Which movements are included in hand and wrist ROM assessment?

• A. Extension and flexion; radial and ulnar deviation; pronation and supination
• B. Only extension and flexion
• C. Only radial and ulnar deviation
• D. Only pronation and supination

Answer: (A)

The main concept is that a thorough hand and wrist ROM assessment covers movements across multiple planes that position and move the hand. This includes wrist flexion and extension to evaluate the primary hinge movement of the wrist, radial and ulnar deviation to test movement toward the thumb and little finger sides, and forearm rotation—pronation and supination—to assess how the hand is oriented in space when the forearm rotates. Together these movements test both the wrist joints and the proximal radioulnar joints that influence hand function, giving a complete picture of mobility and any deficits. If you only assess one or two of these movements, you may miss important limitations in another plane that affect daily tasks.