Home Exercise

Select	Name	Description	Delete
	3 squat variation	exercise w/ use of 2WW/4WW/parallel bar. 1 set 10 reps of squat w/ cross reach , squat w/ knee ups, squat w/ forward and backward stepping.
	Ball roll	variation w/ use of LE for foward and backward, lateral move, rolling, crossing midline and alternating taps.
	BLE exercises	w/ looped tband and 1 set 10 reps of squats, hip abduction, hip extension, and standing/sitting calf raises to increase balance and stability for fxnl tasks. Visual demo and verbal instructions provided for pt to observe and initiate. Provided CGA for safety.
	BLE flexibility	act w/ tband for 1 set 10 reps of overhead side bends, hamstring stretch, and shoulder stretches. Visual demo and verbal instructions provided for proper body mechanics.
	BUE	SNF Upper Body Exercise Program (OT-Focused) 1️⃣ Seated Shoulder Flexion / Abduction Purpose: Maintain/improve ROM, postural control, reach for ADLs Setup: Seated at edge of bed or chair Exercise: Pt raises arms forward (flexion) or sideways (abduction) to comfortable range. Therapist provides hands-on assistance or verbal cues as needed. 8–12 reps, 2–3 sets, slow controlled motion. Skilled Justification: Pt requires skilled facilitation to maintain midline and reduce compensatory trunk movement. Functional carryover: Reaching for grooming, dressing, or high shelves. 2️⃣ Scapular Retraction / Squeeze Purpose: Improve scapular stability, posture, and functional reach Setup: Seated, elbows bent at sides Exercise: Pt squeezes shoulder blades together and holds 3–5 sec. Therapist provides verbal or tactile cues. 8–10 reps, 2 sets. Functional Relevance: Reaching behind for hygiene, dressing, transfers. Skilled Justification: Skilled cues needed due to poor postural awareness and limited motor control. 3️⃣ Biceps / Elbow Flexion Purpose: Strengthen functional lifting, carrying, and grooming tasks Setup: Seated, with or without light hand weights or resistance bands Exercise: Pt bends elbows to bring hands toward shoulders. Therapist provides manual guidance or resistance as needed. 8–12 reps, 2–3 sets. Skilled Justification: Pt requires hands-on facilitation for controlled motion. Prevents compensatory shoulder shrug or trunk lean. 4️⃣ Triceps / Elbow Extension Purpose: Functional pushing, transfer, and dressing activities Setup: Seated or standing Exercise: Pt extends elbows behind body or over head. Therapist assists to ensure correct range and safe form. 8–12 reps, 2 sets. Functional Relevance: Reaching for overhead items, pushing off armrests. 5️⃣ Wrist / Hand Exercises Purpose: Maintain dexterity, grasp, and pinch strength Exercises: Wrist flexion / extension: Use light weights or no weight, 10 reps Thumb opposition: Touch each fingertip, 5–10 reps Squeeze therapy ball: 10 reps, 2–3 sets Skilled Justification: Pt requires cueing for correct positioning and coordinated movement. Functional carryover: Eating, grooming, writing, buttoning. 6️⃣ Shoulder External / Internal Rotation Purpose: Functional rotation for dressing, toileting, and grooming Setup: Seated, elbows at sides, 90° flexion Exercise: Rotate forearm outward (external) and inward (internal) slowly. Therapist provides manual guidance or cues for smooth motion. 8–10 reps, 2 sets. Skilled Justification: Pt demonstrates limited motor control or cognitive impairments, requiring therapist cueing. 7️⃣ Pulley / Overhead Reach Purpose: ROM, shoulder flexion, functional reach Setup: Overhead pulley system or towel over rod Exercise: Pt pulls pulley with one or both arms to raise hands overhead Therapist assists and monitors for safe range 8–12 reps Functional Relevance: Reaching for overhead cabinets, grooming, transfers Progression / Safety Tips Start seated and supported, progress to standing if tolerated Use light weights or bands as tolerated Emphasize slow, controlled motion and proper posture Frequent verbal, visual, or tactile cues for dementia, COPD, or cognitive impairment Monitor SOB, fatigue, and pain Denial-Proof Skilled Language Skilled OT required to facilitate safe, controlled upper body exercises due to impaired motor planning, postural instability, and cognitive deficits. Therapist supervision and cueing necessary for functional carryover during ADLs. Non-skilled repetition insufficient due to inconsistent motor responses and safety risk. Ultra-Short Note Template Skilled OT provided upper body exercises including shoulder flexion/abduction, scapular retraction, biceps/triceps, wrist/hand, and rotation, requiring hands-on facilitation and cueing to improve ROM, strength, and ADL participation.
	Core strengthening	exercises w/ tband to increase balance, stability, endurance, flexibility, ROM, and posture. Pt performs 1 set of 10 reps of diagonal pull-down and rotation, trunk rotation, crunches, and high-to-low chops. Visual demo and verbal cues provided for proper body mechanics.
	Education on	slow and controlled pace to decrease fatigue.
	Facilitation	of ROM, postural control/alignment techniques and strength.
	Facilitation in BUE exercises	for shoulder flexion/abduction, scapular retraction, biceps/triceps, wrist/hand, and rotation, requiring hands-on facilitation and cueing to improve ROM, strength, and ADL participation.
	Facilitation in ROM	and stretching exercises to increase joint flexibility and mobility to perform personal hygiene and dressing tasks.
	Facilitation in seated BLE exercises	w/ marching w/ weight shift, windmill trunk rotation stretch, single arm reach down w/ trunk rotation, shifting weight w/ kick out, hip flexion/external rotation, toe taps, and ankle inversion/eversion PROM in dorsiflexion to increase participation in LB dressing.
	Fxnl core	Eccentric and concentric abdominal control act to target core strength and trunk control for STS txf. Provided cues for posture control and balance for optimal performance.
	Fxnl core	training w/ modified sit-ups to target core strength and trunk control for STS txf. Facilitation with eccentric and concentric abdominal control w/ external cue. Tactile cues for posture control and balance for optimal performance.
	Group	Pt participated in therapeutic exercise group with 1 patient with emphasis on the following goals/objectives: increase strength, activity tolerance and body awareness to perform ADLs and improve ROM and strength to increase functional task performance.
	GROUP	Patient participated in UE ROM group and therapeutic exercise group with 1 patient with emphasis on the following goals/objectives: improve ROM and strength to increase functional task performance. strength, positioning and training in proper body mechanics. Requires visual demo and verbal instructions to perform task.
	HEP EMOM 12	MIN 1: 3 x 5 Sit to Stands MIN 2: 3 x 10 Heel Raises MIN 3: 3 x 10 jumping jacks MIN 4: 3 x 10 marches
	HIIT boxing	Pt engaged in boxing circuit including front jabs, cross punches, hooks, and upper cuts combined w/ front kicks, side taps, and hip rotation to address standing act duration, coordination, and cardiovascular conditioning. Verbal prompt for pacing, posture, and safe weight shifts. Pt demonstrated decreased consistency in movement sequencing as intensity increased. Modified task complexity to maintain safety during multi-directional movement patterns.
	HIIT cardio	Pt engaged in seated cardio circuit including alternating elbow-to-knee, seated skiers, jump rope w/ high knees, and around-the-world steps. Provided pacing strategies, modified task sequence to manage cardiopulmonary demand, and cueing to maintain safe movement patterns.
	Isometric Shoulder Exercises	w/ wall pushes, static external rotation, and scapular squeeze to build strength w/out exacerbating pain.
	Non weight Bearing Exercises	w/ pendulum swings, table slides, and wand-assisted movements to activate and strengthen shoulder muscles.
	NU STEP	act to increase biofeedback in BLE, mimic reciprocal patterns, and overall strength.
	Postural re ed	posture affects pelvic alignment and intra-abdominal pressure slouched= more pressure on the bladder proper alignment = better core
	Pt	participated in therapeutic exercise group with 1 patient with emphasis on the following goals/objectives: increase strength, activity tolerance and body awareness to perform ADLs and improve ROM and strength to increase functional task performance.
	Pt participates in TE	to increase strength to improve on ADLs.
	Resisted Strengthening Exercises	w/ Banded External Rotation, Resisted Rows, and Overhead Press with Resistance Bands to challenge shoulder muscles and improve strength and endurance.
	Seated BUE	strengthening w/ light resistance 1 set 10 reps alternating UE for shoulder flex/ext, shoulder add/abd, scapular protraction/retraction, elbow flex/ext. Visual demo and verbal instructions provided w/ vc for slow and controlled pace. No pain reported during act.
	Seated dumbbell	exercises to improve strength, flexibility, and balance for fxnl tasks. 2# 2 sets of 10 reps of biceps curls, tricep extensions, rows, lateral raises, and shoulder press. Visual demo and verbal instructions for proper body mechanics.
	Seated dumbbell exercises	to improve strength, flexibility, and balance for fxnl tasks. 2 sets of 10 reps of biceps curls, tricep extensions, rows, lateral raises, and shoulder press. Visual demo and verbal instructions for proper body mechanics.
	Seated exercises	w/ forward/back reach, lateral reach, and trunk rotation to promote BUE ROM, weight-shifting support/unsupported, and core engagement for fxnl tasks.
	Therapeutic exercises	focused on improving bilateral upper extremity strength to support independence in bathing and upper body dressing
	Weight Bearing and Functional Shoulder Exercises	w/ quadruped shoulder taps, incline push-ups, overhead reach w/ weight, and wall press w/ tennis ball to build strength and promote functional movement patterns essential for ADLs and work-related tasks.

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