Care recipient (cr) is having trouble maintaining his her shoulder mpotion to turn over in bed due to moderate paralysis

Try: Suggest that cr try doing the following exercise every day lie on back on a firm bed interlace fingers with hands resting on stomach slowly raise hands directly over chest straightening elbows slowly move hands to one side and then the other when all repetitions have been completed bend elbows and return hands to resting position on stomach note if shoulder pain occurs move only to the point where it begins to hurt if the pain continues don’t do this exercise

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Shoulder range of motion gross motor coordination exercise turning over

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has stiffness in his her pelvis hip and knee and is having trouble rolling over and moving in bed due to mild paralysis

Try: Suggest that cr try doing the following exercise every day lie on back on a firm bed keep interlaced fingers resting on stomach bend knees and put feet flat on the bed holding knees tightly together slowly move them as far to the right as possible return to center slowly move knees as far as possible to the left still keeping them together return to center you may provide assistance or verbal cues to help cr keep his her knees together during this exercise

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Pelvis hip knee stiffness stiff knee stff hip stiff pelvis gross motor coordination

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble moving his her hip s and knee s when moving toward the edge of the bed before coming to a sitting position due to moderate paralysis

Try: Suggest that cr try doing the following exercise every day lie on unaffected side with legs together bend and move the affected knee as far as possible toward your chest cr may need your assistance to support the leg he she is exercising return to starting position

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Hip knee gross motor coordination stiff hip stiff knee sitting up in bed getting out of bed moving in bed

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has weak elbow muscles and has a hard time getting up from a lying position due to recovery from moderate paralysis

Try: Suggest that cr try doing the following exercise every day sitting on a firm mattress or sofa put the affected forearm flat on the surface with palm facing down if possible cr may want to place a firm pillow under his her elbow slowly lean weight onto the bent elbow if needed help cr maintain his her balance push hand down against the support surface straightening the elbow and sitting more upright you may need to help cr to prevent sudden elbow collapse slowly allow elbow to bend returning forearm to the support surface work back and forth between the two extremes completely bent or completely straight in a slow rhythmical manner note this exercise should not be performed if cr’s shoulder is not yet stable and or will not support cr’s upper body weight consult cr’s doctor and or physical therapist before suggesting cr try this exercise

Materials: Firm pillow

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Elbow gross motor coordination arm muscles exercise moderate paralysis sitting up

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) needs to reduce the stiffness in his her lower body so he she can walk better

Try: Suggest that cr try doing the following exercise every day sit on a firm straight chair with both feet flat on the floor if necessary a firm mattress sofa or wheelchair may be used interlace fingers bend forward and reach with hands toward the outside of right foot rotating the trunk move hands upward in a diagonal direction toward left shoulder keeping elbows as straight as possible repeat the motions moving hands from left foot to right shoulder note only suggest cr try this exercise if he she has good balance and can sit fairly independently if balance is impaired you may want to stand in fron of cr guiding his her arms through the motions

Materials: Firm straight chair

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Stiffness lower body lower extremeties difficulty walking gross motor coordination poor balance

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) needs to improve his her balance weight shifting and control so he she can walk better

Try: Suggest that cr try the following exercise every day the starting position is on hands and knees weight should be evenly distributed on both arms and both legs rock in a diagonal direction back toward the right heel as far as possible then as far forward toward the left hand as possible repeat motion several times slowly rocking as far as possible in each direction return to center rock in a diagonal direction toward the right hand move as far back as possible in each direction slowly note for safety an assistant may be nearby to prevent loss of balance

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Balance weight shifting weight shift walking body motion control leg motion control lower extremety stroke rehabilitation exercise exercises gross motor coordination motion

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) needs to improve his her ability to shift his her weight and improve his her knee control so that he she can walk better

Try: Suggest that cr try doing the following exercise every day stand with the unaffected side next to a countertop or other firm surface rest the unaffected arm on the surface for support lift the unaffected foot from the floor and stand on the affected leg slowly bend and straighten the leg that is being stood on through a small range of motion try to move smoothly not allowing the knee to buckle when bending or to snap back when straightening repeat the knee bending and straightening several times slowly

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Balance weight shifting weight shift walking knee knee control body motion control leg motion control lower extremety stroke rehabilitation exercise exercises gross motor coordination motion

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble shifting his her weight to stand and walk and needs help strengthening his her hip and pelvis muscles

Try: Suggest that cr try doing the following exercise every day stand facing a countertop or other firm surface for support shift body weight onto the right leg and lift the knee straight return to center with both feet on the floor shift body weight onto the left leg and lift the right leg out to the side keeping the back and knee straight repeat several times alternating lifts

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Balance hip pelvis pelvis muscle weight shifting weight shift walking knee knee control body motion control leg motion control lower extremety stroke rehabilitation exercise exercises gross motor coordination motion

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is starting an exercise rehabilitation program to help him her recover from moderate paralysis

Try: Obtain an exercise book or internet material that has illustrations and step-by-step instructions for an exercise program suitable for cr’s medical condition cr’s doctor may give him her this material too suggest that cr begin with exercises done lying on his her back and then move on to those performed lying on his her unaffected side then sitting and then standing make sure that the surface on which cr lies is firm and provides good support suggest that cr take his her when he she exercises avoid rushing the movements or straining to complete them you may not need to assist cr in the exercises but you should be nearby during the exercise session if cr has difficulty reading or remembering the sequence of movements you can hold the illustration up to where it can be seen or repeat the instructions one by one you can also offer physical assistance and encouragement when needed

Materials: Exercise book specific to cr’s condition

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Moderate paralysis exercise rehabilitation gross motor coordination body movement muscle paralysis walking

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has poor shoulder motion and is having some shoulder pain and needs help improving his her shoulder motion movement

Try: Suggest that cr try doing the following exercise every day lie on back on a firm bed interlace fingers with hands resting on stomach slowly raise arms to shoulder level keeping elbows straight return hands to resting position on stomach note if pain occurs it may be reduced by working within the range of motion that is relatively pain-free then going up to the point where pain is felt the arm should not be forced if pain is excessive but effort should be made to daily increase the range of pain-free motion

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Shoulder range of motion gross motor coordination exercise

*This information is listed as a Tip and is not explicitly medically licensed