pt aide training - exercises

Sleeper stretch

s/l with bottom arm positioned in 90/90 position, top hand pushes the bottom

arm down into shoulder IR; pt will feel the stretch in the back of their shoulder

S/l posterior capsule stretch

s/l with bottom arm pulled across the body with top arm; pt will feel

the stretch in the back of their shoulder

90/90 Pec stretch in door

pt’s arms positioned like a goal post, forearms on door frame, with

legs staggered, leaning forward into the stretch

Low pec stretch in door

pt’s arms down by their sides, palms on door frame, with legs

staggered, leaning forward into the stretch

Tricep Stretch

arm overhead with the elbow bent behind the head, using opposite arm to pull

the elbow toward the middle of the body

Shoulder Flexion AAROM w/ dowel:

can be performed in supine or standing. Both hands are on

the dowel, with the pt lifting the arms overhead

Shoulder Abduction AAROM w/ dowel:

pt standing with their injured arm side’s hand on the end of a dowel with the uninjured arm side’s hand in the middle of the dowel, pt to push with their uninjured side to lift the injured side into abduction

Shoulder 3 way:

flexion, scaption, & abduction (performed with a band or dumbbell)

abduction —> arms to the side, 90 degrees between the body and shoulder

flexion —> lift up forward to the sky

scaption —> 30-45 degree lift up

Genie:

external rotation @ ancore w/ arms stacked like a genie (top arm is working arm)

S/l ER

pt on their side with the top arm elbow bent at 90 deg with a towel roll between their elbow and side, pt’s hand to be at their belly, keeping elbow at side pt rotates the arm up into external rotation and controls the motion back down to belly

S/l Abd

pt on their side with their top elbow straight at their side, pt lifts the arm up toward their

ear keeping the arm straight

S/l Flexion

pt on their side with their top elbow straight starting at their side, pt lifts the arm

staying in the plane of the shoulder up in front of them

ER walkout

isometric external rotation hold @ ancore while stepping to the side

IR walkout

isometric internal rotation hold @ ancore while stepping to the side

SB CCW/CW circles @ wall in 90 deg flexion/abduction

pt’s arm is straight with the SB between their hand and the wall. Circling motion while pushing into the ball. The arm stays straight and at shoulder height. Can be performed facing toward the ball or to the side of the ball.

ER Serratus press w/ loop band

loop band around each wrist. Pt pushes out into the band to

create tension and then lifts both arms OH while maintaining the tension.

Supported 90/90 ER @ table:

sitting next to the table with the elbow resting slightly below

shoulder height. Pt rotates the arm into ER while keeping the elbow on the table.

90/90 ER with band/cable

pt is standing facing toward the band/cable with elbow at shoulder height in abduction. Pt then pulls the resistance into external rotation to achieve the 90/90 position.

90/90 IR with band/cable:

pt is standing facing away from the band/cable with elbow at shoulder height in abduction. Pt starts in 90/90 position, then pulls the resistance down into internal rotation.

Prone chicken wing

pt on stomach with hand behind their back. Keep the hand still and try to lift the elbow up without rotating trunk up from the table

Prone pass behind the back

pt on stomach while passing a weight back and forth between both hands behind the back. With each rep, the arm comes down off the edge of the table.

HADD

horizontal adduction w/ band: starting with band away from midline and pulling the arm

across midline at shoulder height

HABD

horizontal abduction w/ band: standing band at midline and pulling the arm away from

midline at shoulder height

Sword pull @ cable /band

resistance starts low with pt reaching across the body, then pulls up and out on a diagonal, controlling the way back down

Seatbelt @cable / band

resistance starts high with pt reaching out to the side of the body, then pulls down at a diagonal across the body, controlling on the way back up

Farmer carry

walking with weight in both hands, down at the side

Suitcase carry

walking with weight in one hand, down at the side

Uneven carry

walking with one weight at shoulder height and one weight down at the side

OH/Suitcase carry

walking with one weight overhead and one weight down at the side

Thomas Stretch

pt laying on their back with one knee in towards their chest and the other leg

hanging off the edge of the table; they should feel a stretch in the hip/thigh

Figure 4 Stretch

pt is laying in hooklying with one foot on the opposite knee, then they pull the

thigh in toward their chest

Pigeon Stretch

pt puts leg up on table with hip in external rotation, other leg stays standing on

the ground, folding forward over the leg on the table; should feel stretch in the glute

Adductor Rockbacks

pt on hands and knees with one leg out to the side, rocking forward and backward; should feel stretch in inner thigh (netural spine!) 3 or 4 of 10

Hip 90/90 switches

pt sitting on ground with both knees bent, rotating side to side until the

knees touch the ground; maintaining 90/90 positioning of the hip/knee throughout motion

Hip 90/90 + thrust

switch motion + a hip thrust up to tall kneeling while squeezing the glutes

Hip 90/90 + IR

switch motion + lifting the back leg’s foot off the ground before switching to the

other side

Hip CAR w/ FR @ wall

pt standing with FR between the wall and the inside of the outside knee, pt then lifts the inside leg up and over the FR without dropping the FR

Quadruped hip CAR w/ ½ FR

pt on hands and knees with ½ FR vertical on the ground next to their hip, pt lifts the leg up and over the ½ FR trying to get their foot to tap up by their hand.

S/l hip abduction

pt on their side with bottom leg bent, top leg straight in-line with their upper

body, lifting top leg; should feel it in their side glute

S/l hip adduction

pt on their side with bottom leg straight, top leg is bent and out of the way, lift the bottom leg off the table; should feel it in their inner thigh

Standing abduction w/ superband

standing with superband around their outside ankle, pt to lift

their leg out to the side without shifting their upper body (can also be performed with ancore)

Standing adduction w/ superband

standing with superband around their inside ankle, leg starts out to the side, pt to pull their leg in toward midline, squeezing the inner thigh without shifting their upper body (can also be performed with ancore)

Prone hip extension

laying on stomach, legs straight, lifting one leg at a time; squeezing the

glut and trying not to arch the back (can also be performed on SB, BOSU, or at EOB

Side steps

band around knees/ankles/toes, stepping sideways with feet apart and toes pointed straightforward; cuing pt to keep tension in the band the whole time / don’t turn toes out / don’t tilt their trunk

Duck walks

pt is standing upright with band around knees/ankles, stepping forward with knees staying straight; will look like a waddle; cue pt to avoid tilting at their trunk

Monster walks

pt is standing in a squat with band around knees/ankles, stepping forward

diagonally

Flamingo

Pt standing to the side of the wall with the ½ FR between them and the wall at their mid thigh. Pt picks up their inside leg and pushes thigh into the FR/wall. They should feel it in their outside leg’s glut. Cue them to not tilt their body or drop their hips.

RFESS

rear foot elevated split squat (on bench or box)

FFESS

front foot elevated split squat (on bench or box)

Lunge with toe landing

pt steps into a lunge and their front leg lands on the ball of their foot

Superband lunge:

superband is attached to the squat rack at waist height, pt faces the squat rack and backs up so there is tension in the band, they step into the lunge and push themselves back up to standing

Kickstand hip hinge with IR

pt beginning in upright kickstand position, hinging at the hip while simultaneously dropping their kickstand hip to internally rotate the standing leg

Kickstand hip hinge with IR

pt beginning in upright kickstand position, hinging at the hip while simultaneously dropping their kickstand hip to internally rotate the standing leg

Wall squat

squat motion up/down with pt’s head/shoulders/back/hips against the wall

Wall lateral step down

step down to the side w/ pt’s head/shoulders/back/hips against the wall

Wall anterior step down

step down in front w/ pt’s head/shoulders/back/hips against the wall

BOSU squat complex

pt stands with black side up and performs 10 squats, 10 squat hold w/ M/L shifts slow, 20 squat hold w/ M/L shifts fast

SB Bridge complex

pt is on their back on a mat with the SB starting at their feet, they perform 10 straight knee bridges, 10 bent knee bridges, 10 bridges while curling in and out

Tall kneel hip thrust

pt starts sitting on their heels, squeezes the gluts and comes up into tall kneeling; cue them to avoid arching through their back

Prone Quad Stretch

Quad stretch on bench

Dynamic quad stretch

Hamstring Stretch w/ strap

Seated HS curl:

pt sitting on red bench facing toward the ancore, ancore at knee height, leg

starts straight and pt pulls toward them bending their knee as far as they can

Prone HS curl

on stomach with ankle strap attachment, ancore at lowest setting, pt to pull their heel toward their butt without arch their back/hip

Seated Knee Extension

pt sitting on red bench facing away from the ancore with towel roll under thigh, ancore at lowest height, leg starts bent and they kick they knee out straight

90/90 LAQ isometric

pt sitting EOB with gait belt attached to table and around their ankle, enough tension in it for knee to stay at 90 deg when they kick into it. Nothing should move.

Quad set

pt supine or sitting with towel roll under their knee pressing downwards, cue pt to engage their quad and no other muscles; their heel SHOULD not dig into the table

Prone quad set

pt on stomach with toes on table, cue pt to squeeze their quad to lift the knee off the table, toes stay on table

SB quad set at wall

sitting on edge of chair/box with SB against the wall, one foot in the middle of the ball pushing heel into it while doing a quad set

Quad set w/ strap

long sitting with strap around foot, squeezing the quad + pulling with the

strap to achieve hyperextension; cue pt to only engage their quad

Eccentric leg press

1 leg controls the way down, 2 push back up

High plank:

pt on hands with elbows straight and toes, holding position with hips in line with their

trunk (Modified - lower from the toes to the knees)

Forearm plank

pt on forearms with elbows bent and toes, holding position with hips in line with their trunk (Modified - lower from the toes to the knees)

Side plank

pt on their side, contact with forearm and the outside of the the bottom leg, pushing

up onto the forearm and lifting the hips; shoulders/hips should be stacked (Modified - knees

together and bottom knee is on the mat)

Paloff Press

standing rotated 90 deg from the resistance, band/cable at chest level, pt starts holding the band with both hands at their chest and then pushes out until elbows are straight; cue pt to keep shoulders pointed straight ahead and to contract their core

Paloff Press w/ rotation

start with regular paloff press motion, then rotate the trunk away from the resistance. Return to square shoulder position and then bring the resistance back in toward the chest

deadbug

pt on their back in tabletop, extending opposite arm and leg out without arching their back; cue the pt to engage their core

Bird Dog

pt in quadruped, extending opposite arm and leg out while keeping the back flat and their shoulders engaged

Kneeling DF stretch

pt in ½ kneeling position and shifts weight forward keeping the front foot flat on the ground; should feel stretch in the ankle

DF stretch w/ strap on box

loop is around the ankle joint with foot up on the box, the other foot steps on the strap on the ground to create tension, pt then shifts weight forward; should feel stretching ankle

Gastroc Stretch on slant board

both feet on board with knees straight, leaning into wall

Soleus Stretch on slant board

both feet on board with knees bent, leaning into wall

3D calf stretch

pt has one foot on the blue wedge and shifts weight forward, diagonally outward, and diagonally across the body; should feel stretch in calf muscles

Kneeling PF stretch

pt starts in quadruped and shifts weight back on to heels like a childs pose,

toes are flat on the ground, not tucked under

Kneeling Great toe extension stretch

pt starts in quadruped without shoes and shifts weight back on to heels with their toes tucked underneath

Great toe extension wall stretch

big toe is propped on the wall with pt leaning into it to stretch the toe/bottom of their foot

Ankle 4 way with band

theraband is around the ball of the foot and pt goes into plantarflexion, dorsiflexion, inversion, and eversion against resistance

FFE (front foot extension) SL (single leg) HR (heel raise)

one foot is elevated on a box with the heel floating (for balance), then the pt

performs a heel raise with the foot on the ground, the knee remains straight

FFE SL SR (soleus raise (heel raise with knee bent, raise entire body)

one foot is elevated on a box with the heel floating (for balance), then the pt performs a heel raise with the foot on the ground, the knee remains bent; be sure their whole body is moving and not just their ankle

Short foot

TB (theraband) under the big toe to keep foot flat with an exercise (could be SLS, RDL, etc)

Romberg

feet together (narrow stance)

Modified Tandem

staggered stance with feet together

Tandem

one foot in front of the other (heel to toe)

SLS

standing on one foot

Floating heel SLS

heel floating off the edge of a step

Floating arch SLS

2 ax with the arch in between unsupported

Weight Transfer

pt passes a DB side to side between hands while balancing

Around the world

pt passes a DB circling around their body while balancing