This is a guide to help you become familiar with more activities, exercises, and precautions related to your child’s brachial plexus injury. Feel free to ask your therapist any questions.

Precaution: No one-handed hanging activities: jungle gym, etc.

Passive Range of Motion (PROM): Caregiver Stretches the Arm

  • See handout for description and picture of each movement.
  • Do 3 to 5 repetitions of each stretch 4 to 6 times a day.
  • Provide additional attention to stretching for shoulder external rotation (arm at side next to ribcage). See attached handout for picture and description.

Active Range of Motion (AROM): Child Uses Arm on His/Her Own

Do the same movements as PROM.

  • Encourage use of affected arm as much as possible.
  • Provide additional attention to shoulder external rotation (arm at side next to ribcage). See attached handout for picture and description. Activity ideas: penguin walk, pull tube, catch with Velcro mitt

Other Beneficial Activities:

Shoulder strengthening:

Any weightbearing activities

  • 4-point (hands and knees position)
  • Side sitting (while on the floor, sit to the side leaning on one arm)
  • Have your child lay on his/her stomach propped up on his/her elbows
  • Activities with wrist weights on:
    • Ribbon baton
    • Tether ball
    • Punching bag
    • Over head throwing
  • Participating in:
    • Swimming
    • Karate

This information is for educational purposes only. It is not intended to replace the advice of your health care providers. If you have any questions, talk with your doctor or others on your health care team.