
Upper limb strengthening exercises
Start the following exercises if and when your physiotherapist says you can. Your physiotherapist may give you other exercises to do as well.
Unless your physiotherapist says otherwise, follow the instructions below for how many times to repeat each exercise and how many times a day to do it. Do the exercises with your affected limb.
If you have any questions or problems with the exercises, see your physiotherapist.

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Hand exercise
- Clench and release your fist to reduce swelling.
- Repeat 10 times every hour.
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Palm turning exercise
- Turn your palm up and down keeping your elbow still.
- Repeat 10 times, 3 times a day.
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Wrist bending exercise
- Bend your wrist backwards and forwards.
- Repeat 10 times, 3 times a day.
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Elbow bending and straightening exercise
- Straighten and bend your elbow.
- Repeat 10 times, 3 times a day.
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Pendular exercise 1
- Standing up, hold on to a table with your good arm.
- Lean forward and let your affected arm dangle down straight.
- Swing your arm backwards and forwards 10 times, then side to side 10 times.
- Repeat 10 times, 3 times a day.
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Pendular exercise 2
- Standing up, hold on to a table with your good arm.
- Lean forward and let your affected arm dangle down straight.
- Move your arm in a clockwise circle 10 times, then anti-clockwise 10 times.
- Repeat 10 times, 3 times a day.
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Shoulder exercise
- Support the elbow of your affected arm with your other hand, as though you are cradling a baby.
- Lift your arm to the height your physiotherapist tells you, ensuring you keep supporting your affected arm.
- Lower your arm.
- Repeat 10 times, 3 times a day.
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Shoulder blade exercise
- Bring your shoulder blades back and together.
- Make sure you keep your shoulders down and they do not hunch up.
- Hold for three to five seconds then relax.
- Repeat 10 times, 3 to 4 times a day.
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Written by Physiotherapy Department, Christchurch Hospital. Adapted by HealthInfo clinical advisers. Page created October 2023.
Sources
The information in this section comes from the following sources, some of which may be clinically complex or not available to the general public
Physiotherapy Department, Christchurch Hospital. Physiotherapy - Upper limb strengthening. 28 May 2021. Authorised by Clinical Manager, Physiotherapy. Ref: 2405850.
Image and embedded video sources
Exercise images provided by Medical Illustrations, Canterbury DHB. August 2022.
Page reference: 1047038
Review key: HISTE-1046924