MMT: Forearm

Pronation

Start Position: Client is in the seated position with the humerus adducted to their side. Elbow is flexed to a 90 degree angle with forearm in the supinated position.
Stabilize: Distal end of the humerus bone.
Instruction: “Turn your palm to the floor, and do not let me turn it back over.”
Resistance: The therapist’s hand encircles the client’s wrist from the volar side with the index finger (sometimes middle finger as well) extended along the forearm. Force is applied in the direction of supination.

(Gett & Romaniw, 2021)

Pronation: Against gravity, November 4, 2021. Courtesy of Shelby Nigon.

Start Position: Client is in the seated position with the humerus adducted to their side. Elbow is flexed to a 90 degree angle with forearm in the pronated position.
Stabilize: Distal end of the humerus bone.
Instruction: “Turn your palm up toward the ceiling, and do not let me turn it back over.”
Resistance: The therapist’s hand encircles the client’s wrist from the volar side with the index finger (sometimes middle finger as well) extended along the forearm. Force is applied in the direction of pronation.

(Gett & Romaniw, 2021)

Supination: Against gravity, November 4, 2021. Courtesy of Shelby Nigon.

References:

Gett, M., & Romaniw, A. (2021, November 3). Manual muscle testing [PowerPoint slides]. Department of Health Sciences, Occupational Therapy, Chatham University. https://mylearning.chatham.edu/d2l/le/content/21252/viewContent/299633/View