Supine Exercise Program
Patient Name_________________
Date ________________________
Therapist Name _______________
- Gluteal Sets
Squeeze buttocks together. Hold ____ seconds.
Repeat ____ times.
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Lie on back, press __________ knee into mat, tightening muscle on front of thigh. Do not hold your breath.
Hold _____ counts.
Repeat _____ times.
3. Heel Slides – Knee and Hip Flexion
Lie on back. Slide heel up toward buttocks.
Repeat _____ times for each leg.
4. Hip Abduction (Snow Angels)
Lie on back with Knees straight. Move feet apart and together.
Repeat ____ times.
5. Straight Leg Raise
Lie on back with 1 knee bent. Lift other leg. Keep knee straight.
Repeat _____ times each leg.
6. Lower Trunk Rotation
Lie on back with knees bent. Roll knees from side to side.
Repeat _____ times.
7. Bridging
Lie on back with knees bent. Lift bottom up.
Repeat _____ times.
8. Ankle Circles
Move feet around in a circle.
Repeat _____ times.
9. Heel Cord Stretch
Use cane, belt or assistant’s arm to stretch toes upward.
Do slowly by counting to ________
Repeat _____times.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 07/07/2011
Copyright © 07/07/2011 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6012
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