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