ROM Assessment Guide

Wrist ROM

Learn how to assess wrist movement using Active, Passive and Resisted ROM.

Movement Selector
Selected Movement

Flexion

Active ROM

Ask the client to bend the wrist forward, bringing the palm toward the forearm.

Passive ROM

Support the forearm and gently move the wrist into flexion.

Resisted ROM

Client attempts wrist flexion while resistance is applied against the palm.

What to Observe

  • Pain
  • Range restriction
  • Compensation
  • Difference between sides
Assessment Flow

Assessment Flow

Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Special Tests
Special Tests

Special Tests

Phalen’s Test

Carpal Tunnel

Tinel’s Sign

Median Nerve / Carpal Tunnel

Finkelstein Test

De Quervain’s

Ulnar Fovea Sign

Ulnar-sided Wrist / TFCC Region

Quick Check

Quick Check

1. Which wrist movement brings the palm toward the forearm?

2. Which wrist movement moves the hand toward the thumb side?

For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.