Professional Documents
Culture Documents
FORWARD REACH:
The functional reach test has been designed to test how well a seating system assists in leaning or reaching forward
with the ability to return to the upright position.
• The tester will lie down on the floor and align himself/herself to have a good view of the most distal reaching
body part adjacent to the measuring device for accurate measurement.
• One of the investigators should explain and demonstrate the lateral reach downward.
• The non-reaching upper extremity shall be placed over but not touching the non-reaching side push-rim in
case the subject needs to grab on to prevent complete loss of balance. If the subject is unable to hold the
non-reaching arm in this position, the alternate position will be recorded.
• The subject shall reach laterally straight down to the side towards the floor as far as possible.
• The subject must be able to independently return to the upright position and shall not touch any part of the
wheelchair with the non-reaching arm or the trial must be repeated. The trial shall also be repeated if the
non-reaching arm deviates more than 6 inches away from the push-rim during the reach.
• The subject has one practice trial to ensure that they understand the task.
• The subject is asked to reach laterally downward, reaching for the floor as far as possible and the reach
measurement is recorded.
• Three lateral downward leans are to be performed to the left and to the right with the subject repositioning in
the upright position between each downward lateral reach.
• The lean measurement is the difference between the start and end distance in centimeters from the floor.
• The subject shall be spotted for safety as they reach laterally downward.
• If the subject is unable to return to an upright position or moves the non-reaching upper extremity more then 6
inches from the push-rim (or alternate start position), then the trial shall be repeated.
LATERAL REACH IN THE HORIZONTAL PLANE:
Reaching laterally, parallel to the floor, in the horizontal plane level with the shoulders, with the ability to return to the
upright position.
• Place subject in the middle of the clinic with plenty of space to reach laterally.
• Position a vertical pole directly behind the subject’s reaching shoulder (left first).
• Set the flexible tape measure on the vertical pole at the height of the acromion process.
• The tester shall hold the 2nd and 3rd fingers on the subject’s shoulder with the acromion between the two
fingers.
• The tape measure should be held lightly and allowed to glide as the subject reaches laterally.
• The lateral reach shall be explained and demonstrated by one of the testers.
• The non-reaching upper extremity shall be extended laterally in the opposite direction. If the subject is unable
to extend the arm laterally, an alternate position shall be recorded.
• The subject shall reach laterally straight out on the horizontal and sagittal plane as far as possible.
• The subject must be able to independently return to the upright position or the trial shall be repeated.
• The subject shall practice the lateral reach to ensure that they understand the task.
• Three lateral reaches shall be performed on each side with the subject repositioning in an upright posture
between each reach.
• The baseline measurement shall be the distance from the vertical pole to the acromion process. This
measurement shall be recorded at the beginning of each trial.
• The subject shall reach laterally as far as possible. The maximum lateral reach shall be recorded at the
acromion process.
• The amount of lateral reach is the difference between the acromion process measured at maximum reach
and the baseline position of the acromion process.
• If the subject is unable to return to an upright position or moves the other extremity out of position more than 6
inches, then the trial shall be repeated.
• Relocate the vertical pole from the left side of the wheelchair to the right side and repeat the process.