Functional Home Exercises for Patients with Wrist Instability

Functional Home Exercises for Patients with Wrist Instability

Ever wondered what brushing your teeth, dressing, making a U-turn, and playing sports have in common? They all rely on a stable wrist. Wrist stability is crucial for everyday activities, supporting wrist proprioception, coordination, motor control, stability, and mobility (Wietlisbach, 2019). For patients recovering from a wrist injury or patients with wrist instability , maintaining this stability is essential, but keeping up with home exercises can be challenging without engaging tools.

In the clinic, fun tools like a disc stacker or gyroball can motivate patients during exercises. However, at home, adherence can wane without these tools.

Here are some simple wrist exercises patients can incorporate into their daily routine:

1.) Towel Wiping

  • Engage in household chores like cleaning tables or mirrors using a soft towel. This activity provides proprioceptive feedback through weight-bearing and tactile sensory input.

    2.) Wrist Stability with a Plate

    • Hold a plate with a marble on it in the palm of your hand, keeping your elbow close to your side. The goal is to keep the marble centered on the plate. For increased difficulty, add more marbles. This exercise enhances proprioception, wrist stability, and motor control.

      3.) Broom Turning and Gripping

      • Before sweeping, practice motor coordination and gripping skills. Hold the broom from the top of its handle, slightly above the floor. Release the broom, then gradually grip lower down the handle without letting it touch the floor. Repeat until reaching the end of the handle. This exercise integrates sensorimotor function into daily activities (IADLs).

        These exercises not only support rehabilitation but also encourage patients to integrate their therapy into daily tasks. By incorporating these activities into their routine, patients can improve their wrist instability and overall recovery. As always make sure this is an appropriate exercise based on the stage of rehabilitation that the patient is in.

        Wietlisbach, C. (2020). Cooper’s Fundamentals of Hand Therapy, 3rd ed. Elsevier Inc.

        Leave a Comment






        More To Read

        “Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis”

        January 10, 2021

        By Sophia Grimm Lucado, A. M., Dale, R. B., Vincent, J., & Day, J. M. (2019). Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis. Journal of hand therapy : official journal of the American Society of Hand Therapists, 32(2), 262–276.e1. https://doi.org/10.1016/j.jht.2018.01.010 The Skinny: The purpose of this study was…

        How to Get Started in Hand Therapy

        March 5, 2019

        I started OT school knowing that I wanted to do pediatrics. I set up everything to build up my resume for my first therapy job to be in pediatrics. Along the way I had a 3 month clinical rotation in hand therapy at Mayo Clinic in Scottsdale. That experience peaked my interest in hands. 13…

        Upper extremity weight-bearing tolerance

        January 24, 2021

        Barlow, S.J., Scholtz, J. & Medeiros (2020).  Wrist weight-bearing tolerance in healthy adults. Journal of Hand Therapy, xxx currently in press. The Skinny Wrist pain and instability are common occurrences and can occur with acute or chronic injuries.  This leads to significant dysfunction, including the inability to tolerate axial loading through the upper extremity. There is…

        Pediatric & Adolescent Shoulder Instability

        July 5, 2020

        Lin, K.M, James, E.W., Spitze, E. & Fabricant, P.D. (2018). Pediatric and adolescent anterior shoulder instability: Clinical management of first-time dislocators. Current opinion in pediatrics, 30, 49-56. doi: 10.1097/MOP.0000000000000566.  The Skinny: Shoulder instability for pediatric and adolescent patients is fairly common and is often complicated by a high re-dislocation rate. Shoulder instability typically occurs after…

        Envelope_1

        Sign-up to Get Updates Straight to Your Inbox!

        Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.