WRIST - 3 Extension (Assistive) Arm on table with thumb-up. Bend hand back at wrist. Alternate way: Use other hand to bring hand up, then let go. WRIST - 10 Flexion (Assistive) Place forearm on table, with hand resting on little finger side. Bend wrist inward. Alternate way: Bend hand toward you at wrist, palm up, using other hand to assist. Then let go and try to Page 1 of 6
WRIST - 16 Radial / Ulnar Deviation (Assistive) With palm and wrist flat on table, slide hand side to side like a windshield wiper. not move elbow. WRIST - 4 Extension (Active With Finger Flexion) With fingers curled, bend hand back at wrist. Page 2 of 6
WRIST - 5 Extension (Active With Finger Extension) With forearm on table and wrist over edge, lift hand with fingers straight. WRIST - 11 Flexion (Active) Bend wrist down with fingers curled. Page 3 of 6
WRIST - 12 Flexion (Active With Finger Extension) Let hand dangle over edge of table, palm down. Bend wrist downward as far as possible. WRIST - 17 Radial Deviation (Active With Finger Flexion) With fingers curled, bend wrist toward thumb side. Page 4 of 6
WRIST - 21 Ulnar Deviation (Active) With fingers curled, bend hand to side at wrist in direction of little finger. WRIST - 24 Circumduction (Active) With fingers curled, move slowly at wrist in clockwise circles counterclockwise. not move elbow or shoulder. Page 5 of 6
FINGER - 38 Composite Flexion (Active Extensor Stretch) Curl fingers into fist, bend wrist down, and straighten elbow. FINGER - 44 Radial Finger Walk (Active to Counteract Ulnar Deviation) With palm flat on table and held steady, lift or slide fingers one by one toward thumb. fingers in position and lift entire hand up from table to reposition for next repetition. Page 6 of 6
CHART COPY WRIST - 3 Extension (Assistive) WRIST - 10 Flexion (Assistive) WRIST - 16 Radial / Ulnar Deviation (Assistive) Place forearm on table, with hand resting on little finger side. Bend wrist inward. Alternate way: Bend hand toward you at wrist, palm up, using other hand to assist. Then let go and try to Arm on table with thumb-up. Bend hand back at wrist. Alternate way: Use other hand to bring hand up, then let go. With palm and wrist flat on table, slide hand side to side like a windshield wiper. not move elbow. WRIST - 4 Extension (Active With Finger Flexion) WRIST - 5 Extension (Active With Finger Extension) WRIST - 11 Flexion (Active) With forearm on table and wrist over edge, lift hand with fingers straight. Bend wrist down with fingers curled. With fingers curled, bend hand back at wrist. WRIST - 12 Flexion (Active With Finger Extension) WRIST - 17 Radial Deviation (Active With Finger Flexion) WRIST - 21 Ulnar Deviation (Active) Let hand dangle over edge of table, palm down. Bend wrist downward as far as possible. With fingers curled, bend wrist toward thumb side. With fingers curled, bend hand to side at wrist in direction of little finger. WRIST - 24 Circumduction (Active) FINGER - 38 Composite Flexion (Active Extensor Stretch) FINGER - 44 Radial Finger Walk (Active to Counteract Ulnar Deviation) With fingers curled, move slowly at wrist in clockwise circles counterclockwise. not move elbow or shoulder. Curl fingers into fist, bend wrist down, and straighten elbow. With palm flat on table and held steady, lift or slide fingers one by one toward thumb. fingers in position and lift entire hand up from table to reposition for next repetition. COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 1 of 1