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  • Position yourself in comfortable standing posture
  • Bend the thumb across the palm and encase the fingers around the thumb to make a fist
  • Rotate the forearm towards the side body and flex the wrist
  • Maintaining a straight elbow, take the arm out to the side ‘elevating’ it to the point of tension
  • As you take the arm to that point of tension, tilt the ear towards the opposite shoulder
  • Return the head to neutral as you then lower the arm and rotate away from the side body
  • Repeat this tensioning motion as per Physiotherapists instructions


  • Avoid clenching the fist
  • Ensure the shoulder does not rise to the ear