What the Home Exercise Program Builder actually produces

**EXERCISE 1: Left Shoulder ROM (Tabletop Slide)** Sit at table, arms resting on table. Gently slide left arm forward (toward elbow extension), return. 2 sets x 10 reps, 1x daily. Progress: increase distance or reduce support. **EXERCISE 2: Grip Strengthening (Putty Squeeze)** Squish therapy putty in left hand, hold 3 sec, release. 2 sets x 8 reps, 1x daily. Progress: increase putty firmness or reps. **EXERCISE 3: Seated Balance (Arm Reaches)** Sit upright, feet on floor. Reach left arm out to side, return. Alternate reaching forward. 2 sets x 8 reps, 1x daily. Daughter can provide light hand support if needed. **EXERCISE 4: Functional Grasp Practice (Picking Up Objects)** Pick up small objects (coins, buttons, washcloth) from table, place in cup. 1 set x 10 objects, 1x daily.

**Setup:** Perform exercises at sturdy table in good lighting. Wear non-slip shoes. Have non-slip mat under table. Daughter present or nearby. **Daily Routine:** Exercises take ~15 min total. Best time: mid-morning (less fatigue). Complete all 4 exercises, then rest 5 min. **Functional Activities (Daily):** Practice buttoning/unbuttoning shirt during dressing (left hand assists right); practice picking up eating utensils; practice reaching to shelf or counter during simple kitchen tasks (daughter nearby). **Red Flags - Contact Therapist or Provider Immediately:** Sudden increase in weakness, severe pain, numbness/tingling that does not resolve, difficulty speaking or understanding, facial drooping, dizziness or loss of balance, chest pain, or difficulty breathing.

**During Exercises:** Clear table of clutter. Remove throw rugs. Ensure chair has armrests. Daughter or caregiver should observe at least 1x weekly. **Positioning:** Always sit upright; avoid lying down during exercises. Left arm should be supported on table to reduce subluxation risk. **Modifications:** If left arm pain develops, reduce ROM or use more table support. If fatigue is severe, split exercises into 2 sessions (morning + afternoon). **Contraindications:** Do NOT perform exercises if experiencing acute pain, increased swelling in left arm/hand, or signs of infection (heat, redness). Do NOT force movement into pain. **Weekly Check-in:** Daughter to note exercise tolerance and any concerns; report to therapist at next visit. If unable to complete exercises 3+ consecutive days, contact therapist for program adjustment.