|
Motion |
Examiner Position |
Model Position |
Examiner Instruction |
Hand Placement |
Muscles Involved |
Possible Substitutions |
Things to Note |
|
Flexion |
test side of
patient |
sitting with arm
resting on the table, forearm in supination, wrist neutral or slightly
extended |
Passive ROM
have patient relax and the examiner causes the motion
Active ROM
examiner should demonstrate motion and then have examiner complete
motion
Resistive ROM
Patient should resist examiner's overpressure in extension and/or examiner
should resist patient as they move through flexion
|
Passive
ROM Stabilize forearm against the table by grasping distal
forearm near the wrist. Place other hand over the dorsal aspect hand.
Candidate applies overpressure throughout the full ROM into wrist flexion.
Active ROM Patient does the motion
Resistive ROM Place other hand over palmer
aspect of the hand in wrist flexion. While in wrist flexion patient should
resist examiner's overpressure into wrist extension |
Flexor carpi
radialis and Flexor carpi ulnaris |
|
|
| Extension |
test side of patient |
sitting with arm resting on the
table, and forearm in full pronation |
Passive ROM
have patient relax and the examiner causes the motion
Active ROM
examiner should demonstrate motion and then have examiner complete
motion
Resistive ROM
Patient should resist examiner's overpressure in extension and/or examiner
should resist patient as they move through flexion
|
Passive ROM Stabilize
forearm against the table by grasping distal forearm near the wrist. Place
other hand over the palmer aspect aspect of the hand. Apply overpressure
throughout the full ROM into wrist flexion.
Active ROM Patient does the motion.
Resistive ROM Instruct model to maintain
wrist extension against the candidates applied resistance in to wrist
flexion. |
Extensor carpi radialis longus,
Extensor carpi radialis brevis, and Extensor carpi ulnaris |
|
|
| Radial Deviation / Wrist
Abduction |
test side of the patient |
sitting with arm resting on the
table, and forearm in supination |
Passive ROM
have patient relax and the examiner causes the motion
Active ROM
examiner should demonstrate motion and then have examiner complete
motion
Resistive ROM
Patient should resist examiner's overpressure in extension and/or examiner
should resist patient as they move through flexion
|
Passive ROM Stablize
Forearm against the table by grasping distal forearm near the wrist. Place
other hand over the palmer aspect of the hand. Apply overpressure
throughout the full ROM into wrist abduction.
Active ROM Patient does the motion
Resistive ROM Instruct model to maintain wrist
extension against the candidates applied resistance into wrist flexion.
Stablize forearm against the table. Place other hand on the model's hand
dependent on placement on the placement of the forearm. Apply resistance
throughout the full ROM into wrist abduction\radial deviation. |
|
|
|
| Ulnar Deviation / Wrist Adduction |
test side of the patient |
Place model sitting with arm
resting on the table , and hand and wrist hanging off of the edge of the
table. |
Passive ROM
have patient relax and the examiner causes the motion
Active ROM
examiner should demonstrate motion and then have examiner complete
motion
Resistive ROM
Patient should resist examiner's overpressure in extension and/or examiner
should resist patient as they move through flexion
|
Passive ROM Stabilize
forearm against the table by grasping distal forearm near the wrist. Place
other hand over the palmer aspect of the hand. Candidate applied
overpressure throughout the full ROM into wrist adduction
Active ROM Patient does the motion.
Resistive ROM Instruct model to maintain wrist
adduction against the candidates applied into wrist abduction. Place other
hand on the model's hand dependent on placement of the forearm
|
|
|
|
