{"id":12642,"date":"2022-11-08T17:22:34","date_gmt":"2022-11-08T16:22:34","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=12642"},"modified":"2022-11-08T17:22:34","modified_gmt":"2022-11-08T16:22:34","slug":"wrist-hand-resisted-isometric-testing","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/wrist-hand-resisted-isometric-testing\/","title":{"rendered":"Wrist\/Hand Resisted Isometric Testing"},"featured_media":12643,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-12642","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12643,"background_image_alt_text":"Wrist\/Hand Resisted Isometric Testing"},"heading":"Wrist \/Hand Resisted Isometric Testing","subheading":"Basic Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Resisted Isometric Strength Testing of the Wrist &amp; Hand<\/h2>\nAfter completing active and passive range of motion assessment you're going to continue with resisted isometric muscle testing. During resisted isometric muscle testing of the wrist &amp; hand you're also going to include wrist flexion and extension as some of the forearm muscles are attached to the humeral epicondyles.\nDuring resisted isometric muscle testing of the wrist and hand, you're also going to evaluate the movements of pronation and supination which we covered in our post on the <a href=\"https:\/\/www.physiotutors.com\/wiki\/elbow-resisted-isometric-testing\/\">elbow joint<\/a>.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=DKE4QDMlFAs[\/embed]\n\n<\/div>\nFor resisted isometric testing of the wrist\u00a0and hand you can have your patient sit on a\u00a0\u00a0stool with the forearm resting on the bench.\n<ul>\n \t<li><strong>Wrist Extension: <\/strong>To assess wrist\u00a0 extension, fixate the distal forearm and apply resistance on the dorsum of the hand.<\/li>\n \t<li><strong>Wrist Flexion: <\/strong>To assess wrist flexion, fixate the distal forearm and apply resistance on the palm of the hand.<\/li>\n<\/ul>\nFor radial and medial deviation, the patient may make a fist.\n<ul>\n \t<li><strong>Radial Deviation: <\/strong>With one hand fixate the distal forearm and then apply resistance against movement of the wrist towards the thumb (radial deviation).<\/li>\n \t<li><strong>Ulnar Deviation: <\/strong>With one hand fixate the distal forearm and then apply resistance against movement of the wrist towards the pinky (ulnar deviation).<\/li>\n<\/ul>\nResisted Isometric Testing of the Hand &amp; Fingers:\n<ul>\n \t<li><strong>Finger Flexion:\u00a0<\/strong>A really functional way to conduct resisted isometric\u00a0testing for finger flexion is to ask your patient\u00a0to give you a firm handshake. If you want to get\u00a0information on individual joints you can go ahead\u00a0and give resistance to those<\/li>\n \t<li><strong>Finger Extension: <\/strong>To assess extension,\u00a0have your patient's hand lie flat on the bench. Put your hand on the patient's fingers, fixate with the\u00a0other and then ask the patient to lift up your hand while you apply resistance to the fingers.<\/li>\n<\/ul>\nFor resisted isometric testing of finger adduction and finger abduction, you can simply intertwine your fingers with those of the patient.\n<ul>\n \t<li><strong>Finger abduction: <\/strong>Ask your patient to squeeze the fingers while you give resistance.<\/li>\n \t<li><strong>Finger abduction: <\/strong>Ask your patient to try to spread the fingers while you give resistance.<\/li>\n<\/ul>\nFor resisted isometric testing of the thumb, fixate the hand including the scaphoid bone with one hand and make a fist around the patient's thumb with your other hand.\n<ul>\n \t<li><strong>Thumb abduction:<\/strong> Resist the movement of the thumb perpendicular to the palm of the hand<\/li>\n \t<li><strong>Thumb adduction:<\/strong> Resist the movement of the thumb toward the palm of the hand<\/li>\n \t<li><strong>Thumb extension:<\/strong> Resist the movement of the thumb in the plane of the palm toward the radius<\/li>\n \t<li><strong>Thumb flexion:<\/strong> Resist the movement of the thumb in the plane of the palm toward the ulna<\/li>\n<\/ul>\nAlso check out our post on <a href=\"https:\/\/www.physiotutors.com\/wiki\/wrist-hand-active-range-of-motion\/\" target=\"_blank\" rel=\"noopener\">active range of motion\u00a0<\/a> assessment as well as<a href=\"https:\/\/www.physiotutors.com\/wiki\/wrist-hand-passive-range-of-motion\/\"> passive range of motion<\/a> assessment of the wrist and hand.\n\n[cta]\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"-"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Wrist\/Hand Resisted Isometric Testing | Basic Assessment<\/title>\n<meta name=\"description\" content=\"Wrist\/Hand resisted isometric testing is part of the basic assessment. 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