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RECIPROCAL ARM MOVEMENT WITH PADDLES

Strengthen shoulders and upper body through alternating arm movements with resistance paddles.

Focus Upper Body
Environment Hydrotherapy pool
Pool Depth Fully Anchored
Supervision Not required
Equipment Yes

How to Perform

  1. Stand in chest-deep water with feet shoulder-width apart, knees flexed 15-30 degrees, pelvis stable.
  2. Strap plastic paddles to hands with forearms in supination.
  3. Start with left arm by side and right arm outstretched in front just below surface.
  4. Bring left arm forward to just below water surface while simultaneously bringing right arm to side.
  5. Return to starting position and repeat alternating pattern for 10 repetitions at 30 beats per minute.

Key Execution Cues

Remember: Keep pelvis stable throughout. Coordinate opposite arm movements smoothly. Maintain steady breathing pattern. Keep core engaged.

Safety & Precautions

Important: Avoid if acute shoulder injury or rotator cuff pathology. Use caution with shoulder instability.

Additional Safety Notes: Stop if shoulder discomfort develops. Keep paddles submerged. Avoid jerking motions.

Exercise Modifications

Make it Harder (Progressions)

Increase cadence to 35-40 bpm. Add second set. Use larger paddles for more resistance.

Make it Easier (Regressions)

Reduce range of motion. Slow cadence to 20-25 bpm. Remove paddles and use hands only.

Attribution

Source TypePDF
Original AuthorPsycharakis SG, et al.
ContributorAI Extraction Agent
PublicationPhysiotherapy 116 (2022) 108-118 - The WATER Study
LicenseAll Rights Reserved
Credit RequiredYes
Date Created2026-01-18
Last Modified2026-01-18

External Source

TypePDF
Additional InfoCross-sectional study with 20 CLBP participants, water temp 28°C, depth 1.25m