Client Position: Client seated, forearm on table, pronated.
Axis: Lateral ulnar styloid process
Goniometer Stationary arm: Midline of ulna
Goniometer Moveable arm: Midline of the fifth metacarpal
Instruct Client: "Bend your wrist up toward the ceiling."
Directions: Client will lift hand off table and extend wrist. Client can be positioned off the side of a table. Client can keep fingers relaxed.
Norm: 0-70°
Assess AROM and then PROM
Client Position: Client seated, forearm on table, supinated.
Axis: Distal aspect of ulnar styloid process
Goniometer Stationary arm: Midline of ulna
Goniometer Moveable arm: Middle of the fifth metacarpal
Instruct Client: "Bend your wrist up and raise your hand toward the ceiling."
Directions: Client will lift their hand off the table and flex their wrist. The client can be positioned off the side of a table if unable to fully supinate. The client can keep fingers relaxed.
Norm: 0-80°
Assess AROM and then PROM
Alternate position
Client Position: Client seated, forearm and hand palm down supported on the table.
Axis: Palpate capitate/base of third metacarpal.
Goniometer Stationary arm: Midline of forearm
Goniometer Moveable arm: Midline of the third metacarpal
Instruct Client: Bend your wrist and move your hand towards the thumb side.
Directions: Client will bend wrist into radial deviation while maintaining hand flat on the table. The client can keep fingers relaxed.
Norm: 0-20°
Assess AROM and then PROM
Client Position: Client seated, forearm and hand palm down supported on the table.
Axis: Palpate capitate/base of third metacarpal.
Goniometer Stationary arm: Midline of forearm
Goniometer Moveable arm: Midline of the third metacarpal
Instruct Client: Bend your wrist and move your hand towards the little finger side.
Directions: Client will bend wrist into ulnar deviation while maintaining hand flat on the table. The client can keep fingers relaxed.
Norm: 0-30°
Assess AROM and then PROM