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In this video we will show you some tips for Mastering Wrist Goniometry & Techniques for Precision https://handtherapysecrets.com/lookin... Wrist goniometry is the measurement of the range of motion (ROM) of the wrist joint using a goniometer. Here are some tips to ensure accurate and consistent measurements: 1. Understanding Anatomy: Familiarize yourself with the basic anatomy of the wrist joint, including its different movements: flexion, extension, radial deviation (abduction), and ulnar deviation (adduction). 2. Patient Positioning: Position the patient comfortably, either seated or lying down, with the forearm supported at heart level and the hand relaxed. Ensure the elbow is flexed at 90 degrees. 3. Goniometer Placement: Place the fulcrum of the goniometer at the center of the wrist joint, typically aligned with the dorsal midline, and the stationary arm pointing towards the ulna. The movable arm should align with the dorsal aspect of the metacarpal of the hand being measured. 4. Zero Alignment: Set the goniometer to zero by aligning it with the anatomical position of the wrist, where the hand is in line with the forearm and the palm is facing inward. 5. Clear Instructions: Clearly explain the movements you're going to assess to the patient before you begin. For example, ask the patient to move their wrist up towards their forearm (flexion) or down away from their forearm (extension). 6. Stabilization: It's important to stabilize the forearm and the distal portion of the hand to prevent any unnecessary movement during measurements. One hand can hold the forearm steady, while the other hand assists in guiding the goniometer. 7. Full Range Movement: Instruct the patient to move their wrist through its full range of motion. Allow them to move slowly and smoothly, without forcing any movement that causes pain or discomfort. 8. Visual Landmarks: Use anatomical landmarks to guide your measurements. For instance, during wrist flexion, measure the angle between the long axis of the forearm and the dorsal surface of the hand. 9. Measurement Recording: Take note of the angle displayed on the goniometer once the patient has completed the movement. Record the measurement accurately in degrees, noting whether it's active (performed by the patient) or passive (assisted by the examiner). 10. Repetition and Averaging: To ensure accuracy, repeat the measurements a few times and calculate an average. This can help account for any small variations due to factors like patient fatigue or examiner error. 11. Comparative Assessment: If measuring both wrists, ensure you measure the unaffected side first to establish a baseline for comparison. 12. Documentation: Document the patient's name, date of measurement, wrist side (right/left), and the specific movement being measured. This information is crucial for tracking progress over time. Practice and Familiarity: Goniometry requires practice to develop consistency and accuracy. Familiarize yourself with the goniometer and practice the techniques on healthy individuals before using it in clinical settings. Remember that patient comfort and cooperation are essential for accurate measurements. Always respect any pain or limitations the patient might have and adjust your technique accordingly. If you're unsure about any aspect of goniometry, consult with a trained healthcare professional. If you like videos like this that help build your career as an OT, click SUBSCRIBE and the notification bell to know when I put out new videos. No matter where you are on your journey to becoming a hand therapist, we can help. Click here to find the perfect resources for you. Website: https://handtherapysecrets.com/ Listen on the go on Apple Podcasts. https://podcasts.apple.com/us/podcast... Instagram: / handtherapy_secrets Facebook / handtherapysecrets Ticktok: https://www.tiktok.com/@handtherapy_s... Dive deeper into details when you study for the CHT exam: https://handtherapysecrets.com/cht-me... Hand Therapy Secrets Testimonials | Hand Therapy Certification Exam Preparation • Hand Therapy Secrets Testimonials | H... #OccupationalTherapy #HandTherapyTraining #Handtherapist #handtherapy #occupationaltherapist #cht #chtexam #CertifiedHandTherapist #OccupationalTherapist #physicaltherapist #futureCHT #handtherapymentor