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In general, sternal precautions are very restrictive. McCullough T, Hartman J. A new paradigm for post-cardiac event resistance exercise guidelines. Sternal precautions maybe overly restrictive and delay recovery. • Bilateral UL exercises and activities are safe (e.g. walking.Do exercises slowly and avoid any movements that cause pain or clicking of the sternum. Home Exercises. Sit on a chair without armrests, with feet on floor. Activity Precautions: (until otherwise stated by your doctor) No lifting, pushing or pulling greater than 5-10 pounds with your involved arm(s). This applies This handout describes 4 arm exercises to increase strength and range of motion while you are recovering after heart Exercising with Sternal Precautions.