41. A flexion test of an affected limb often produces a temporary worsening of the lameness. 42. The iliopsoas is involved in flexion and lateral rotation ( supination ) of the thigh. 43. Flexion of the shoulder or hip refers to movement of the arm or leg forward.44. Consequently, during full elbow flexion , the hand tends to rest outside the shoulder. 45. Special projections are AP Right and Left bending, and Laterals with Flexion and Extension. 46. Both the force applied and the time a flexion test is performed can affect outcome. 47. The pain is classically relieved by a change in position or flexion of the waist. 48. A passive / active flexion test is commonly performed along with a thorough hoof examination. 49. The procedure will release the contracture and allows for active flexion by transferring the biceps. 50. It is however commonly brought on by activities that require repetitive wrist flexion and extension.