An Adjustable Therapy Ladder, often referred to as a shoulder ladder or finger ladder, is a rehabilitation tool primarily used in physical therapy and occupational therapy to improve the range of motion, strength, and coordination of the shoulder and arm. This simple yet highly effective device typically consists of a series of uniformly spaced rungs or pegs mounted vertically on a wall-mounted board. The key feature is its adjustability, allowing therapists to set the ladder at varying heights and angles to accommodate different patient heights, functional goals, and stages of recovery. Patients use the ladder by walking their fingers up and down the rungs, gradually increasing the height and reach as their mobility improves. This controlled, progressive movement helps to gently stretch the shoulder joint, improve joint lubrication, and strengthen the surrounding musculature. Adjustable therapy ladders are particularly beneficial for individuals recovering from shoulder injuries (e.g., rotator cuff tears, frozen shoulder), stroke, fractures, or post-surgical rehabilitation. They assist in restoring abduction, flexion, and external rotation of the shoulder, which are crucial for performing daily activities. The visual feedback provided by the ladder's markings helps patients track their progress and encourages them to reach new milestones. Its durable construction and ease of use make it a staple in rehabilitation clinics, providing a clear and measurable way to improve upper extremity function and regain independence.