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Sports Medicine II Patient Position Hand and Wrist ROM Testing Name _______________________ Wrist Flexion and Extension Forearm is pronated with the hand off the edge of the table. Wrist flexion-fingers are allowed to extend Wrist extension-fingers are allowed to flex Fulcrum Over the lateral joint line of the wrist Stationary Arm Centered on the midline of the ulnar shaft Movement Arm Centered on the midline of the fifth metacarpal Normal Range Flexion- 80° to 90° Patient Position Radial and Ulnar Deviation Forearm is pronated with the hand resting on the table Fulcrum Aligned with the center of the distal radioulnar joint, just proximal to the capitate Stationary Arm Centered over the midline of the forearm Movement Arm Centered over the third metacarpal Normal Range Radial Deviation- 20° Patient Position Finger Flexion and Extension Hand is placed in its neutral position Fulcrum Positioned over the dorsal aspect of the joint being tested Stationary Arm Centered on the midline of the bone proximal to the joint being tested Movement Arm Centered on the midline of the bone distal to the joint being tested Extension- 75° to 85° Ulnar Deviation- 35° Normal Range Patient Position Finger Abduction and Adduction Hand is placed in its neutral position Fulcrum Centered over the MCP joint being tested Stationary Arm Centered over the metacarpal of the joint being tested Movement Arm Centered over the proximal phalange of the joint being tested Normal Range
