Hemi self stretches

Hi, was wondering, whether anyone has got a bright idea/ experience.
One of my clients is an incomplete C4 tetra.
The client lives alone at home and is independently mobile with crutches.
I am going to slowly pull out of the Community Physio sessions and have set him up with a programme for self-management. It works well, but ... for hamstring stretches. He cannot achieve long sitting independently and has got very limited grip strength. In supine, he can flex his right hip and then hook up behind the thigh with his right arm (elbow), but that's as far as he can go. Unable to do the same with the other leg, as tone there is even higher.
His medication has recently been reviewed with the comment that nothing could be done in that regard.
Anyone????
Regards,
Fyzzio

Not entirely sure what is going on,

does he have access to hydrotherapy?

"Not entirely sure what is going on,"
How can I clarify?

Hydro is difficult: He needs full cares with bowel and bladder management. The only pool that would take him and is warm enough, is located at the other end of town, a 1 1/2 hour drive. So, nothing that could be done on a regular basis. We are looking into getting funding for a Rehab Coach at the moment, so that could help.

Thanks,
Fyzzio

Quote:

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Originally Posted by Fyzzio

Hi, was wondering, whether anyone has got a bright idea/ experience.
One of my clients is an incomplete C4 tetra.
The client lives alone at home and is independently mobile with crutches.
I am going to slowly pull out of the Community Physio sessions and have set him up with a programme for self-management. It works well, but ... for hamstring stretches.
Problem 1 : He cannot achieve long sitting independently and has got
Problem 2: very limited grip strength.

Can do:
In supine, he can flex his right hip and then hook up behind the thigh with his right arm (elbow), but that's as far as he can go.???
Unable to do the same with the other leg, as tone there is even higher.
His medication has recently been reviewed with the comment that nothing could be done in that regard.
Anyone????
Regards,
Fyzzio

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Sorry, couldn't identify problems clearly