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Anatomical Movement. Forearm supination. Testing position. Patient is seated with the shoulder adducted by their side, elbow flexed to 90 degrees and forearm in the neutral position to start. A simple trick is to have the patient hold a pen or pencil for ease of measurement. Goniometer Placement. Expected Findings.
Range of Motion Normal Values. Each joint has a normal ROM range of values, while each person has a different amount of ability to achieve it. Below are generally accepted values for a normal ROM for some individual joints as measured in degrees: Table 1. Typical Joint Ranges [1]
Learn the proper technique to measure supination range of motion for the forearm using a goniometer.
When a patient cannot complete forearm range of motion, many structures may be causing the impairment. If one structure is HYPO mobile, while its neighboring structure is HYPER mobile, unquestionably the easier to move structure will try to accomplish the motion.
These fantastic forearm pronation exercises will strengthen your supination muscles and build rotational strength in your lower arms and wrists.
Normal Range of Motion Reference Values. Normal Range of Motion Reference Values. Typical Range of Motion: Elbow ... Extension/Flexion: 0/145: Forearm: Pronation/Supination: 70/85: Wrist: Extension/Flexion: 70/75: Radial\Ulnar : 20/35: Thumb basal joint: Palmar Adduction/Abduction: Contact/45: Radial Adduction/Abduction: Contact/60: Thumb ...
Normative Value: 0- 90 degrees
In several pathologies, forearm pronation and supination can be limited. For example, forearm fracture, injury of the DRUJ, and elbow impairment can all result in decreased forearm ROM. Clinically the functional impairment of reduced forearm pronation and supination is apparent.
Supination/Pronation (0-80°) • Supination is the movement of the forearm so the palm is up > thumb pointing away from the body. Think of holding a bowl of soup with palm up • Pronation is the movement of the forearm so the palm is down > thumb pointing towards the body.
Patient supinate the forearm through partial range of motion in the above given patient postion. For Grade 1 palpate the supinator muscle distal to the head of the radius on the dorsal aspect of the forearm.