Functional reach Test and Modified Functional reach Instructions

Question 1

The functional reach test can be administered while the pt is standing or sitting

Question 2

Functional Reach
* The pt is instructed to be next to but not touching the, a wall and position the arm that is closeer to the wall at 90 degrees of shoulder flexion w/ closed firt
* The assessor records the starting position at the 3rd metacarpal head on the yardstick
* Instruct the patient to “reach as far as you can forward w/o taking a step”
* The location of the 3rd metacarpal is recorded
* Scores are determined by assessing the difference between the start and end position is the reach distance, usually measured in inches
* Three trials are done and the average of the last two is noted

Question 3

Modified Functional Reach
* Performed w/ a leveled yardstick that has been mounted on the wall at the height of the patient’s acromion level in the non-affected arm while sitting in a chair
* Hips, knees and ankles positioned are at 90 degree of flexion, with feet positioned flat on the floor
* The initial reach is measured with the patient sitting against the back of the chair with the UE flexed to 90 degrees, measure was taken from the distal end of the third metacarapal along w/ yardstick

Consists of.3 trials
* Sitting with the unaffected side near the wa;; and leaning forward
* Sitting with the back to the wall and leaning right
* Sitting with the back of the wall leaning left
* instructions should include leaning as far as possible in each direction without rotation and without touching the wall
* record the distance in centimeters covered in each direction
* If the patient is unable to raise the affected arm, the distance covered by the acromion during leaning is recorded
* First trial in each direction is a practic trial and should not included in the final result
* A 15 second rest break should be allowed between trials

Set-up
* A yarstick and duck tape will be needed for the assessment
* The yardstick should be affixed to the wall at the level of the patients acromion

Total (average of trial 2 and 3 only)

Question 4

-asses a patient’s stability by measuring the maximum distance an individual can reach forward while standing in a fixed position

Modified: patients who are unable to stand (3 trails: sitting affected side lean forward, sitting with back wall & lean R, then lean L)

Question 5

Community dwelling elderly: <7inch

Fall Risk: <10 inch

Healthy: >10 in

Modified:

Stroke: forward 2.45cm

Paretic side: 1.62cm

Non-paretic side: 2.67cm

Parkinson’s 2.64cm