Manual Muscle Testing: Wrist Flexion: Difference between revisions
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== Patient Positioning == | == Patient Positioning == | ||
* Patient is seated with dorsal surface of forearm supported on table | * Patient is seated with dorsal surface of forearm supported on table in supination | ||
== Therapist Position == | == Therapist Position == | ||
* Therapist is seated to access test-side | * Therapist is seated to access test-side | ||
* Palpation of wrist flexors | |||
== To Test == | == To Test == | ||
* Patient actively flexes the wrist through range. | * Patient actively flexes the wrist through range. | ||
* For grades 4 to 5 apply resistance through palm in a direction opposite to flexion. | * For grades 4 to 5 apply resistance through palm in a direction opposite to flexion. | ||
* To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) '''OR''' maintain an end point range (break testing) against maximum resistance. | |||
== Biasing Muscles/ Muscle Groups == | == Biasing Muscles/ Muscle Groups == | ||
Revision as of 12:30, 21 November 2018
Muscles Involved:[edit | edit source]
Flexor carpi radialis
Flexor carpi ulnaris
Patient Positioning[edit | edit source]
- Patient is seated with dorsal surface of forearm supported on table in supination
Therapist Position[edit | edit source]
- Therapist is seated to access test-side
- Palpation of wrist flexors
To Test[edit | edit source]
- Patient actively flexes the wrist through range.
- For grades 4 to 5 apply resistance through palm in a direction opposite to flexion.
- To satisfy grade 5 'normal muscle' performance criteria, the patient must have the ability to move through complete range of motion (active resistance testing) OR maintain an end point range (break testing) against maximum resistance.
Biasing Muscles/ Muscle Groups[edit | edit source]
- To bias flexor carpi ulnaris: instruct patient to flex wrist leading with 5th digit and apply resistance in the direction of radial deviation and extension over 5th metacarpal.
- To bias flexor carpi radialis: instruct patient to flex wrist leading with the thumb and apply resistance in the direction of ulnar deviation and extension over 2nd metacarpal.[1]
References[edit | edit source]
- ↑ Hislop H, Avers D, Brown M. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Sep 27.
