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
