2025, Vol. 12, Issue 2, Part C

Background: Pathologies and wrist injuries limited upper extremity function, especially during working years. In previous epidemiological study in India reported 6 million upper extremity injuries. Common wrist conditions include fractures, dislocations, sprains, open wounds, burns, nerve injuries, and arthritis. Wrist motion can also be impaired due to non-articular damage or prolonged immobilization, assessing wrist range of motion helps evaluate muscle function and periarticular structures. Sometimes, occupational therapy assessments lack standardization, leading to measurement inconsistencies across clinics and therapists due to pain, fatigue, and patient effort further contribute to variability in clinical evaluations.

Objective: Evaluation of the Reliability of Goniometric Measurements of Active and Passive Wrist Motion In our Institute.

Methodology: All subjects are greater than 18 years old and signed a statement of informed consent. Fifty wrist joints were measured in a sample of 48 subjects, 33 men and 15 women. The subjects ranged in age from 18 to 71 years. The measurement was read and recorded, and the goniometer was reset to 0° before it was returned to the rater. The sequence was repeated so that there were two measurements of each active motion. After the first rater completed these measurements, the second rater measured the subject's active wrist range of Motion in the same sequence. The measurements required for this study preceded other evaluation procedures, and no treatment was provided until all of the data had been collected for the subject.

Result: lntra-rater reliability coefficients for the measurement of active wrist motions were higher among specialized compared nonspecialized raters. For active range of motion measurements, the coefficients for the specialized raters ranged from.909 for abduction to.974 for extension; those for the nonspecialized raters ranged from.860 for abduction to.899 for extension. Intra-rater reliability coefficients for measurement of passive range of motion were slightly higher for the specialized, compared nonspecialized raters for flexion and extension.

Conclusion: Intra-rater reliability was found to be consistently higher than Inter• rater reliability, although overall reliability remained excellent.