1. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Active Care Initiative Breakout

2. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Tools Flex Bars 2 Jump Stretch Bands

3. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Eccentric Extension 3 Preparation: Step 1 Hold the flex bar at one end in the hand being treated. The injured wrist should be cocked back (extension) Keep the injured wrist in the extended position. Step 2 The assisting hand now grasps the flex bar at the opposite end. Twist the flex bar away from you with the assisting hand. Again, the arm being treated does not help to twist the bar and does not move from the cocked wrist position. Step 3 Both arms are brought straight out in front of the body, again, the wrist should remain cocked backwards and stationary. This is the starting position for the exercise

4. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Execution-Eccentric Extension 4 Execution: The assisting arm now remains fixed and the arm being treated does the movement. The treatment wrist now slowly rolls forward stopping with the wrist in neutral and straight position, controlling the bar as the twist is unwound but without loosening the grip. Each repetition should be performed slowly and should take about 5 seconds to unwind On the initial set have the patient repeat the exercise until they start to fatigue. The number that they reach will be what you use for their 2 nd and 3 rd sets. This is especially true for acute or deconditioned patients.

5. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Points to Remember 5 Points to remember The wrist being treated must not move or contribute to the initial twisting of the flex bar. It should remain cocked back in extension all the way until the starting position is achieved and you are ready to begin the exercise itself. To apply this protocol for medial elbow pain follow the steps but start with the wrist in full flexion instead of cocked back in extension.

6. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Eccentric Flexion 6 Preparation: Step 1 Hold the flex bar at one end in the hand being treated. The injured wrist should be in flexion. Keep the injured wrist in the flexed position. Step 2 The assisting hand now grasps the flex bar at the opposite end. Twist the flex towards you with the assisting hand. Again, the arm being treated does not help to twist the bar and does not move from the flexed wrist position. Step 3 Both arms are brought straight out in front of the body, again, the wrist should remain flexed towards the body and stationary. This is the starting position for the exercise.

7. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Execution-Eccentric Flexion 7 Execution: The assisting arm now remains fixed and the arm being treated does the movement. The treatment wrist now slowly rolls back stopping with the wrist in neutral and straight position for acute patients, controlling the bar as the twist is unwound. Each repetition should be performed slowly and should take about 5 seconds to unwind

8. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Wrist Pronation 8 Grip one end of the bar with the palm facing up. Stabilize the opposite end of the bar on table. Rotate the wrist downward (PRONATE)

9. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Wrist Supination 9 Grip one end of the bar with the palm facing down. Stabilize the opposite end of the bar on table. Rotate the wrist upward (Supinate)

10. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Ulnar Deviation 10 Grip one end of the bar. Stabilize the opposite end of the bar on table. Push wrist downward and away from the body.

11. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Flex Bar Radial Deviation 11 Grip one end of the bar. Stabilize the opposite end of the bar on table. Pull the bar upward, towards you.

12. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Band Traction Band Traction: Mobilization of the Ankle 12 Place the Jump Stretch band around the front of the affected ankle just above the bend in the ankle (at the bottom of the shin bones). Apply tension to the band by moving away from the anchor point of the band. With tension on the band and keeping the heel on the ground move the knee forward until a stretch is felt in the ankle. Repeat this motion 10-15 times.

13. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Band Traction Band Traction: Mobilization of the Hip 13 Place the Jump Stretch band around the back of the thigh Move band up to just below the gluteal fold. In the lunge position lengthen the band to apply traction on the hip from back to front. Maintaining upright spinal position, contract the glutes to illicit a stretch in the front the hip near the belt line. Hold stretch for 90 to 120 seconds. CONTRAINDICATION: Do not perform this if the patients presents with Anterior Femoral Gliding. (Too much movement in the hip capsule)

14. Copyright ©2012. Airrosti Rehab Centers. All rights reserved. Not for distribution. Airrosti-Con! Band Traction Anterior Femoral Gliding 14