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Wrist/Forearm Strengthening

Occupational Therapy Intervention : Wrist/Forearm Strengthening

Documentation and Activity Rationale

The patient engaged in a wrist AROM against resistance provided by a 2lb weighted ball. The exercise sequence elicited wrist flexion/extension in order to increase extrinsic forearm musculature. The patient was instructed to perform each movement slowly, methodically, and with complete control. No pain or discomfort verbalized by the patient, though the patient affirmed muscle fatigue at the end of the sequence. Therapeutic rest given after task.

Grading Strategies

Grading Up: 

  • include radial and ulnar deviation, circumduction, pronation and supination in the AROM sequence

Grading Down: 

  • begin with less weight
  • fewer repetitions

Appropriate Diagnoses / Deficits

  • generalized weakness
  • atrophy s/p hand and/or wrist surgery
  • CVA
  • TBI