Page 1 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 1 FLEXION: ROM (Supine / Sitting)

Position (A) Patient: Place arm against side of trunk. Helper: Hold elbow to stabilize. Motion (B) - Lift hand toward shoulder, palm up. - Keep wrist straight. Repeat times. Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

ELBOW - 2 FLEXION: ROM (Side-Lying)

Position (A) Patient: Lie with side up. Helper: Stabilize arm against trunk. Support hand under wrist. May place one knee on bed.

Motion (B) - Bend elbow, bringing

hand toward shoulder.

Repeat times. Repeat with other arm.

Do sessions per day. Variation:

Patient is passive.

Page 2 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 3 Flexion: Facilitated (Sitting)Position (A) Helper: Cup hand under elbow. Hold wrist with palm up. Motion (B) - Helper bends elbow past 90°

and cues patient to maintain position.

- Helper lets go of wrist and places hand underneath to guard.

Hold seconds. Repeat sequence times.

Repeat with other arm. Do sessions per day. Variation: Cue patient to touch shoulder.

ELBOW - 4 Flexion: Isometric (Supine / Sitting)Position Patient: Hold arm against side of trunk with elbow bent, palm up. Helper: Stabilize elbow. Place other hand on top of forearm. Motion - Cue patient to bend elbow, pressing into helper's hand. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: perform with: arm in thumb up position. palm facing down. elbow bent to °.

Page 3 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 5 Extension: ROM (Sitting)Position Helper: Place one hand under elbow to stabilize. Motion - Straighten elbow fully. - Helper assists by using

gentle downward pull.

CAUTION: Do not force elbow joint. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

ELBOW - 6 Extension: ROM With Shoulder Flexed (Sitting)Position (A) Patient: Hold arm up at shoulder level, elbow bent. Helper: Support arm at elbow and wrist. Motion (B) - Straighten elbow slowly

and gently.

Repeat times. Repeat with other arm.

Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14)

Patient is passive.

Page 4 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 7 Extension: Stretch – Forearm Extensors (Sitting)Position Helper: Support

arm at elbow. Motion - Helper bends wrist down

gently and folds fingers into fist.

- Then straighten elbow fully. CAUTION: Do not force movement if painful. Hold seconds. Repeat

times. Repeat with other arm. Do sessions per day. Variation: Bend wrist down and in direction of little finger during motion.

ELBOW - 8 Extension: Facilitated (Supine)Position Helper: Lift arm toward ceiling. Hold wrist with thumb facing patient. Motion - Helper straightens elbow

partially and cues patient to maintain position.(A)

- Helper lets go of wrist and places hand underneath to guard.(B)

Hold seconds. Repeat sequence times.

Repeat with other arm. Do sessions per day. Variation: Cue patient to straighten elbow after helper lets go.

Page 5 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 9 Extension: Facilitated (Sitting)

Position (A) Helper: Support under elbow. Place other hand under palm. Motion (B) - Cue patient to straighten

elbow by pushing forward. - Helper occasionally applies quick

backward pressure and assists as needed to fully straighten elbow.

Repeat sequence times. Repeat with other arm.

Do sessions per day. Variation: Cue patient to push:

out to side across to other side downward toward opposite knee

ELBOW - 10 Extension: Isometric (Sitting)Position Patient: Bend elbow, arm against side of trunk. Helper: Stabilize at elbow. Place other hand under forearm. Motion - Cue patient to straighten

elbow. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Perform with elbow bent to °.

Page 6 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 11 Extension: Isometric With Shoulder Flexed (Sitting)Position Patient: Lift arm level with shoulder. Bend elbow slightly. Helper: Stabilize upper arm.Other hand grasps forearm. Motion - Cue patient to straighten elbow. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Perform with elbow bent to °.

ELBOW - 12 Pronation: ROM (Sitting)

Position (A) Helper: Bend elbow to 90°. Hold arm at side with thumb up. Motion (B) - Turn forearm so palm faces down. Hold seconds. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

Page 7 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 13 Pronation: Resisted (Sitting)Position Patient: Bend elbow to 90°. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. Motion - Cue patient to turn forearm

so palm faces down. - Helper resists throughout

motion with hand on palm side of forearm.

- Elbow remains in place.

Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day.

ELBOW - 14 Supination: ROM (Sitting)Position (A) Helper: Bend

elbow to 90°. Hold leftarm at side with thumb up. Motion (B) - Turn forearm so palm

faces up. CAUTION: Do not push into elbow joint. Hold seconds. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

Page 8 of 8Copyright © 1999-2010, VHI

Routine For: Created By: OT Elbow - Assisted

ELBOW - 15 Supination: Resisted (Sitting)Position Patient: Bend elbow to 90°. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. Motion - Cue patient to turn

forearm so palm faces up. - Helper resists throughout

motion with hand on forearm.

- Elbow remains in place.

Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day.

Page 1 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT Elbow - Assisted

ELBOW - 1 FLEXION: ROM (Supine / Sitting)

Position (A) Patient: Place arm against side of trunk. Helper: Hold elbow to stabilize. Motion (B) - Lift hand toward shoulder, palm up. - Keep wrist straight. Repeat times. Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

ELBOW - 2 FLEXION: ROM (Side-Lying)

Position (A) Patient: Lie with side up. Helper: Stabilize arm against trunk. Support hand under wrist. May place one knee on bed.

Motion (B) - Bend elbow, bringing

hand toward shoulder.

Repeat times. Repeat with other arm.

Do sessions per day. Variation:

Patient is passive.

ELBOW - 3 Flexion: Facilitated (Sitting)Position (A) Helper: Cup hand under elbow. Hold wrist with palm up. Motion (B) - Helper bends elbow past 90°

and cues patient to maintain position.

- Helper lets go of wrist and places hand underneath to guard.

Hold seconds. Repeat sequence times.

Repeat with other arm. Do sessions per day. Variation: Cue patient to touch shoulder.

ELBOW - 4 Flexion: Isometric (Supine / Sitting)Position Patient: Hold arm against side of trunk with elbow bent, palm up. Helper: Stabilize elbow. Place other hand on top of forearm. Motion - Cue patient to bend elbow, pressing into helper's hand. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: perform with: arm in thumb up position. palm facing down. elbow bent to °.

ELBOW - 5 Extension: ROM (Sitting)Position Helper: Place one hand under elbow to stabilize. Motion - Straighten elbow fully. - Helper assists by using

gentle downward pull.

CAUTION: Do not force elbow joint. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

ELBOW - 6 Extension: ROM With Shoulder Flexed (Sitting)Position (A) Patient: Hold arm up at shoulder level, elbow bent. Helper: Support arm at elbow and wrist. Motion (B) - Straighten elbow slowly

and gently.

Repeat times. Repeat with other arm.

Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14)

Patient is passive.

ELBOW - 7 Extension: Stretch – Forearm Extensors (Sitting)Position Helper: Support

arm at elbow. Motion - Helper bends wrist down

gently and folds fingers into fist.

- Then straighten elbow fully. CAUTION: Do not force movement if painful. Hold seconds. Repeat

times. Repeat with other arm. Do sessions per day. Variation: Bend wrist down and in direction of little finger during motion.

ELBOW - 8 Extension: Facilitated (Supine)Position Helper: Lift arm toward ceiling. Hold wrist with thumb facing patient. Motion - Helper straightens elbow

partially and cues patient to maintain position.(A)

- Helper lets go of wrist and places hand underneath to guard.(B)

Hold seconds. Repeat sequence times.

Repeat with other arm. Do sessions per day. Variation: Cue patient to straighten elbow after helper lets go.

ELBOW - 9 Extension: Facilitated (Sitting)

Position (A) Helper: Support under elbow. Place other hand under palm. Motion (B) - Cue patient to straighten

elbow by pushing forward. - Helper occasionally applies quick

backward pressure and assists as needed to fully straighten elbow.

Repeat sequence times. Repeat with other arm.

Do sessions per day. Variation: Cue patient to push:

out to side across to other side downward toward opposite knee

ELBOW - 10 Extension: Isometric (Sitting)Position Patient: Bend elbow, arm against side of trunk. Helper: Stabilize at elbow. Place other hand under forearm. Motion - Cue patient to straighten

elbow. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Perform with elbow bent to °.

ELBOW - 11 Extension: Isometric With Shoulder Flexed (Sitting)Position Patient: Lift arm level with shoulder. Bend elbow slightly. Helper: Stabilize upper arm.Other hand grasps forearm. Motion - Cue patient to straighten elbow. - Helper blocks movement

at forearm. Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Perform with elbow bent to °.

ELBOW - 12 Pronation: ROM (Sitting)

Position (A) Helper: Bend elbow to 90°. Hold arm at side with thumb up. Motion (B) - Turn forearm so palm faces down. Hold seconds. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

Page 2 of 2Copyright © 1999-2010, VHI

CHART COPY

Routine For: Created By: OT Elbow - Assisted

COMMENTS: Patient Name/Number: Clinician Name/Signature: Date:

ELBOW - 13 Pronation: Resisted (Sitting)Position Patient: Bend elbow to 90°. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. Motion - Cue patient to turn forearm

so palm faces down. - Helper resists throughout

motion with hand on palm side of forearm.

- Elbow remains in place.

Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day.

ELBOW - 14 Supination: ROM (Sitting)Position (A) Helper: Bend

elbow to 90°. Hold arm at side with thumb up. Motion (B) - Turn forearm so palm

faces up. CAUTION: Do not push into elbow joint. Hold seconds. Repeat times.

Repeat with other arm. Do sessions per day. Variation: Contract method: Resist seconds. (see card G.G.-14) Patient is passive.

ELBOW - 15 Supination: Resisted (Sitting)Position Patient: Bend elbow to 90°. Hold arm firmly at side, thumb up. Helper: Place hand on upper arm to stabilize. Motion - Cue patient to turn

forearm so palm faces up. - Helper resists throughout

motion with hand on forearm.

- Elbow remains in place.

Hold seconds. Relax. Repeat times.

Repeat with other arm. Do sessions per day.