6 examples of AC joint arthritis exercises
Regular exercise can be crucial in managing AC joint arthritis, alleviating symptoms, and improving overall function. Here are six effective exercises that healthcare professionals can teach their patients to help manage this condition:
Pendulum
Pendulum exercises are designed to stretch the outer shoulder and rotator cuff, reducing stiffness and enhancing mobility. Instruct patients to stand next to a table or counter and lean forward, placing one hand on the table for support. Their other arm should hang freely, and they should gently swing it forward and back, then side to side, and finally, in a circular motion.
Repeat the sequence with the other arm, ensuring the patient avoids rounding their back or locking their knees.
Crossover arm stretch
This exercise targets the back of the affected arm below the shoulder, improving flexibility and reducing discomfort. Advise patients to stand straight with relaxed shoulders and pull one arm across their chest, holding at the upper arm. They should hold this position for 30 seconds, then relax and repeat with the other arm.
Recommend performing the sequence three more times, cautioning against pulling or putting pressure on the elbow.
Passive internal rotation
Passive internal rotation stretches the front of the shoulder, enhancing the range of motion. Instruct patients to use a lightweight stick like a yardstick or cane. They should hold the stick behind their back with one hand, lightly grasping the other end with the other hand, and pull the stick horizontally to feel a stretch in the front of their shoulder. They should hold for 30 seconds, relax, and repeat on the other side.
Recommend performing the sequence three more times, advising them to avoid leaning over or twisting to the side while pulling the stick.
Passive external rotation
This exercise stretches the back of the shoulder, alleviating stiffness and improving flexibility. Have patients use a lightweight stick, grasping the stick with one hand and cupping the other end with the other hand, keeping the elbow of the stretching shoulder against their body. They should push the stick horizontally to feel a stretch in the muscles surrounding the back of their shoulder, hold for 30 seconds, relax, and repeat on the other side.
Recommend performing the sequence thrice, ensuring their hips face forward without twisting.
Wall crawl
Wall crawl exercises improve the range of motion and strengthen shoulder muscles. Advise patients to stand in front of a wall at arm's length and slowly crawl their fingers up the wall as high as comfortably possible. They should hold for 15 to 30 seconds, then crawl back down.
Recommend repeating one or two more times, encouraging them to reach higher each time. They should pause and focus on relaxing their shoulder blades and muscles if they feel pain or tightness.
Wall push-up
Wall push-ups strengthen the shoulder, arm, and chest muscles. Instruct patients to stand in front of a wall with their arms straight and hands flat against it, placing their feet slightly wider than shoulder-width apart. They should tighten their stomach muscles, bend their elbows, lower their upper body toward the wall, hold for one second, and then push back until their arms are straight.
Recommend repeating eight times, gradually increasing reps. Ensure they keep their fingers flat against the wall to thoroughly engage their shoulder, upper arm bone, and chest muscles.