst keeping the top two joints straight). Hold for five seconds. Bend your neck to the side bringing your Left ear towards your Left Bridgewater NHS Community Foundation Trust Health Services at Wolves Martin Dawes Stand Halliwell Jones Stadium Perform these exercises_____ times each _____ times a day. Trunk rotations • Can be done in standing or sitting. Area of TFCC Area of TFCC pain on the wrist Example of firm gripping with forearm rotation Exercise guide. Remain in this position for 30 seconds (or until you no longer feel dizzy). Stop doing the exercises if they make your symptoms worse and/or your symptoms do not settle. Thumb CMCJ Some of these exercises might not work for everyone, so don't worry if one technique isn't right for you. Thumb CMCJ • Hold a walking stick in your hands. Keep looking forward and do not look down. uk To contact a therapist: imperial. poole. There is no evidence that the plantar fascia is at risk of rupture while doing the exercises in this booklet. Exercises Only do the specific exercises as instructed by your physiotherapist. Stand upright and then slowly sit down, using your hands or arms just to guide you if possible . uk Version 1. Is there a risk that my plantar fascia will rupture while I’m doing my exercises? A. Hold you hand up, and make the thumb touch the tip of each finger in turning, creating a circle of the finger and thumb. Q. Carpal tunnel syndrome is a condition that causes pain, numbness, and tingling in the hand and arm. Finger tendon gliding and blocking exercises We’d like to set additional cookies to understand how you use www. However, you’ll need to visit your GP surgery if: • your pain isn’t getting better after treatment at home for two weeks • the pain is getting worse • the pain keeps Low Back Pain Exercises. Neck stretch Exercises and video demonstrations for the median nerve. Number 8: Make a full fist and using your other hand push your fingers into a fist and squeeze tight for 5 - 10 seconds. If you have pain, ease up on the movement. Gripping exercises. Repeat about five times. Elbow Extension & Flexion Stand or sit. Stand up slowly using your legs, not arms. Please ensure HAND & WRIST EXERCISES. South Tees Hospitals NHS Foundation Trust would like P. Only do the exercises advised by your therapist at any given stage. hold your hand just above, but have a chair nearby just your normal daily activities and improves your sense of well-being. Royal Devon University Healthcare NHS Foundation Trust Greater Trochanteric Pain Syndrome (GTPS) Page 2 of 7 • Exercise – Strengthening muscles around the hip and back can help. gloshospitals. Check-in. Swimming, walking, yoga and Pilates are helpful exercises for your back. Low Back Pain Exercises. uk NHS Choices NHS Choices provides online information and guidance on all aspects of health and healthcare, to help you make decisions about your health. •Relative Rest –limiting activities and taking regular breaks may help reduce your pain, as well as changing the position of your hand when gripping, pinching or twisting •Wearing a splint –a thumb-spica splint may ease your pain by limiting the movement of your thumb during repetitive aggravating activities Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 hands. However, if you find your symptoms returning then it is best to return to your exercise programme. Below are some instructions for performing the hand clench exercise. 30am to 4. Submerge the affected hand/arm in warm water for up to 5mins and practice the exercises taught by your therapist. Start position as swimming level 2 Pain during exercise. Download a PDF leaflet with more information and Introduction. Sitting on a hard-backed chair: Exercise 1. uk. Hold 30 seconds. Your top hand moves the most: You are a ‘Chest Breather’. Exercise 3 0300 123 1732 or via email at: wah-tr. The following advice and exercises may help you manage your groin strain. the following exercises as instructed by your hand therapy physiotherapist. When can I go back Exercises Only do the specific exercises as instructed by your physiotherapist. uk NHS 111 You can call 111 when you need medical help fast but it’s not a 999 emergency. uk To complete the neck exercises below, make sure you are in a sitting position. Keeping your elbows still, turn your palms to face upwards. In this exercise, a person needs to hold a spongy or rubber ball for a few seconds (3-4 seconds) in the palm of a hand and squeeze it. ELBOW EXERCISES Rehab tips for your hand, wrist and elbow 1. Stand with your good hand resting on a chair. • Touch tip of thumb to each fingertip, making an “O” shape. Supination. The following exercises should be done three or four times a day. Exercises for De Quervains These exercises are designed to slowly increase your movement and strength. Document Number: STHK1602. The Cochrane review also highlighted the lack of consensus among researchers on the type and the content of exercise interventions most beneficial to this patient population. 2) Enables both yourself and medical staff to monitor wound healing. Position 2 . Elbow Exercises. IMPORTANT POINTS: Do at least 5 repetitions of each exercise 2 – 3 times daily. Number 1: Wrist in neutral, fingers and thumb in flexion. It is important to note that exercises should not aggravate your arm symptoms. For further information Please email ghnt. Examples of exercises include: Extend the arm straight out by Physiotherapy / Advice and exercises for patients with plantar fasciitis Physiotherapy Department – Advice and exercises for patients with plantar fasciitis, July 2023 3 • If you do regular exercise, try to do low impact activities such as cycling or swimming to allow the tissues to rest. Repeat the exercise 3-5 times. Professor Hasan Tahir – Rheumatologist & Sports Doctor. Contact the Physio department if you find the exercises are making your pain Exercises 1) Put the palms of your hands together. uadditionalsupport 5. Strengthening your hands will help you with activities such as writing, dressing and using cutlery that children and young people tell us is a struggle. If your pain gets above this level, you can change the exercises by: reducing the number of times you do a movement; reducing the speed of a movement; increasing rest time between movements; Pain after exercise. oxfordhealth. Squeeze together. buttocks. Elbow Level 1 – Exercises 1 to 8 1. Hold the block in one hand. Then straighten your fingers keeping your thumb at the side of your hand 3. Summary Plantar Fasciitis can take some months to settle down. Author: HAND & WRIST EXERCISES MCP FLEXION With your hand straight, bend your fingers from the knuckles while keeping your fingers straight (2). feeling of swelling or clumsiness to the hand. uk which provides online guidance and support on levels. Then raise onto the balls of your feet slowly with some assistance from your hands if required. A. Review Date: 30 / 11 / 2023. Move your wrist backwards 4. Grasp the wrist of the arm you want to exercise. Now extend your thumb away from your hand 5. Symptoms are often worse at night, feeling like you need to shake the hand or hang the hand, out the bed. Exercises may involve: Active movement Using your own muscle power to do the movements. Your therapist will advise you with specific exercises to do which are safe for your condition/injury. uk Template version: May 2017 Osteoarthritis of the hand carpometacarpal joint 1 Hand Therapy Patient Information Upper Limb Unit: Hand Therapy - Thumb Exercises www. It is important to keep your hand moving normally throughout the day as your hand will stiffen up very quickly between each session. Hand to Shoulder Description not available (920) 730-8833 Notes: Avoid activities that keep your elbow flexed for long periods of time (e. Place the foam block on a surface and your hand flat on top of it. • Just let your hands rest there for a few moments while you take a few slow deep breaths. 03. Repeat with each finger 10 times (see exercise 6). • Finally bring your hands back to your sides. Repeat these exercises _____ times every hour during the day. 1. Extend the wrist and relax your fingers then lower your hand. , talking on the phone, driving, reading), and avoid resting your elbow on hard surfaces. This stretch is good for posture. • Breathe IN as you bend your arms up. Hand therapy team Telephone: 023 8120 6459 (Monday to Friday, 8am to hand strength, grasp and dexterity including: - Rolling play doh into sausages or snakes. adaptations for the exercises that require equipment e. Each exercise should initially be done for 1 minute, or for those who have attended the programme, for the same duration as you have managed during the sessions at the hospital. People who are tense and in pain hands. PatientExperienceCDDFT@nhs. Return to the start position and Hand exercises with an elastic band . How to use relaxation exercises: • You can use relaxation techniques regularly, or every once in a while. www. Try to pick an exercise you enjoy doing, as this will help you stick to it. If you still have pain, STOP. Your therapist is: Weighted wrist – hand turned down / hand turned up Useful contact details To reschedule an appointment: Phone: 020 3311 0333 Option 1: If your appointment is on the same day. Turn your forearms so your palms face downwards. net Opening times: The PALS telephone lines are open Monday to Thursday from 8. It is normal to feel mild pain or discomfort during this exercise initially. Exercise should not make your existing knee pain worse overall. tims. PIP Joint Blocking 1. number of sets – ask your physiotherapist for their advice on progressing your exercises. Often a physiotherapist will guide you with exercises specific for your shoulder. See how skinny and long they can make them - Make a big ball by rolling the play doh on the table with the palm of hand (do both hands) - Make a pancake by flattening the ball of play doh with one or both hands. The following booklet provides you with information on the exercises you have been advised to do by your therapist. Use your other hand to stretch the band, and then place it on the tip of your thumb (picture 2). Bend your wrist in the direction of your thumb. Return to the start position and repeat. Repeat 10 times. Email: appointments@imperial. If the exercises are done regularly, the symptoms should resolve in most cases over a period of several days. nhs. Bring your legs into the foot well. net - Telephone: 01323 435886 Ref: C-408/JT/OT/Hand exercises v3. Roll the block underneath your hand. Pain during exercise. southtees. Each exercise should be performed at least 10 times. Do the movement slowly and breathe out as you www. Your physiotherapist will assess this and guide you with a personally which of these exercises to do at your appointment. table, hand relaxed over the edge. Desensitisation. Now repeat this exercise, but this time use your other hand to push your hand upwards. Hold in this position for 5 - 10 seconds then exercises your OT has ticked below, at least for five days a week. Wrist flexion: With your wrist over the edge of the table in a neutral position, slowly lower hand and then return to the starting position. • Do not hold your breath as you exercise. The physiotherapists will be able to advise a different technique or a different exercise, which can achieve the same goal. patientinformation@nhs. Put your hand on a flat surface. With your other hand, hold your affected finger, leaving the tip joint of your finger out. Published April 2024. Try to build up your exercise level slowly and don’t make too dramatic a change in one go. g. Salute Holding involved finger with uninvolved hand, Bend fingers at large joints as far as possible, straighten finger fully, focusing on extension at keeping middle and distal joints straight, then . They may also occur through the day, particularly with activities such as writing, typing, DIY and housework. These exercises should be performed three times per day. You may want to hold onto a table or chair for support. With your arm out to the side, elbow bent and palm facing away from you, slowly move wrist back and forth. Rest your forearm on a table, with your hand relaxed over the edge. hand with your other hand just below the end joint. Relax. Department: Burns & Plastics Therapy . Do 3 times a day HAND Home Exercises ADVANCED HAND ACTIVITIES Functional activities to practice: - Turning pages in a newspaper/book. To make a specific exercise harder you can increase the number of reps or increase the . Do whatever feels right for you. • Ensure the elbow does not come away from the waist. It’s a simple yet very effective exercise. Bend your elbow and assist the movement with your other hand. Radial deviation. Squeeze the putty and curl the fingers You have been provided with these exercises to help improve your Shoulder Strength. 3) Rest your hand over the edge of a table, palm down. This information may be useful for those who have a new wrist, Hand Therapy Putty Exercises The exercises on the following pages are intended to help improve the movement and strength in your hand and wrist. Turn the hand back over so that the palm is facing downward. The exercises which are right for you are dependent on the nature of your injury/illness and what stage you are at in your treatment. De Quervains. palsh@nhs. Use a folded up towel, or a sponge (cut to size of you want). If you are struggling with these exercises please seek guidance from a qualified physiotherapist. Using your other hand to help, gently bend your thumb down towards your palm. • Lay hand flat on a table. • A passive exercise is when your joints are moved using your other hand. uhs. PALS@nhs. • You see minimal doming with the exercise • You are not holding your breath during the exercise • You are not overusing/gripping with your neck muscles • During the more difficult exercise, you can control your pelvis without arching your back Please note that these exercises are a guide and an individualised assessment NHS Trust Exercises following total hip replacement Information and advice for patients following a total hip replacement Physiotherapy Department Place one hand on the seat and one on the door frame. Like You have been provided with exercise putty by your therapist to help with your upper limb strength, range and/or co-ordination. We can make this information available in Braille, large print, audio or other languages on request. uhcw. Make a fist and lift your hand up. Double knees to chest: Pull both knees up to your chest until a Surgery and Exercises for Carpal Tunnel Syndrome Information for patients, relatives and carers Trauma & Orthopaedics For more information, please contact: The York Hospital Orthopaedic Out Patient Clinic York Tel: 01904 726537 Advance Practitioner Hand Surgery Tel: 01904 725978 Hand Physiotherapist Tel: 01904 725390 Royal Devon University Healthcare NHS Foundation Trust Balance exercises Page 3 of 5 Heel-toe ’tandem’ stand / balance Stand with a hand / finger gently resting on a e. For If you have problems following your exercises, contact the hand therapy team on . Place your affected side hand on the top of the stick as the picture shows. Your therapist will guide you The following exercises are designed to help keep the joints in your fingers, thumb and wrist from getting stiff and may also improve the strength in your muscles. Support the middle joint only enough so it does not bend. Web: www. Keep your wrist straight. Mindful walking can be performed indoors, but also works well out in nature. Exercise 4. Use your other hand to gently pull your fin-gers towards you. Let your other arm hang relaxed Ref: C-408/JT/OT/Hand exercises v3. Hold a light hand weight or can of beans. to you. Tyneside Integrated Musculoskeletal Service TIMS is a partnership between Newcastle upon Tyne Hospitals NHS Foundation Trust and Gateshead Health NHS Foundation Trust Information provided by Emma Kitching, Senior Physiotherapist Hold the band in both the hands with palms facing towards the body Stabilize the band with left hand near the waist and right hand holding the band near the right hip. Hand therapy; links; Wrist passive exercises; Wrist active exercises; Thumb active exercises; PIPJ resisted extension exercises; PIPJ Injuries; Passive finger flexion exercises; Merritt 5 7 wks; Merritt 3 5wks; Merritt 0 3wks; Mallet Info Sheet; Flexor tendon information sheet; Extensor tendon information leaflet; CAM Week 3 4; CAM Week 2 3 Continue to complete the exercises for 12 weeks even if your pain has resolved. Do _____ sessions per day. Wean off any splints or encourage only intelligent use. Repeats _____ levels. pals@nhs. MCPJ Arthroplasty. However, in general terms, if you try the exercise on both arms and it feels It’s a simple yet very effective exercise. uk Dupuytren’s contracture: post-operative advice After your hand operation, it’s important to complete the following exercises to increase movement and strength in your hand, and to reduce scarring. Follow these exercises as directed by your therapist. Warm water exercises Ensure all wounds or pin sites have healed. Put the back of one hand on the table and then turn your hands and put the back of the other hand on the table. Exercise should not make your existing elbow pain worse overall. net, ring on 0191 2138800 or visit our website at: www. T: 01642 835595 E: South Tees Hospitals NHS Foundation Trust would like your feedback. Rest your hands on the back of a chair for stability. Created by Flint Rehab (who also created the blog you’re currently reading), this hand therapy tool is clinically proven to improve hand To be able to read this PDF please click here Wrist Strengthening Exercises Mar23 (434kb) Wrist Strengthening Exercises Mar23 (434kb) The leaflets on this website are produced by Royal Berkshire NHS Foundation Trust staff for patients assessed and treated in our Trust. u www. If you have problems following your exercises, contact the hand therapy team on . Swimming Level 3 . Repeat 15 times. Massage Rub into the affected area for 3-5mins, approximately 4 times per day. Exercise should not make your existing hip pain worse overall. Hand therapy exercise videos Exercises to do at home as advised by your clinician. Level 2 Exercises 1 Level 2 Exercises for Strength & Balance A resource for care homes in NHS Forth Valley by Matthew Gallagher . Lean slightly forwards. If this is email sfh-tr. Please ensure that you only exercise as Hand Therapy. Place the foam block between two of your fingers. Before you begin moving, perform a quick check in with your body. Passive movement Put one hand on your chest. Exercises Swelling or scarring anywhere along the nerve can cause the nerve to lose its mobility. Repeat for each affected finger. a yoga mat and have a walking stick, pole or broom handle. In a slow and controlled manor, lower your thumb down %PDF-1. 30pm and Active Finger Extension Exercises . Wrist strengthening exercises . Mallet Finger. Clasp your hands together and support your forearms on a table. Same as position 1 except uncurl fingers and bend wrist towards the Start position as swimming level 1 with elbows bent, hands slightly wider than shoulder width resting on the floor . Boutonniere. Bend and straighten the end joint holding each position for 3-5 seconds. sitting exercises; flexibility exercises; balance exercises; Sit-to-stand. 23_V2 Number 2: patientsupporthubuhs. 2 Keeping your head still, move your eyes quickly from one card to the other, 27 It may be helpful to do this exercise with your back to a wall, or with someone ‘spotting’ you from behind. Carpal Tunnel Syndrome exercises and advice, Chartered Society of Physiotherapy; Looking after your joints leaflet, Versus Arthritis; These exercises are designed to mobilise your wrist and hand. • No exercise should cause sharp or excessive pain. Bend& straighten thumb tip only. press them together (see exercise 5). Relax you fingers and take your hand down. Hold each one for ___ seconds and repeat ___ times. Hand Therapy: Putty exercises www. This exercise leaflet has been designed to help improve the strength and function of then slowly take your hand to your head and then back to starting position. Hold a playing card in each hand, level with your eyes and about 18 inches apart. The exercises should be done slowly, Use your other hand to stretch the band, and then place it on the tip of your thumb (picture 2). Thumb Exercises. To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. Stretching and strengthening exercises 1 Shoulder stretch Stand and raise your shoulders. Some of these exercises can be done with the hand immersed under water of a comfortable temperature to aid relaxation. Tel: 020 8725 2453 Email: pals@stgeorges. Do the exercise as indicated in the box. Same as position 1 except uncurl fingers and bend wrist towards the EXERCISES 1(A) and 1(B) STOP THESE EXERCISES AND PROGRESS ONTO EXERCISES 2(A) and 2(B) EXERCISE 1 (A) Technique :-In a standing position (body weight should be spread 50:50 on your feet) place your hands on a chair. The effort you put into your rehabilitation is significantly related to the success of this surgery. • Bring thumb out to the side and then back in towards the index finger. Please follow advice from your clinician on the following hand exercises. Please begin . Do 3 times a day. The exercises might cause a little discomfort but should never increase your symptoms. Passive Finger Extension (PIP joint) Use your non injured hand to gently straighten the affected finger. Thera-Putty Home Exercise Program Repeat these exercises _____ times for _____ times a day and press into the putty. asht. PIPJ Replacement. Repeat the same on the other side. It’s a good idea to carry on exercising once your back pain has got better, as this can reduce the chances of it coming back. You should feel stretch in your opposite site. You should complete exercises 1 and 2 daily and complete exercises 3 and 4 every other day. Take your arm out straight in front of you at shoulder height. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. pdf [pdf] 238KB. There are many benefits of exercise and keeping active both in hospital and longer term. NHS 111 is Meet the MusicGlove: An Evidence-Based and Fun-to-Use Hand Recovery Tool. Place This leaflet offers information about exercises for patients with hand or finger injuries under the care of the St George’s Hospital hand therapy team. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Try doing your hand exercises in warm water as this can help to relax the muscles in your hands, making it easier to do the Tel: 020 8725 2453 Email: pals@stgeorges. Level 2 Exercises 2 Exercise guide To start with, try each exercise 2 or 3 times and slowly increase the repetitions as you build strength and confidence. •Place a oneinch thick piece It’s a simple yet very effective exercise. Exercises Thumb strengthening exercises. 2. When doing the exercise keep your chest open, your shoulders back and maintain your back and arms completely straight at all times. what is sore to then allow you to explore some exercise/s, is often the best formula for success. The following combination of finger and thumb exercises should be completed as indicated by your therapist. Do these exercises little and often, as directed by your therapist. Version: 001. Royal Devon University Healthcare NHS Foundation Trust Thoracic range of movement (ROM) exercises Page 4 of 7 Lying down exercises For these exercises you will need to be lying on a comfortable, flat surface e. SETS & REPS: FREQUENCY: DIP AND PIP FLEXION With your fingers straight (1), bend your middle and end finger joints while keeping your knuckles extended (2). Try these 3 times a day, 5-10 repetition of each Forearm supported on a table, hand relaxed over the edge. Relax your hand and posture during the exercises. This leaflet offers more information about exercises for patients with wrist, hand or finger injuries under the care of the St George’s Hospital hand therapy team. When should I see a healthcare professional? Hand and wrist pain often gets better with things you can do at home. newcastlegatesheadtims@nhs. • Breathe OUT as you take your arms out straight to the ceiling. These Exercises are intended to assist with Strengthening for your Shoulder through the rehabilitation process. Try to straighten the middle joint of your finger. if possible try and hold for 5 seconds at the end of the movement. The exercises should be done slowly, with controlled movement, to get the best results. Relax your wrist. Hold at the end of the range for a few seconds. 2 sets of 10 reps, which means that you perform the exercise 10 times, have a short rest and then repeat another 10 times. Finger and thumb exercises. If you are thinking of increasing your exercise level you should check with your doctor first, as they can advise you on appropriate activities. Hold _____ seconds. Stop the exercises if they increase your pain. uk If you feel the exercises are making your pain worse, reduce the number or frequency of the exercises or stop and seek advice. • Bring thumb across palm, bending both thumb joints. Hand Therapy. Start with your hand in a fist, wrist neutral / straight 2. , static exercise bike for those who you don’t have access to this equipment at home. Pacing - how to manage your pain and stay active (PDF, 44KB); Pelvic floor: A guide to the pelvic floor muscles - women (PDF, 84KB); Physiotherapy Advice After Abdominal Surgery (PDF, 194KB); Physiotherapy after Major Gynaecological Surgery (PDF, 139KB); Physiotherapy Exercises and Advice After Radial Forearm Free Flap Surgery (PDF, 462KB); Physiotherapy up the daily exercises. Resources for hand pain. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how Exercises following Carpal Tunnel surgery Physiotherapy & Occupational Therapy times a day until your hand feels ‘back to normal’. • good movement of your hand and fingers. Keep your elbow firmly into your side so your hands are held out in front of you. When you do these exercises, rest your elbow on a table if you can. ue for reiew April 202. Dupuytren's Contracture. Osteoarthritis Base of Thumb Home Exercise Programme Things to remember while performing the exercises: • Occasional discomfort or a stretching feeling may be felt while performing the exercises. Flexor Tendon Repair. net or telephone 01623 622515, extension 6927. Move into a gentle stretch only, do not push into pain. XTHUMB. Take 30 seconds rest in between each set. Return to the starting position and repeat. You can contact them on freephone 0800 032 02 02 or e-mail northoftynepals@nhct. Complete each exercise slowly and in a controlled manner, you should take your time and not rush. Exercise should not make your existing shoulder pain worse overall. Number of times to repeat: Number of times to perform each day: Pendulum exercise Stand leaning on a table with one hand. pdf Original uploader of hand image was Kenny sh at English Wikipedia. Reach your arm forwards as you hover the elbow and hand off the floor . For example, in a couple of days you might repeat each exercise 5 times, working up to 10 repetitions in a couple of week’s time. Contact the Physio department if you find the exercises are making your pain worse overall. Blocked extension exercises With your other hand and thumb stop the bottom joint (knuckles) of your finger at 90 degrees. • the palm • Use opposite hand to 2) Rest the side of your hand on a table. If you are wearing a splint; please ensure you keep it in situ day and night, only removing as advised by your practitioner for exercises. • Put the other just below your ribcage resting on your tummy. 5. Hand Exercises. It explains what BPPV is, what the Brandt-Daroff exercise Quickly lie down on your right-hand side. Do this for up to five minutes. Exercises during beneficial:cramps During an episode of leg cramp, Tel: 020 8725 2453 Email: pals@stgeorges. • Bring the stick up to your chest. mild discomfort when exercising, however please stop if you begin to feel unwell, lightheaded or if you start experiencing pain. 56206. Your therapist will tick the exercises that are suitable for your injury and aid the return of movement. Make a fist with your hand and face it towards the ceiling. You could try a different exercise instead. THUMB FLEXION. 359 2 try doing some ‘breathing control’ exercises. Learn about osteoarthritis of the hand and wrist, its causes and effects, and how to manage it with exercises, splints, and joint protection. Begin with the palm up, supporting your involved hand with your other hand just 4) Thumb flexion Holding the ball of putty in your fist and gently press your thumb into the putty. Patient information Site of Pain . Your therapist Hand exercises for inflammatory arthritis. Therapeutic putty can help you Hand strengthening exercises using exercise putty: information for children and young people. , CC BY-SA 3.