This article in the New England Journal of Medicine is an excellent review of pronator drift and explains how injury to the pyramidal tracks can cause pronator drift.

In physical therapy, assessing for cervical artery dysfunction is an important aspect of evaluation, knowing the physiology behind pronator drift is a must!

Pronator Drift Philip Darcy, M.B., and Adrian M. Moughty, M.B. N Engl J Med 2013; 369:e20 October 17, 2013DOI: 10.1056/NEJMicm1213343

– Terry Pratt, MS, PT, COMT, FAAOMPT

Terry is a Faculty and Clinical Fellowship Instructor for The North American Institute of Orthopaedic Manual Therapy and has lab assisted with the Institute since 2002. He’s served as adjunct faculty at several universities, developed teaching manuals for the McConnell Institute faculty, produced technique videos for NAIOMT, formatted and reviewed the textbook ‘Manipulative Thrust Techniques of the Spine’ by Erl Pettman, and the manual for distance mentoring for NAIOMT clinical fellowship instructors and fellows in training. Terry has written a section for a home study course for the Orthopedic Section of the APTA addressing treatment of the injured lumbar spine published in 2015. Learn more.