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Activity Directors - Seated Exercises for Wheelchair Bound Seniors - National Certification APNCC.org - Aug 3rd


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Seated Exercises for Wheelchair Bound Seniors
For many wheelchair bound older adults, feelings of depression, loneliness and loss of usefulness can begin to manifest from their decreased mobility and limited social opportunities. Simple tasks of everyday life are no longer within reach and the concept of  moving freely from room to room, or from inside to outside, without assistance may lead to frustration and a sense of despair that puts them at risk for further illness, as well as emotional decline and self-injury.

NOTE: As with all exercise programs for our resident seniors, both wheelchair bound or independently mobile, be mindful to consult with your interdisciplinary team (nursing, OT, PT) to prevent potential injuries.

It is easy to understand how the added physical loss increases the challenges and hardships that may lead individuals to feel even more daunted and overwhelmed with each passing day. Yet, regular exercise is just as important for wheelchair bound seniors as they are for the mobility able individual to help them lead an active, healthy, happy life.

Remember the golden rule: Focus on the skills that remain to build the individuals confidence, sense of success and failure free programming.
Strength training core exercises
The following (8) exercises will build strength in the arms, chest, core, and legs, providing a simple whole-body strength training workout for wheelchair bound seniors. Beginners should start with a small amount of reps and skip the exercises that require weight or resistance. As muscle strength improves, increase the number of reps and add weight or resistance.
NOTE: Ensure that your resident is sitting tall, engaging their abs to maintain good posture and support the muscles of the back.
For maximum effectiveness, perform strength training exercises 2-3 non-consecutive days a week, taking at least 1 day to rest in between workouts.
Arms and Chest 
Muscle Power
1. Shoulder Retractions for Beginners- Sit up straight and contract the abs to support back muscles. Hold the arms at a 90-degree angle at shoulder level, hands facing down, fingers curved as if griping bicycle handles. Push both arms straight out in front of you, extending as far as possible without locking the joints. Bend the elbows and pull your arms back until your elbows are just slightly behind your torso, squeezing the shoulder blades together you do, and then repeat the motion.
To increase intensity, hold a light resistance band with both hands. Extend arms parallel to the floor and pull the band apart, squeezing the Rhomboid muscles.
Alternatively, attach a resistance band to a wall or door knob. Hold the band with arms extended and pull towards your body, bending the elbows slightly behind your torso.

2. Chest Squeeze with, or without, a medicine ball- Sitting up straight, with abs engaged to support the muscles in the back, hold a medicine ball, rubber ball, or balloon at chest level, squeezing the ball between your hands to contract the chest muscles. Slowly push the ball forward until your elbows are nearly straight, continuing to squeeze the ball through the whole movement. Slowly pull the ball back to the chest and repeat.
NOTE: For beginners, this exercise can be accomplished without the medicine ball simply by pressing the palms together.
3. Chest Press with resistance band- Wrap a resistance band around the back of your wheelchair, or simply wrap it around your back just below your shoulder blades. Sitting tall and with your abs engaged, grasp each end of the resistant band in your hands and hold your arms at a 90-degree angle at shoulder level with the palms facing down. Extend your arms straight out in front of your body as far as you can go without locking the joints. Hold the stretch for 2 seconds and then bring the arms back to start.
Be sure to keep the move slow and controlled with the arms held close to your sides during each repetition.
Strengthen Leg Muscles
1. Toe Taps- Sit up straight with abs engaged and feet flat on the ground. Tilt your toes up towards the ceiling and then back down to the floor. Repeat several times.

To increase the level of difficulty, raise one leg in the air so that it’s straight out in front of you, keeping the other foot flat on the floor. Tilt toes up and down several times. Lower the foot back down to the floor and repeat with the other leg.

2. Knee Lifts- Sit up straight with abs engaged and feet flat on the ground. Slowly lift your right leg, bending your knee in a marching motion. Lift your leg as high as you can comfortably go, then lower your foot back to the floor and repeat with the other leg. Continue to repeat this motion, alternating legs.
For increased intensity, pause for 2-10 seconds at the top of the movement.
Strengthen Core and Abs
1. Tummy Twist- Sit up straight with abs engaged and feet flat on the ground. Hold both arms at a 90-degree angle, with forearms extended in front of you and elbows at your sides. Rotate your upper torso to the left, twisting at the waist, for as far as you can comfortably go. Twist back to center and repeat the motion to the right.
During the movement, imagine sucking in your belly button towards your spine, and keep your lower body completely still.
2. Captain’s Chair- Sit up straight and grab the front edge of your seat with both hands. Slowly lift both of your feet off the floor, bending your knees towards your chest as you do, lifting as high as you comfortably can. Squeeze your abs at the top of the movement, and lower both feet back to the floor.

Be careful to not raise your legs past a comfortable position. If you are only able to raise your feet a few inches off the floor to start, that’s fine.

3. The Side Bend Stretch- Sit up tall, with abdominal muscles contracted and hips facing squarely forward. Extend your left arm toward the ceiling, keeping the inside of your upper arm very close to your ear. Hold your left arm in that position, and slowly bend your entire upper body to the right, making a “C” shape with your spine.
To increase the intensity, reach your right arm towards the floor. Hold the stretch for 5-15 seconds. Slowly move back to center and repeat on the other side.
The goal in any exercise program is to prevent injury but equally important is to help your resident forget his/her physical limitations and enjoy the moment of success knowing that they can focus on the skills that remain to build upon the their level of confidence, sense of success.

https://blog.hurusa.com/tag/senior-strength-training
https://www.helpguide.org/articles/healthy-living/chair-exercises-and-limited-mobility-fitness.htm/
Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network.
 
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