Active range of motion (AROM) was tested using conventional goniometric technique.24 Reliability has previously been shown to be high both for elbow extension and for wrist extension (intraclass correlation coefficient (ICC)>0.9 for both motions).25,26 Elbow-joint extension was tested with the patient sitting on a chair with the arm hanging down freely; the humerus and radius were used as references. Maximum active extension was measured, with full extension defined as 0°;24 degrees lacking from 0° were recorded as extension deficit. Wrist dorsiflexion was measured with the patient sitting with the forearm and hand resting on a table, elbow flexed, forearm in neutral position between pronation and supination, and wrist in neutral position between flexion and extension. Maximum active dorsiflexion was measured and recorded in degrees. Radius and metacarpal III were used as references. No compensatory movements were allowed.