The wall ball is going well, hammer and wrist flexion going fine but has plateaued
Fine motor tasks are still very difficult
Hammer: Currently looking for a slightly larger hammer
Wrist flexion
Tolerating 1 lb well but having difficulty progressing to 2 lbs
Should we get weights in smaller increments?
Lowe body program is going well but continues to have significant difficulty walking greater then a short distance but there has been some modest improvement since July
With the wrist flexion, the goal is for endurance. Try with the 1lb to get to 20-25 slow reps or 2 minutes
Once either one of those are achieved begin to phase in the 2 lbs weight
Now this can be done by going to 2lbs and just holding it in the mid range without moving the wrist or doing a very small movement more like a wiggle. Try for a minimum of 20-30sec. I will try to make a video for this as well to give you better visualization
Lower Body Program:
I am going to add some new options specific to hip strength and ankle strength
I don’t want the list to get too long so you will see that for upper and lower body below I am going to organize everything into circuits
Each day that you are to do and upper or lower body sequence you will choose 3 circuits
If day 1 you do upper body circuits 1,2, and 3…..then upper body on day 4 you may do circuits 4, 1, and 2. So there will be some variety to the program so you are not doing the same regimen each time
Let’s stick with the organization below so you get in 2 upper and 2 lower per week
I am tempted to progress to 5 strength days, but let’s see how things go this week first with some of the changes to your program before we add a day
In the upper and lower body sections I will have a couple movements that you can do daily from each and the others will be put into strength circuits
The daily movements: Can be done 1-2x/day, should be very comfortable and not incredibly challenging
Strength Circuits: Will incorporate 3-4 movements, you will do one set of each and then the second time through do 1/2 as many reps or 1/2 as long if for time. I want you to stay with higher reps and time so either 2 minutes or 20-25reps
Be careful with forward bending in regards to dizziness
Wrist flexion using light weight in a range of motion short of pain, focusing on maintaining tension in the forearm with minimal to no discomfort at medial elbow
1lb 20x-30x or 1-2 minutes…progress as we mentioned above
