Range of Motion
by Therapy Skill Builders 1987

Passive range of motion exercises are done to preserve flexibility and mobility of the joints on which they are performed. It is important to perform these exercises to prevent deformities. All the exercises should be done several times a day. A good time to do them is after the baby's bath or at each diaper change. Your physical therapist will tell you how many times to do each one. These exercises should be done slowly and steadily. Never force a joint. Damage to the joint space can occur if to much force is applied. Joint range of motion is done on one joint at a time. Stabilize withone hand just above the joint and place your other hand below the joint to move the part through its full range of motion.

The exercises should be done only under the direction of a physical therapist.






SHOULER FLEXION
Starting Positon
Place child lying on back.

Hand Placement Stabilize with one hand at the shoulder so that it doesn't come up. Hold wrist with the other hand.


Motion

Bend the arm up so hand is over the head, thumb leading. Keep the elbow straight. (see figure 2)



Starting position
Lay child on back, arm away from body.

Hand Placement
Stabilize with one hand at the shoulder. Hold the wrist with the other hand.

Movement
Bend the arm across the body toward the other arm





SHOULDER ROTATION

Starting Position
Lay child on back, elbow bent and arm straight out to the side.

Hand Placement
Hold arm straight out to the side. Hold the forearm with the other hand.

Movement
Roll the forearm up, then roll forearm down




SHOULDER ABDUCTION
The picture above
Starting Position
Place child lying on back.

Head Placement
Stabilize with one hand at the shoulder so it doesn't come up. Hold forearm with the other hand.

Motion
Bend the arm sideways away from the body; bring the arm straight out the side.




ELBOW FLEXION AND EXTENSION
Starting Position
Lay child on back, elbow straight, arm away from body.

Hand Placement
Stabilize the elbow, hold wrist the other hand.

Motion
Bend the elbow gently, then straighten the elbow.




WRIST FLEXION AND EXTENSION
Starting Position
Place child lying on back.

Hand Placement
Stabilze the forearm with one hand. Hold child's hand with your other.

Movement
Bend the wrist forward and back.




Starting Position Place child laying on back.

Hand Placement
Stabilize the forearm with one hand. Hold the child's hand with your other hand.

Movement
Bend the wrist from side to side.




FINGER FLEXION AND EXTENSION
Starting Position
Optional

Hand Placement
Stabilize the forearm and wrist with one hand. Hold the child's fingers with your other hand.

Movement
Bend the fingers, then straighten the figures.




FINGER ABDUCTION AND ADDUCTION
Starting Position
Hold the child's hand and wrist open and straight.

Hand Placement
Hold the fingers straight.

Movement
Spread the fingers apart gently, bring them back together.




MP FLEXION AND IP EXTENSION (knuckle bent, fingers straight)
Starting Position
Option

Hand Placement
Stabilize the child's wrist with one hand. Hold the fingers with your other hand.

Motion
Bend the knuckle while keeping figures straight.




THUMB OPPOSITION
Starting Position
Hold the child's hand open with palm up.

Hand Placement
Stabilize with one hand at the base of the little finger. Hold the end of the thumb with your other hand.

Movement
Bend the thumb up and over toward the base of the little finger




THUMB EXTENSION
Starting Position
Hold hand open with palm up.

Hand Placement
Stabilize with one hand in the palm of the child's hand. Hold the end of the thumb with your othe hand.

Movement
Straighten the thumb upward, away from the palm. <>