goniometry: wrist Flashcards
Flexion and extension of wrist: position
Supine with hand vertical and the thumb up, sitting with the elbow flexed to 90, the forearm in pronation and the wrist over the edge of a table.
Flexion and extension of wrist: stablization
forearm by ensuring it remains flat on the supporting supporting surface
Flexion and extension of wrist: axis
styloid process of either the radius or unla
Flexion and extension of wrist: stationary arm
placed parallel to the radial or ulna shafts
Flexion and extension of wrist:
:parallel with the index and little metacarpals of the hand, depending on the axis being used
Normal angle for extension and flexion
extension = 0-70 (muscle tension), flexion 0-80 (muscle tension)
Extension and flexion: precautions
Avoid radial and ulnar deviation of the wrist joint and fingers should remain in a relaxed position throughout measurement.
Radial and ulnar deviation: Position
Supine with the hand flat on the bed, Sitting with the elbow flexed to 90, the forearm supported on the table in pronation and the hand flat.
Radial and ulnar deviation: Stabilization
forearm by ensuring contact with supporting surface
Radial and ulnar deviation: axis
Dorsal proximal aspect of the 3rd metacarpal bone
Radial and ulnar deviation: stationary arm
along the midline of the forearm
Radial and ulnar deviation: moving arm
along the midline of the longitudinal axis of the 3rd metacarpal bone.
Radial and ulnar deviation: normal range
Radial deviation = 0-20 (ligaments and bony opposition)
Ulnar deviation = 0-30 (ligaments and bony opposition)
Radial and ulnar deviation: precautions
avoid flexion or extension of the wrist; avoid supination or pronation of the forearm; do not use the 3rd digit as the point of reference.
fingers : position
Sitting with the elbow flexed to 90 the forearm is in the mid position, and the wrist and fingers in the anatomical position. The forearm should be supported on a table or on a pillow on the lap.
