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Hand therapy passive 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 who may benefit from passive exercises. Passive exercises involve using the unaffected hand to move the affected hand or wrist. It aims to provide information on recovery and exercises. Family and carers may also find it helpful.

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

The following exercises will help to reduce stiffness and increase wrist movement. When completing these exercises you may experience tightness or a pulling sensation, which 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 supported on a table in a comfortable position. Complete the exercises slowly, within a comfortable range.

Passive wrist flexion
left hand bent forwards with right hand on top
With the outer edge of your hand resting on a table and with your injured wrist bent forward apply pressure with your other hand on the back of your injured hand, to push the wrist further forwards. 5-10 repetitions 4-5 times per day, 5 second hold
Passive wrist extension
left hand bent backwards with right hand applying pressure to palm
With the outer edge of your hand resting on a table and with your injured wrist bent backwards apply pressure with your other hand on the palm of your injured hand, to bend your wrist further backwards. 5-10 repetitions 4-5 times per day, 5 second hold
Passive radial deviation
left hand placed palm down on table with right hand on top guiding it sideways
Place your injured hand palm down in front of you on a table. Use your other hand to guide your wrist sideways over towards your thumb. 5-10 repetitions 4-5 times per day, 5 second hold
Passive ulnar deviation
left hand placed palm down on table with right hand guiding it sideways
Place your injured hand palm down in front of you on a table. Use your other hand to guide your wrist sideways over towards your little finger. 5-10 repetitions 4-5 times per day, 5 second hold
Passive forearm supination
forearm raised to a right angle with other hand turning arm to face palm upwards
Ensuring that your elbow of your injured wrist is tucked into the side of your body, raise your forearm to a right angle and use your other hand to turn the forearm, so that the injured palm faces towards the ceiling. 5-10 repetitions 4-5 times per day, 5 second hold
Passive forearm pronation
forearm raised to a right angle with other hand turning arm to face palm downwards
Ensuring that your elbow of your injured wrist is tucked into the side of your body, raise your forearm to a right angle and use your other hand to turn the forearm, so that your palm faces towards the floor. 5-10 repetitions 4-5 times per day, 5 second hold

MyChart

If you have not already done so, we would encourage you to sign up for MyChart. This is the electronic patient portal at Cambridge University Hospitals which allows patients to securely access parts of their health record held within the hospitals’ electronic patient record system (Epic). It is available via your home computer or smart phone.

If you are interested in this please let us know and we can provide information, or look on our website: Visit the MyChart website.

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/