Keiser University

PHT 1227C Therapeutic Exercise I

UE Strengthening Lab Handout

Manual Resistance Techniques in Anatomical Planes of Motion/Diagonals:

Break for Lab with lecture UE Manual Resistance Exercises

Remember to use good body mechanics and support the patient to prevent injury to the
patient and yourself. Any and all equipment must be used correctly and safely. The
environment must be clean for infection control. Always make sure you have identified
your patient through name identification, and be knowledgeable on emergency
procedures-if an emergency arises, take appropriate action. Make sure the clinical
environment is safe

Be timely, accurate, concise, logical, and legible in your documentation. You notes should
reflect the appropriate information of the days activities/responses and be designed towards the
POC established by the physical therapist. Use the appropriate format required by state laws, the
facility, and understands the importance for reimbursement.

Work within the correct role as a PTA under the standards of practice and ethics. Be respectful
to cultural differences among patients, healthcare providers, classmates, instructors, and other
staff members. You must exhibit good conduct to meet the expectations of the patient,
healthcare provider, and those providing healthcare by being safe, ethical, legal and
knowledgeable.

Communication is both verbal and nonverbal. You will be communicating with the therapist,
patient/caregiver, health care personnel, and other staff members/patients.
Use effective language for the appropriate situation. Be clear, concise, and use appropriate
tone/voice/speed. Body language plays a major role in your delivery.

Identify the activities and proper positioning to the patient/caregiver to avoid painful positions,
altered sensation, or areas that can be harmful to the skin i.e.: skin trauma

Demonstrate/communicate with patient/caregiver

AVOID VALSALVA MANEUVER (pg. 200-207)

Upper Extremity Manual Resistance: (Progression of exercises to be discussed and performed

with both closed and open chain activities, along with equipment utilization)

Shoulder:
Flexion/Extension/Hyperextension
Abduction/Adduction
External/Internal Rotation
Horizontal Abduction/Adduction
Scapula:
Elevation/Depression
Protraction/Retraction

Elbow:
Flexion/Extension

Forearm:
Pronation/Supination

Wrist:
Flexion/Extension
Radial/Ulnar Deviation

Motions of the Fingers and Thumb:

PIP/MCP/DIP
Opposition

Upper Extremity Diagonal Patterns: (See pg. 209-212)

D1 Flex/ D1 Extension
D2 Flexion/D2 Extension

*** EXTRA..IF TIME PERMITS: REVIEW MANUAL RESISTANCE TECHNIQUES

(as above) TO THE LES***
Combined hip and knee flexion:
Hip Flexion with knee Flexion

Hip:
Extension/Hyperextension
Abduction/Adduction
External/Internal Rotation

Knee:
Flexion/Extension

Ankle:
Dorsiflexion/Plantar flexion
Eversion/Inversion

Toes:
Flexion/Extension

Lower Extremity Diagonal Patterns: (See pg. 212-214)

D1 Flex/ D1 Extension
D2 Flexion/D2 Extension