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Frenkel’s Exercises for Ataxic Conditions (Cervical Spondylotic Myelopathy) - Upper limb

Updated on July 7, 2014

1. Stand with the legs apart and with the extended upper limbs by the sides. Stretch out one upper limb forwards and take it upwards till it reaches the level of the head. Hold it in that position. Now reverse back to the starting position. Repeat the exercise with the other upper limb. Do the exercise with both the hands simultaneously and then alternatively.

2. Stand with the legs apart and the extended upper limbs by the sides. Stretch out one upper limb sideways and take it upwards till it reaches the level of the head. Hold in that position. Now reverse back to the starting position. Repeat the exercise with the other upper limb .Do the exercise with both the upper limbs simultaneously and then alternatively.

3. Stand with the legs apart with the upper limbs close to the body. Flex one upper limb at the elbow. Now rotate the limb outward and inward. Repeat the exercise with the other limb. Do the exercise with both the upper limbs simultaneously and the alternatively.

Clockwise and anti-clock wise
Clockwise and anti-clock wise

4. Stand with the legs apart and the extended upper limbs by the sides. Stretch out one upper limb forward and rotate it clockwise and then anticlockwise. Repeat the exercise with the other upper limb. Do the exercise with both the hands simultaneously and then alternatively.

Clockwise and anti-clock wise
Clockwise and anti-clock wise

5. Stand with the legs apart and the extended upper limbs by the sides. Stretch out one upper limb sideways and rotate it clockwise and anticlockwise. Repeat the exercise with the other upper limb. Do the exercise with both upper limbs simultaneously and then alternatively.

6. Stand with the legs apart and the extended upper limbs by the sides. Stretch out one upper limb sideways till it comes in line with the shoulder and bend the elbows to about 90 degrees. Rotate the forearm in such a way that the palm of the hand turns inward and then outward. Repeat the exercise with the other upper limb. Do the exercise with both the upper limbs simultaneously and then alternatively.

7. Stand with the legs apart and the extended upper limbs by the sides. Stretch out both the upper limbs forward till they come in line with the shoulder joints. Move one upper limb up and other down a little bit simultaneously. Slowly the upper limbs are moved up and down increasing the range. To start with the distance between the upper limbs are kept a minimum and then the distance between the upper limbs are progressed until one upper limb is straight up to the head and the other down at the side. Now gradually reduce the movement towards smaller ranges until both the upper limbs are together again.

8. Stand with the legs apart and the extended upper limbs by the sides. Stretch out both the upper limbs sideways till they come in line with the shoulder joints. Move one upper limb up and the other down a little bit simultaneously. At first movements are done slowly and in small ranges. Slowly the movements are done fast and in wider ranges. It is continued until one upper limb is straight up next to the head and the other upper limb straight down at the side. Then gradually reduce the speed of the movement and also range of movement until the upper limbs return back to the starting position.

9. Stand with the legs apart and the extended upper limbs by the sides. Both the upper limbs are flexed at the elbows and are brought behind the head simultaneously and the fingers are interlaced behind the head. With the fingers interlaced behind the head the hands are moved up and down sliding the back of the head. Now slowly reverse the movement and bring back the upper limbs to the starting position.

10. Stand with the legs apart and the extended upper limbs by the sides. Stretches out the left upper limb forward, flexes the elbow and extends the index finger with the other fingers and the thumb flexed. Now the tip of the index finger of the right upper limb is made to touch the tip of the index finger of the left upper limb and then to touch the tip of the nose. Repeat the exercise with the other upper limb.

11. Stand with the legs apart and the extended upper limbs by the sides. Stretch out both the upper limbs forwards with the hands facing each other. Now flex the left upper hand at the elbow and touch the right shoulder. Now reverse the movement. Repeat the exercise with the right upper limb. Now do the exercise with the both the upper limbs alternatively.

12. Stand with the legs apart and the extended upper limbs by the sides. Stretch out both the upper limbs sideways with the hands facing forwards. Now flex the left upper limb at the elbow and touch the left shoulder. Now reverse the movement. Repeat the exercise with the right upper limb. Do the exercise with both the hands simultaneously and then alternatively.

13. Stand with the legs apart and the extended upper limbs by the sides. Stretch out both the upper limbs forward with the hands facing and touching each other. Bring the left upper limb downward to the starting position. Reverse the movement. Repeat the exercise with the right upper limb. Do the exercise with both upper limbs simultaneously and then alternatively.

14. Stand with the legs apart and the extended upper limbs by the sides with the hands facing the body. Now stretch out the left upper limb sideways and bring it above the head with the hand turned inwards. Reverse the movement and bring back the left upper limb to the starting position. Repeat the exercise with the right upper limb. Now do the exercise with both the upper limbs simultaneously and then alternatively.

15. Stand with the legs apart and the extended upper limbs by the sides with the hands facing the body. Stretch out both the upper limbs forward and hold them the horizontal position with the hands facing each other. Touch the finger tips of the right hand with the corresponding finger tips of the left hand. Now slowly slide the finger tips of the left hand along the whole length of the right upper limb till it reaches the right shoulder. Reverse the movement. Repeat the exercise with the other hand.

16. Stand with the legs apart with the extended arms by the sides. Bend the left elbow with the wrist and the fingers extended. Touch the tip of the little finger with the tip of the thumb as if pinching. Now reverse the movement. Now repeat the exercise in the same manner as above with the ring, middle and index fingers. Now try in the reverse order. Repeat with the other hand. Do the exercise with both the hands simultaneously. This exercise may be progressed by sliding the tip of the thumb down the side of each finger and then in the reverse.

17. Stand with the legs apart with the extended upper limbs by the sides. The elbows of both the upper limbs are flexed with the hands facing each other and the heels of the hands in contact. Fingers are held slightly curled and the finger tips are held apart. Now touch opposite finger tips one at a time. Try to do as quickly as possible. May be progressed by doing the exercise with the eyes closed.

18. Make a fist with the left hand. Now stretch out all the fingers together in one go. Repeat the exercise with the right hand .Do the exercise with both the hands simultaneously and then alternatively.

19. Make a fist with the left hand. Now stretch out the fingers one by one. Repeat the exercise with the right hand. Do the exercise with both the hands simultaneously.

20. Place hands on a table with the palms down. Spread the fingers of the left hand apart and bring them together. Repeat the exercise with the other hand. Do the exercise with both hands simultaneously and then alternatively.

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