Stretching/PROM: Lower Extremity Passive Range of Motion

Patient instructions:

Your therapist will tell you how long to hold each exercise, how many times you should repeat each one, and how many times you should perform the exercises each day.

Hip abduction

Hip abduction

Hold your child's legs straight, with their toes pointing up toward the ceiling. Gently bring their legs out to the side until you feel gentle resistance and hold position. Bring back to the middle.

Hip extension and flexion

Hamstring stretch

Have your child lay down with their buttocks on the edge of a bed or mat. Gently push one leg down and bring the other knee up to your child's chest, as shown. Gently hold this position.

Hamstring stretch

Hamstring stretch

Hold one leg down to the floor. Bend the other hip to 90 degrees as shown. Gently try to straighten the knee and hold as instructed.

Hip internal and external rotation

Hip internal and external rotation

Hold one leg down to the floor. Bend the other hip and knee to 90 degrees. Rotate the lower leg in and out as shown.

Calf stretch (ankle dorsiflexion)

Calf stretch (ankle dorsiflexion)

Hold your child's leg our straight. Gently hold the leg down just above the knee and with the other hand cup their heel. Slowly bend their foot up toward the body like the picture above.

Trunk rotation

Trunk rotation

Have your child lay on their back with one knee bent and one knee straight. Place one hand on their shoulder and one on their bent knee. Bring the bent knee across the child's body as shown. This will twist or rotate their trunk.

Reviewed November 2025 by Ken Knecht, PT, MS, SCS