07-03: Range of Motion

Question 0

Types of ROM (4)

Answer 0

• PROM
• AROM
• AAROM
• Resisted ROM

Question 1

Purpose of range of motion (2)

Answer 1

• Examination of movement

- Initiating movement into purposeful therapeutic intervention

Question 2

PROM - Definition

Answer 2

• Passive range of motion

- Movement of segment within unrestricted ROM produced by external forces (person, gravity, machine)

Question 3

PROM - Indications

Answer 3

• Acute inflammation (2-6 days)
• Post surgery (healing, adhesions)
• Paralysis
• Comatose or complete bed rest

Question 4

PROM - Contraindications

Answer 4

• When healing process is disrupted

- Pain is produced or increased

Question 5

PROM - Goals

Answer 5

• Maintain joint/connective tissue mobility
• Minimize the effects of the formation of contractures
• Maintain mechanical elasticity of muscle
• Assist circulation and vascular dynamics
• Enhance synovial movement
• Decrease or inhibit pain
• Assist with the healing proceeds after injury or surgery
• Maintain patient’s awareness of movement

Question 6

Uses for PROM

Answer 6

• Therapist examination: Differentiate between inert and contractile structures
• Therapeutic Exercise
• Prior to stretching

Question 7

PROM - Limitations

Answer 7

• Does not prevent atrophy
• Does not prevent strength or endurance
• does not improve circulation to the extent as AROM does

Question 8

AROM - Indications

Answer 8

• Active range of motion
• When one can move a segment
• Weakness is present, retrain normal functional movement patterns to progress to resisted exercises
• Immobilized segment
• Relieve stress from sustained postures

Question 10

AROM - Contraindications

Answer 10

• Fx
• Acute tears, strains, sprains, surgery, anytime healing is compromised
• If patient’s response or condition is life-threatening

Question 11

AROM - Goals

Answer 11

• Maintain elasticity and contractility of muscle
• Provide/increase sensory feedback from contracting muscles
• Stimulus for bone/joint tissue integrity
• Increase circulation and prevent thrombus formation
• Develop coordination and motor skills for functioning

Question 12

AROM - Limitations

Answer 12

• Does not maintain or increase strength

- Does not develop skill or coordination except in the movement pattern used

Question 13

AAROM

Answer 13

• Indications/Contraindications per AROM

- Transition between PROM and AROM

Question 14

AAROM - Advantages

Answer 14

• Pt is in control
• Incorporates active muscle
• Aids in reducing pain
• Aids in reducing edema
• Corrects motion without substitution

Question 15

Resisted ROM - Contraindications

Answer 15

• When healing may be compromised

- Altered comprehension or coordination

Question 16

How do we know pt has performed too much or the wrong movements?

Answer 16

• Pain and inflammation
• Loss of strength
• Loss of ROM

Question 17

Applying ROM Techniques

Answer 17

• Monitor pt’s response throughout
• Pt preparation: communication, freeing restrictive objects
• Application of techniques: Monitor grip, support body part, move through full available ROM (up to tissue resistance, move smoothly and thythmically, 5-10 reps
• Apply PROM, AAROM, AROM
• Monitor pt throughout the procedure