How would you modify reformer arm work for a client with limited grip strength?

• A. Increase resistance to build grip strength quickly.
• B. Use lighter springs, shorten lever length, perform fewer repetitions, and substitute with straps that allow a more secure grip or wrist-friendly positions.
• C. Eliminate all arm work.
• D. Use only standing and no straps.

Answer: (B)

When a client has limited grip strength, the aim is to reduce the demand on the hands while keeping the arm movement and shoulder control intact. Using lighter springs lowers the total force you must grip, making the motion more controllable and safer. Shortening lever length decreases the moment arm, so the grip isn’t subjected to as much load through the wrist and forearm. Doing fewer repetitions helps prevent grip fatigue across the session, allowing you to maintain quality movement. Substituting with straps that provide a more secure grip or wrist-friendly positions gives better contact and a more neutral wrist alignment, reducing strain and making it easier to maintain proper form.

Increasing resistance would place greater stress on the grip, which isn’t helpful here. Eliminating all arm work would skip important strengthening. Standing with no straps still doesn’t address the grip-demand issue and limits the options that keep the arm pattern safe and effective.