Extended Wrist Rotation Simplified

Abstract

Extended wrist rotation provides a simple clinical measure of rigidity in movement disorders. The supinatorpronator muscles of the forearm form an agonist-antagonist pair that can be isolated for diagnosis and monitoring. Patients rarely can isolate these muscles without extraordinary training and body awareness. Clinicians may find documenting the impact of the shoulder girdle, wrist, and hand movements overburdensome. A preliminary study shows that restricting the olecranon and keeping the wrist in line with the hand can provide a simple, reproducible measure of rigidity. We study a two-handed "handshake" examination and the use of a pulley-based goniometer. This preliminary analysis indicates that both offer the same observer and between-observer reliability. Two-way analysis of variance showed no statistical differences or outliers.