Sit upright in a chair with your shoulders relaxed.
Bend your elbows to 90 degrees with your palms facing upwards.
Pivot your arms out to side rolling your hands outwards as you do so whilst keeping your elbows close by your side.
Imagine you are trying to pour water out of your palms and over your thumbs.
At then same time move your head back, creating a gentle double chin.
Try to avoid using the large muscles down the front of your neck.
Hold this position as directed by your clinician and perform the required number of repetitions as directed.