Goniometry (Wrist)

Question 1

Wrist radial deviation Goniometer Alignment

Answer 1

• Fulcrum: dorsal aspect of the capitate
• align proximal arm to the midline of arm in reference to lateral epicondyle
• align distal arm to the third metacarpal

Question 2

What is the ROM for ulnar deviation?

Answer 2

30-40º

Question 3

Wrist flexion Goniometer Alignment

Answer 3

• fulcrum: triquetrum
• align proximal arm with the ulna
• align distal arm with the fifth metacarpal

Question 4

How do you position the arm for wrist goniometry?

Answer 4

1. Abduct arm to 90º
2. Flex elbow to 90º
3. Have palm face the floor

Question 5

What is the ROM for wrist flexion?

Answer 5

60-80º

Question 6

Wrist extensor digitorum muscle test (procedure)

Answer 6

• place arm into full extension and place the hand into a loose fist
• keep wrist in neutral position
• push on the dorsal surface of the wrist until you feel tension

Question 7

What is the ROM for wrist radial deviation?

Answer 7

20-25º

Question 8

Wrist Extension Goniometer Alignment

Answer 8

• Fulcrum:triquetrum
• align proximal arm with the ulna
• align distal arm with the fifth metacarpal

Question 9

What is the ROM for wrist extension?

Answer 9

60-75º

Question 10

Wrist muscle lengthening test (muscles and performance)

Answer 10

1. Flexor digitorum profundus and superficialis
2. normally 10-15 degrees less than wrist extension ROM
3. elbow, MCP, PIP, and DIP joints in full extension
4. pronate the forearm and place the wrist in a neutral position
5. push against the palm of the hand while bracing the forearm and going until you feel resistance.

Question 11

Wrist Ulnar deviation Goniometer Alignment

Answer 11

• Fulcrum: dorsal aspect of the capitate
• align proximal arm to the midline of arm in reference to lateral epicondyle
• align distal arm to the third metacarpal