Wrist/Hand Passive Range of Motion (PROM) Assessment

PROM is usually done when you can observe limited ROM during AROM. The goal ofPROM is to obtain the end-feel of the joint to determine what is limiting full range ofmotion. The following table shows an overview of „normal“ and „abnormal“ kinds of end feels:

The normal end-feel for different movements in the wrist & hand are as follows:

Wrist extension: Tissue stretch

Wrist flexion: Tissue stretch

Radial deviation: Hard

Ulnar deviation: Hard

Finger flexion (all joints): Tissue stretch

Finger extension (all joints): Tissue stretch

Thumb flexion (all joints): Tissue stretch

Thumb extension (all joints): Tissue stretch

Thumb abduction (CMC joint): Tissue stretch

Thumb adduction (CMC joint): Tissue approximation

Read the following post in order to learn how to assess for active range of motion in the wrist & hand.

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

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Pourahmadi, M. R., Ebrahimi Takamjani, I., Sarrafzadeh, J., Bahramian, M., Mohseni‐Bandpei, M. A., Rajabzadeh, F., & Taghipour, M. (2017). Reliability and concurrent validity of a new iP hone® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects. Journal of anatomy, 230(3), 484-495.