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the physical therapist at tmi sports medicine has prescribed the following home exercise programs after your postoperative shoulder procedure to maintain the range of motion above and below the injured shoulder to optimize your range of motion and to prevent any type of atrophy of those joints it is perfectly safe to slide your hand away from the handle here to work on hand dexterity activities such as composite flexion and finger touches this will ensure to make sure that you are not stuck in this position in this hand gripper and develop flex contractures into your fingers so itamp;#39;s very important to maintain the range of motion of the fingers in addition you can move up into the wrist to provide any type of active motion wrist flexion extension what we call radial ulnar and radial deviation thumb up or pinky down as well as forearm supination pronation in this case can be assisted with the other hand just like so nice and easy as long as youamp;#39;re resting in your sling yo