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Hand Therapy Active Wrist exercises

Patient information A-Z

Who is the leaflet for? What is its aim?

This patient leaflet is for patients who have injured their wrist. The aim of the leaflet is to provide information on recovery and exercises.

Following an injury to your wrist you may experience some swelling and stiffness. This is very normal and over time these should improve. When a wrist is injured sometimes soft tissue (tendons, ligaments and muscle) can also be involved. This can make recovery slower. Also swelling (oedema) can restrict movement of a joint, making the wrist stiff.

The following exercises will help to reduce stiffness and increase wrist movement. When completing the following exercises you may experience tightness or pulling sensation, this is normal. If you experience a sharp pain, reduce the intensity of the exercises or stop for a couple of days to allow the pain to stop.

Begin with your hand in a comfortable position. Complete the exercises slowly, within a comfortable range.

Exercises

Wrist flexion

Exercise of wrist being bent forwards.
Bend your wrist forward
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Wrist extension

Exercise of wrist being bent backward
Bend your wrist backward
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Radial deviation

Hand on a flat surface, bending wrist in the direction of your thumb.
Put your hand on a flat surface. Bend your wrist in the direction of your thumb
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Ulnar deviation

Hand on a flat surface, bending the wrist in the direction of your little finger.
Put your hand on a flat surface. Bend your wrist in the direction of your little finger.
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Supination

A person sat down with elbow tucked into the side of the body and and palm facing inwards (left) and with wrist turned up so that the palm faces up towards the ceiling (right)
Ensuring that your elbow is tucked into the side of your body, turn your wrist so that your palm faces up towards the ceiling.
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Pronation

A person sat down with elbow tucked into the side of body and palm of hand facing inwards (right) and with wrist turned so that palm faces down towards the floor.
Ensuring that your elbow is tucked into the side of your body, turn your wrist so that the palm faces down towards the floor.
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Active wrist tenodesis

Fingers and thumb relaxed, gently bending wrist forward, fingers naturally straighten. Stretched to a comfortable point. Fingers relaxed at all times, wrist gently straightened extend backwards, wrist brought backwards fingers naturally curl into palm.
Begin with the fingers and thumb relaxed. Gently bend your wrist forward, as you do this you will notice your fingers will naturally straighten. Stretch to a comfortable point. Then, keeping your fingers relaxed at all times, gently straighten your wrist and extend it backwards. As you bring your wrist backwards you will notice you fingers will naturally curl into your palm
  • 5-10 repetitions
  • 4-5 times per day
  • 5 second hold

Contacts / Further information

The Occupational therapy department is located in clinic 30 in the Addenbrooke’s Treatment Centre (ATC). The Occupational therapy reception telephone number: 01223 216769

We are smoke-free

Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.

Other formats

Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/

Contact us

Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ

Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/