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Phase I: Range of Motion
Shoulder Rope and Pulley Exercise
To perform the rope and pulley exercise, the pulley should be positioned securely in
a doorway. This exercise should be initiated as instructed by your therapist with the
patient sitting in a stable chair facing the door. Position yourself as close as possible
to the door such that your knees are almost touching the door. Hold one handle in
each hand. The elbows should be slightly bent (approximately 45 degrees) to start
and hands positioned such that your palms are facing one another and thumbs are
pointing directly toward the ceiling; this hand position should be held for the entire
exercise. Your arms should be at approx. 30-45 degrees to each side so that together
(when viewed from above) your arms would form a "V" shape. Gently pull down using
the uninvolved arm to assist the elevation of the involved arm as high as possible
without causing undue pain. This position should be held for 3-5 seconds. After this
pause, the uninvolved arm should then lower the involved arm in a controlled manner
to a comfortable resting position at your side. Repeat this cycle for the designated
time below.
• As the exercise becomes easier and shoulder range of motion improves,
position the chair such that your back is to the door and the pulley is
directly overhead.
** Take special note to avoid shrugging your shoulders throughout the range of motion and avoid
leaning back, trying to keep an upright posture as much as possible **
o Perform _____ minutes ____times per day
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