1 Before you use it
What it is
The default wrist PROM. Fifteen items — 5 pain and 10 function — with the function items split into specific activities and usual activities. Same architecture as the PRTEE and PREE.
A hand-and-wrist variant (PRWHE) adds an appearance item.
When to reach for it
Every wrist presentation — post-distal-radius-fracture above all, plus TFCC, DRUJ, ECU and scaphoid.
On a post-fracture wrist, pair it with grip strength and the one-handed activity list. Between them they cover the three things that actually predict recovery.
2 Giving it
Scoring
Pain (0–50) plus function (halved to 0–50) = 0–100. Lower is better. The halving step again.
What it doesn’t measure
Grip strength, range in degrees, or DRUJ stability — all of which the distal radius fracture page asks you to measure separately.
Repeat it
3 Reading the score
Interpreting it
Interpret against baseline.
Report both subscales. A post-fracture wrist that is pain-free but functionally limited is a stiffness and non-use problem; the reverse is something else.
Is the change real?
On placement
Distal radius fracture, 4 weeks out of the cast. PRWE 61 at cast-off, 48 today.
Read it as 13 points down, past the 7.7-point MDC but short of the 24-point MCID for one patient (the 17-point figure is for a group mean; all measured in wrist and hand disorders). Real, not yet meaningful.
Do expect the pain half to lead and the function half to lag in a post-fracture wrist — read the two separately, and keep the range and load progression on the function items.
Student trap. Reporting a wrist as recovered on PRWE alone. Range can return and the DRUJ can still be unstable — that's on the DRUJ page for a reason.
Official source: sjhc.london.on.ca. We don't host the form.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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