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 are allowed.

Passive Range of Motion (PROM): Caregiver Stretches 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.

  • Approach child on side of affected arm when playing.
  • Provide additional attention to shoulder external rotation (with arm at side next to ribcage). See attached handout for picture and description. Activity ideas: penguin walk

Other Beneficial Activities:

Sensory Stimulation:

See attached handout for sensory play activities.

Shoulder Strengthening:


  • Crawling
  • Place your child on his/her stomach, propped up on his/her elbows
  • Side sitting (while on the floor, sit to the side leaning on one arm)
  • Overhead throwing
  • Reaching for toys placed on shelves
  • Playing catch with a beach ball while lying on back

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. If you are a Gillette patient with urgent questions or concerns, please contact Telehealth Nursing at 651-229-3890.