

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.