Terminology of Movement



Ovid: Hand and Wrist

Authors: Doyle, James R.
Title: Hand and Wrist, 1st Edition
> Table of Contents > Section I – Basic Anatomy > 1 – Anatomy > 1.3 – Terminology of Movement

1.3
Terminology of Movement
It is important to learn the language of movement as it relates to forearm, wrist, fingers, and thumb functions. Figure 1.3-1
depicts the accepted terminology used to describe the various movements
seen and tested in the hand, wrist, and forearm. Consistent use of
these terms will allow all health care providers to easily communicate
their findings to each other. Health workers might also develop a
reasonable diagnosis and treatment plan if they note the absence of a
specific movement. Table 1.3-1 provides the
anatomic basis for movement in the upper extremity; learning it will
aid in making a diagnosis and help to establish the site and level of
an injury.
Table 1.3-2 Grading of Muscle Strength
Grade Strength Description
5 Normal Complete ROM against gravity with full resistance
4 Good Complete ROM against gravity with some resistance
3 Fair Complete ROM against gravity
2 Poor Complete ROM with gravity eliminated
1 Trace Evidence of slight contraction; no joint motion
0 Zero No evidence of contraction
ROM, range of motion.
Table 1.3-2 covers the grading
of muscle strength, which helps to document the degree of disability as
a baseline. It is a useful tool in monitoring the presence or absence
of recovery.
Suggested Reading
Bugbee WD, Botte MJ. Surface anatomy of the hand. Clin Orthop 1993;296:122–126.
Doyle JR, Botte MJ. Surgical anatomy of the hand and upper extremity. Philadelphia: Lippincott Williams & Wilkins, 2002.
Kaplan EB. Functional and surgical anatomy of the hand. 2nd Ed. Philadelphia: JB Lippincott, 1965:265–270.

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