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Mobility Gentle ~2 min

Forearm rotation (pronation & supination)

Turn the palm down and up while the elbow stays steady — a staple motion for forks, doorknobs, and tools.

Equipment: Stick, dowel, or pen (rotation aid)

Bend the elbow to 90° at your side, forearm halfway between palm-up and palm-down.

Ready when you are

We'll guide you through 5 short steps — about 26 seconds of guided motion. Pause or stop anytime — nothing leaves your device.

Have ready: Stick, dowel, or pen (rotation aid)

Contraindications & stop if…

When not to do this

  • Recent elbow fracture or surgery without clearance
  • Instability that feels like the joint slips

Stop if

  • Sharp elbow pain
  • Clicking with catching
  • New numbness in ring or small finger
How does the hand feel right now?
No painWorst pain

Guided full-screen session — 3D hand, optional mirror, voice or silent modes.

Why it helps

Pronation and supination restore the rotation you use for pouring, typing posture changes, and opening doors — without loading grip.

What it should feel like

A gentle twist in the forearm. No sharp pinching at the elbow.

Target area

Forearm, wrist

Stop if you notice

  • Sharp elbow pain
  • Clicking with catching
  • New numbness in ring or small finger

Get clearance first if

  • Recent elbow fracture or surgery without clearance
  • Instability that feels like the joint slips

Watch a curated demo

Patient education · Forearm rotation (pronation & supination)
Watch on YouTube

Your practice loop

Pause where you want, then tap A for where the loop starts and B for where it ends. Turn Autoloop off anytime — your A/B times stay saved for this video.

Now 0:00 · Loop 0:00 end of video

Full video. Native YouTube controls stay in the player frame.
Hand injury exercise 19: Active forearm rotation – pronation and supination · Sunnybrook Hospital · verified 2026-04-24Patient education only — not a replacement for advice from your clinician.

Education sources

HandTherapy.app summarizes common home-program elements used in hand therapy and surgery recovery education. These links are for learning — they do not replace your clinician's instructions.

Explainer

How to do it well

Goal, setup, dose, and the things therapists most often have to repeat. This is education — not a replacement for your clinician's plan.

Before you start

  • Keep the upper arm against your ribs so the twist comes from the forearm.
  • If the elbow pinches, shrink the range by half.
  • Optional: hold a thin pen, chopstick, or dowel across the palm like a small steering wheel — it can make the rotation axis easier to feel.

Today's dose

Reps
8
Sets
2
Sessions / day
3
Rest
30s
Pain ceiling
3/10

Common mistakes

  • Shrugging the shoulder to cheat extra rotation
  • Letting the wrist cock sideways to fake more turn
  • Holding the breath through the arc

Easier version

  • Use the other hand to lightly guide only the last few degrees
  • Reduce to 5 reps

Harder version

Only if your phase allows progression.

  • Add a 3-second hold at end pronation and supination

How did this feel?

One tap. Saved as a question for your next visit when relevant — never auto-shared.

Continue your rehab

What to do next — not a dead end

Suggestions use shared goals, tags, and difficulty — not your medical record. Always defer to your clinician’s plan after surgery or a flare.

Estimated time

~2 min this exercise

Add a second exercise below for a fuller block.

Equipment

None required — bodyweight / table surface only

Pain-level guard

Explainer ceiling: 3/10 — back off before you reach it.

When to stop

Sharp elbow pain

Clicking with catching

Full stop rules ↑

Common mistake to watch

Shrugging the shoulder to cheat extra rotation

More form cues ↓

Get clearance first if

  • Recent elbow fracture or surgery without clearance
  • Instability that feels like the joint slips
In-session scaling: Easier — Use the other hand to lightly guide only the last few degrees · Harder — Add a 3-second hold at end pronation and supinationFull explainer ↓