Task Category: Knowledge

1. Secure bench or wheelchair in place perpendicular to the band or cable load.
2. Make sure starting position allows proper arm angles and maintains load throughout movement.  Note: If you are too close to the band anchor point the resistance may slacken off when attempting to execute the movement.
3. Use handle attachment for cable or dog loop for the band.  Make sure the band is properly anchored.  Make sure that the load is safely transferred to client.  This should be done by having the client grab the weight themselves and bring it to the starting position.
4. While engaging the core and maintaining upright spine and head posture/alignment have the client straighten the hands directly in front of them.  Hands overlapped and secured on the handle/dog loop and elbows full extended.
5. Without losing perpendicular loaded position and upright posture the client will flex at the elbows and bring the load towards their chest and then extend back outwards fully.  This should be done in a slow and controlled fashion.  Their inner core should remain engaged throughout the exercise while still remembering to breath.

1. Position the wheelchair/chair at appropriate distance.  Secure wheelchair by locking brakes.
2. Remove arm rests +/- foot pedals if preferred.  Do not remove arm rests and foot pedals without a spotter for clients will limited trunk and lower limb control.
3. Carefully hand off lat bar to client.
4. Grasp the handle with a pronated grip (double overhand).  Secure grip if grasping issues (e.g. active hands).
5. Slightly lean back.
6. Initiate the movement by depressing the shoulder blade and then flexing the elbow while extending the shoulder.
7. Pull the handle towards your body until the elbows are in line with your torso and then slowly lower the handle back to the starting position under control.  Engage core throughout movement.

1. Position wheelchair/chair at a distance a little farther away than client’s full elbow extension while holding cable handles/v bar.
2. Secure the wheelchair by locking brakes.  Have the client sit upright at the front of the wheel chair.  Remove arm rests +/- foot pedals if preferred.  Do not remove arm rests or foot pedals without a spotter if poor trunk or lower limb control.
3. While engaging the core and maintaining upright spine and head posture/alignment have the client pull the load towards their abdomen.  Shoulder should be back.  Chest up.
4. Return under control.  This should be done in a slow and controlled fashion.  Their inner core should remain engaged throughout the exercise while still remembering to breath.

Make sure wheelchair/chair is secure.  Extend a fully extended arm overhead and then lean to the opposite side.  Make sure not to tip the chair.  Stretch should be felt in the lat and upper trunk.  Don’t twist.  Remaining in frontal plane.  Alternate sides, each time improving range of motion.  Pain free.

While seated in a secure wheelchair/chair reach a fully extended arm overhead and then lean to the opposite side.  Intensify the stretch by reaching further away from the body and/or grabbing an anchor (e.g. rig/rack) and leaning away.  Be careful not to tip the chair.

While standing or seated grip the dowel (or stretching strap) widely.  Slowly extend arms overhead with elbows extended.  Engage your core so that your rib cage does not rise up and maintain a neutral pelvis.  The stretch should be within the anterior chest.  There should be NO pain in the back of the shoulder joint.  Clients with suspected should instability SHOULD NOT partake in this exercise.

Seated upright with slight backwards lean while still maintaining balance.  Engage intrinsic core muscles.  While holding medicine ball in hands slowly rotate from site to side while maintaining core contraction.  Move hands farther away from the body to increase intensity.  There should be no lower back pain.

Seated upright.  Carefully place DB overhead.  Use help of trainer if available.  Secure DB by holding DB handle tightly within overlapping hands.  Start with elbows flexed.  Initiate movement by engaging the triceps as you extend the elbows.  Remain upright.  Careful not to allow the DB to contact the head.  Control the movement back down to the starting position.  Spot at the wrists of the client.