4 can be done “passively” in the early stages of rehabilitation or as an “active assisted” exercise in the more advanced stages.
Passively means the good arm does all the work, the operated arm puts no effort in at all. It goes along for the ride!.
Active assisted means the operated arm joins in, the amount depends on the stage you are at. As a guide, the first week you are allowed to do active assisted exercises this should be 25% of the effort to perform the movement, progressing to 50% the following week etc, until you are allowed to do exercises actively, ie without any help from the other side.
Position yourself comfortably lying on your back and place a shallow pillow under the operated shoulder.
Clasp your hands together, use your good arm to raise your operated arm above your head to the point you feel a gentle stretch, no more, certainly no sharp pain and return the arm back to your side.
Position yourself comfortably lying on your back and place a shallow pillow under your operated shoulder. Hold a stick in both hands and use your good arm to move the stick and the operated arm above your head. Return to your side. The movement should be gentle and smooth, not jerky or hurried.
Exercises 3 & 4
Exercises 3 & 4 are the same as 1 & 2 but performed in sitting or standing as illustrated. The same principles apply.
Put a soft cloth under your palm and stand facing a wall. Gently slide your hand up the wall until you feel a stretch in your shoulder and return it. You can use the hand of the good side to help.
With your elbow bent , hold your elbow and move your shoulder gently up and return. This is a passive or active assisted exercise with a short lever.
Rest your hands on a kitchen surface/high table. Gently bend at your hips keeping your back straight, flexing at the shoulder.
Make sure you move gently and have feet hip width apart so that you have a stable base.
In sitting, holding a walking stick in front of you- slowly lower your body to flex your shoulder. This is an active assisted/passive exercise.
Raise your operated arm above your head and return it to your side. This is an “active exercise”
Holding a weight in your hand raise your arm above your head and return it to your side. This is a “resistive exercise”
Standing facing a wall push your fist into the wall gently and hold for a count of 5. This is an isometric exercise.”