Thanks for your help!

My patient is a 43-year old stay-at-home mom. She was in a cast for 6 weeks and had it removed about 4 weeks ago.

The endfeel of her wrist extension is a tissue stretch and I have been giving her active-assisted wrist extension to try to increase the range.

Roycar -- Should I begin strengthening as you suggested at her end-range of acive wrist extension (45 degrees). Shouldn't I wait to begin strengthening until she re-gains full range of wrist extension? Or would isometrics be safe to do?

Thanks again!