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DynaMo Plus Test: Wrist Strength Protocol

Liesl Thrum
  • Updated

Wrist Supination

Wrist Pronation

Wrist Flexion

Wrist Extension

Wrist Ulna Deviation

Wrist Radial Deviation

Wrist Supination
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, and hand extending far enough so that the wrist is not supported by the table.
Contact point Gripping dowel.
Device orientation Vertical, consistent with the position of the patient's hand.
Position of examiner Seated adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Supination
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a neutral position.
Contact point Hand attachment, gripped in a vertical position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, medial to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Pronation
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, and hand extending far enough so that the wrist is not supported by the table.
Contact point Gripping dowel.
Device orientation Vertical, consistent with the position of the patient's hand.
Position of examiner Seated adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Pronation
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a neutral position.
Contact point Hand attachment, gripped in a vertical position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, lateral to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Flexion
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Palmar side of clenched fist, along dorsal surface of the middle phalanx.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Flexion
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a pronated position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, inferior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Extension
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Dorsal surface of hand.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Extension
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a pronated position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, inferior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, and hand extending far enough so that the wrist is not supported by the table.
Contact point Ulnar aspect of the fist, in contact with the lateral aspect of the 5th digit and hypothenar eminence.
Device orientation Vertical, tester end down with the palm pad supported by the practitioner and the flat pad in contact with the patient.
Position of examiner Seated adjacent to the patient, with one hand supporting the DynaMo Plus and the other supporting the patient's forearm, just proximal to their wrist.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Flat pad and palm pad.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a neutral position.
Contact point Hand attachment, gripped in a vertical position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Supinated Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a supinated position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Ulnar aspect of the fist, in contact with the lateral aspect of the 5th digit and hypothenar eminence.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Supinated Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a supinated position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Pronated Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a pronated position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Ulnar aspect of the fist, in contact with the lateral aspect of the 5th digit and hypothenar eminence.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Ulna Deviation
90° Elbow Flexion - Wrist Pronated Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a pronated position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Neutral Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a neutral position, and hand extending far enough so that the wrist is not supported by the table.
Contact point Radial aspect of the fist, in contact with the lateral aspect of the index finger and thumb.
Device orientation Vertical, tester end up with the palm pad supported by the practitioner and the flat pad in contact with the patient.
Position of examiner Seated adjacent to the patient, with one hand supporting the DynaMo Plus and the other supporting the patient's forearm, just proximal to their wrist.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Flat pad and palm pad.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Neutral Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a neutral position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Vertical, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Supinated Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a supinated position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Radial aspect of the fist, in contact with the lateral aspect of the 1st digit and thumb.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Supinated Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a supinated position.
Contact point Hand attachment, gripped in a vertical position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Pronated Compression

Patient position Seated adjacent to the table with their arm being tested resting on the table and forearm in a pronated position, hand in a clenched fist extending far enough so that the wrist is not supported by the table.
Contact point Radial aspect of the fist, in contact with the lateral aspect of the 1st digit and thumb.
Device orientation Horizontal, with the palm pad supported by the practitioner and the curved pad in contact with the patient.
Position of examiner Seated adjacent to, and slightly in front of the patient, holding the DynaMo Plus with one hand and supporting the patient's forearm with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.
Attachments Palm pad and curved pad.

Wrist Radial Deviation
90° Elbow Flexion - Wrist Pronated Tension

Patient position Seated on a chair with forearm being tested resting on an adjacent table and in a pronated position.
Contact point Hand attachment, gripped in a horizontal position.
Device orientation Horizontal, linked to the hand attachment at one end and anchored to a fixed surface by the cable strap at the other, anterior to the patient's arm being tested.
Position of examiner Seated next to the patient in a position to orientate the DynaMo Plus, instruct and demonstrate the movement.
Instruction Pull against the DynaMo Plus as hard as you can. 3, 2, 1 - pull, pull, pull and relax.
Attachments Hand attachment and cable strap.

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