Chapter 3

Question 1

Indications for PROM

Answer 1

Acute stage of healing.

pt. is unable to (paralyzed, comatose)

Question 2

Goals of PROM

Answer 2

Maintain joint and connective tissue mobility
Minimize contraction/adhesions
Maintain mechanical elasticity of mm
Assist circulation & vascular dynamics
Enhance synovial movement for cartilage nutrition
Decrease or inhibit pain
Assist w/ healing process after injury or surgery
Maintain pt awareness of movement

Question 3

Billing and documentation for PROM

Answer 3

Not a manual technique

Considered There Ex by Medicare

Question 4

Indications for AAROM

Answer 4

Subacute stage of healing
pt. is able to contract mm but not move through full range of motion.
can be used for aerobic conditioning

Question 5

Indications for AROM

Answer 5

pt is able to contract a segment with or without assistance

Progress from PROM AAROM AROM

Question 6

Goals for AROM

Answer 6

Provide sensory feedback
Provide sensory feedback
Stress to osseus attachments/bone and tissue integrity.
Increase circulation
Develop coordination & motor skills

Question 7

Limitations of AROM

Answer 7

For strong mm active ROM does not maintain or increase strength. It does not develop skill or coordination exempt in the movement patters used.

Question 8

Precautions and Contraindications to ROM Ex’s?

Answer 8

ROM should not e done when motion is disruptive to the healing process.
ROM should not be done if pt response or condition is life threatening. (COPD)

Question 9

Applying ROM techniques

Answer 9

pt preparation: consent, sensation
application of techniques
application of PROM & AROM

Question 10

S-AROM

Answer 10

Self Assisted ROM
Wand (T-bar)
Wall climbing
overhead pulley
skate board/ powder board
reciprocal ex's ( nustep& eliptical)