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TOPIC OF PRESENTATION
PRONATORS
PRONATION:
rotation of the hand and forearm so that the palm
faces backwards or downwards.
PRONATOR TERES
Origin:
• Humeral head: medial epicondyle of humerus
• Ulnar head: medial boarder of coronoid
process of ulna
Insertion: lateral aspect of shaft of radius
Nerve supply: median nerve
PRONATOR QUADRATUS:
ORIGIN: Anterior surface of shaft ulna
INSERTION: Anterior surface of shaft of radius
NERVE SUPPLY : Anterior interosseous branch
of median nerve
Pronation is assisted by
• Palmaris longus
• Brachioradialis
• Flexor carpi radialis
RESISTED EXERCISE:
Patient position:
Patient is in short sitting with elbow flexed at right angle
Hand placement :
 Therapist is in front of patient with
one hand stabilizing the humerus
 Other hand grasp the patient wrist
or “ Hand Shake” grasp
 With his first and second finger extended on anterior side
 Risistance is given
Instructions: Move your hand downward
Other ways of resistance
 Self resistance
 Use of therabands
ASSISTED EXERCISE
Patient position:
Patient is in short sitting with elbow flexed at right angle
Hand placement :
 Therapist is in front of patient with
one hand stabilizing the humerus
 Other hand grasp the patient wrist
or “ Hand Shake” grasp
 With his first and second finger extended on anterior side
 Assistance is given where needed
Self assistance
Re education board
 FREE EXERCISES
1. Sitting: forearm supported supination pronation
2. Sitting: take match sticks from therapist and put it on table
3. Sitting :tap ruler held in hand from side to side on table
4. Sitting :pouring grains from one plate to another
5. Standing : (unscrewing) turn the handle of door
6. Standing: moving hammer or weight downward
Pronation supination wheel
Pronator muscles anatomy and strengthening

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Pronator muscles anatomy and strengthening

  • 2. PRONATION: rotation of the hand and forearm so that the palm faces backwards or downwards.
  • 3. PRONATOR TERES Origin: • Humeral head: medial epicondyle of humerus • Ulnar head: medial boarder of coronoid process of ulna Insertion: lateral aspect of shaft of radius Nerve supply: median nerve
  • 4. PRONATOR QUADRATUS: ORIGIN: Anterior surface of shaft ulna INSERTION: Anterior surface of shaft of radius NERVE SUPPLY : Anterior interosseous branch of median nerve Pronation is assisted by • Palmaris longus • Brachioradialis • Flexor carpi radialis
  • 5. RESISTED EXERCISE: Patient position: Patient is in short sitting with elbow flexed at right angle Hand placement :  Therapist is in front of patient with one hand stabilizing the humerus  Other hand grasp the patient wrist or “ Hand Shake” grasp  With his first and second finger extended on anterior side  Risistance is given Instructions: Move your hand downward
  • 6. Other ways of resistance  Self resistance  Use of therabands
  • 7. ASSISTED EXERCISE Patient position: Patient is in short sitting with elbow flexed at right angle Hand placement :  Therapist is in front of patient with one hand stabilizing the humerus  Other hand grasp the patient wrist or “ Hand Shake” grasp  With his first and second finger extended on anterior side  Assistance is given where needed Self assistance Re education board
  • 8.  FREE EXERCISES 1. Sitting: forearm supported supination pronation 2. Sitting: take match sticks from therapist and put it on table 3. Sitting :tap ruler held in hand from side to side on table 4. Sitting :pouring grains from one plate to another 5. Standing : (unscrewing) turn the handle of door 6. Standing: moving hammer or weight downward