Table 2.

Home exercise program.

Joint	Exercise	# Repetitions
Shoulder flexion-extension	While lying down hold the pipe in both hands, raise arms up above the head and then down	20
While seated hold the pipe in both hands, raise arms up above the head and then down	20
Elbow flexion-extension	While seated hold the pipe in both hands, bring arm outward from the chest and then inward	20
Forearm pronation-supination	Hold pipe from underneath with unaffected hand, and twist the affected forearm to bring it palm up as far as it will go	20
Wrist flexion-extension	Fix the upper arm to the side of the body or place the forearms on an arm chair. Hold the pipe with both hands and raise the wrist up and down	20
Finger extension-abduction	Bring hands into prayer position with fingers of the unaffected hand opposing the same finger of the affected hand, separate the fingers repeatedly	20

All patients were prescribed a daily home-exercise program and compliance was documented in the medical chart. They were asked to hold a pipe (or stick), approximately shoulder width in length, with both hands and perform the movements listed. Here the unaffected arm guides and facilitates the movements of the affected arm.