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ARTHRITIS ROM HAND AND ANKLE SEQUENCE

Provide a gentle range-of-motion sequence for hands and ankles in warm water to reduce stiffness and improve joint comfort.

Focus Full Body
Environment Therapy pool with warm water (88–92°F) and easy entry.
Pool Depth Fully Anchored
Supervision Not required
Equipment None

How to Perform

  1. Sit or stand in warm chest-deep water, ensuring that both hands and feet are fully submerged and supported by the water.
  2. Open and close both hands slowly 8 to 10 times, spreading the fingers wide and then gently making a soft fist without gripping hard.
  3. Circle both wrists in small, comfortable circles 6 to 8 times in each direction, keeping the movements slow and smooth.
  4. Point and flex both ankles together 8 to 10 times, then draw gentle circles with the toes in each direction within a pain-free range.
  5. Pause, relax, and repeat the entire hand-and-ankle sequence 2 to 3 times as tolerated, resting between rounds if needed.

Key Execution Cues

Remember: Move slowly, stay under the pain threshold, and let the warm water support and ease each motion.

Safety & Precautions

Important: Do not perform during acute inflammatory flare-ups or with hot, swollen joints without physician clearance; keep all motions pain free.

Additional Safety Notes: Stop if pain increases and does not settle quickly; follow the ‘two-hour pain rule’—if joints are more painful two hours later, reduce volume next session.

Exercise Modifications

Make it Harder (Progressions)

Add one extra repetition per motion over several sessions, or include gentle finger and toe spreading between repetitions.

Make it Easier (Regressions)

Reduce total repetitions, focus on only one joint region per session, or perform motions with additional support from the pool wall or a helper.

Attribution

Source TypeBook
Original AuthorRuth Sova
ContributorAI Extraction Agent
PublicationAquatics: The Complete Reference Guide for Aquatic Fitness Professionals
LicenseAll Rights Reserved
Credit RequiredYes
Date Created2025-11-30
Last Modified2025-11-30

External Source

TypeBook
Additional InfoPattern reflects Sova’s recommendations for arthritis: warm water, elongated warm-up, slow ROM, emphasis on smaller joints; wording and exact sequence are original.