Gravity Resisted Instructions: Ask the client to sit in a chair with their forearm pronated supported on a table allowing the wrist to hang over the edge.  The practitioner will stabilize the forearm and then ask the client to "Lift your hand up towards the ceiling and don't let me push you down."  The client will move the wrist into extension, and the practitioner applies resistance in to the back of the hand in the direction of flexion. 

Grades: Normal (5), Good (4), Fair (3) 

Gravity Minimized: No resistance is applied, and the practitioner or the table supports the testing extremity. (Not pictured) 

Instructions: Client is seated in a chair with the testing arm supported on a table with the forearm in neutral position. The practitioner will support the forearm and ask the client to " Extend your wrist and bring your hand back and keep your fingers relaxed." The practitioner will palpate the functional wrist extensors (extensor carpi radialis brevis, extensor carpi radialis longus and extensor carpi ulnaris)

Grades: Poor (2), Trace (1), No contraction (0)

Gravity Resisted Instructions: Ask the client to sit in a chair with their forearm supinated  supported on a table allowing the wrist to hang over the edge.  The practitioner will stabilize the forearm and then ask the client to "Lift your hand up towards the ceiling and don't let me push you down."  The client will move the wrist into flexion, and the practitioner applies resistance in to the palm of the hand in the direction of extension. 

Grades: Normal (5), Good (4), Fair (3) 

Gravity Minimized: No resistance is applied, and the practitioner or the table supports the testing extremity. (Not pictured) 

Instructions: Client is seated in a chair with the testing arm supported on a table with the forearm in neutral position. The practitioner will support the forearm and ask the client to " Bend your wrist and bring the palm of your hand towards your forearm. " The practitioner will palpate the functional wrist flexors (flexor carpi radialis, flexor carpi ulnaris, and palmaris longus)

Grades: Poor (2), Trace (1), No contraction (0)

Gravity Resisted Instructions: Ask the client to sit in a chair with their forearm pronated supported on a table. The practitioner will stabilize the forearm and then ask the client to "Bend your wrist and move your hand towards you little finger side as far as you can and don't let me resist you." The client will move the wrist into ulnar deviation, and the practitioner applies resistance in to the side of the 5th metacarpal in the direction of radial deviation. 

Grades: Normal (5), Good (4), Fair (3) 

Gravity Minimized: No resistance is applied, and the practitioner or the table supports the testing extremity. (Not pictured) 

Instructions: Client is seated in a chair with the testing arm supported on a table with the forearm in neutral pronated position. The practitioner will support the forearm and ask the client to "move your hand twoard your little finger side as far as you can."  The practitioner will palpate the muscles that ulnarly deviate teh wrist (Flexor carpi ulnaris  and extensor carpi ulnaris)

Grades: Poor (2), Trace (1), No contraction (0)

Gravity Resisted Instructions: Ask the client to sit in a chair with their forearm pronated supported on a table. The practitioner will stabilize the forearm and then ask the client to "Bend your wrist and move your hand towards you thumb side as far as you can and don't let me resist you." The client will move the wrist into radial deviation, and the practitioner applies resistance in to the side of the 5th metacarpal in the direction of radial deviation. 

Grades: Normal (5), Good (4), Fair (3) 

Gravity Minimized: No resistance is applied, and the practitioner or the table supports the testing extremity. (Not pictured) 

Instructions: Client is seated in a chair with the testing arm supported on a table with the forearm in neutral pronated position. The practitioner will support the forearm and ask the client to "move your hand twoard your thumb side as far as you can."  The practitioner will palpate the muscles that radially deviate teh wrist (flexor carpi radialis, extensor carpi radialis longus and brevis)

Grades: Poor (2), Trace (1), No contraction (0)