Interventions For Limited ROM (2) Flashcards
Is having normal ROM ever detrimental?
Yes (SCI need tight back extensors for transfers and tight finger flexors for grip)
What are the mechanisms for decreased ROM?
Inertia of limb
Neural factors
Non neural factors
Immobilization
Heterotrophic ossification
How does inertia of limb contribute to decreased ROM?
Increased stiffness is demonstrated when it is not moved recently
How does neural factors contribute to decreased ROM?
Spasticity influences muscle stiffness
What is spasticity?
Lowered threshold of alpha motor neuron activation results in a muscle contraction that has higher than normal amplitude
How do non neural factors contribute to decreased ROM?
Limited by tightness in muscles, connective tissue, ligaments, joint capsules, or tendons
What is heterotrophic ossification?
Formation of bone where it should not be
Why are ROM limitations a preparatory intervention?
They are something that can be done at home so that more valuable things can be focused on at PT
What is a good thing to work on ROM limitations during PT?
Combine closed chain stretching with a functional activity
What can be used to help prevent contracture?
Splinting or serial casting
When is serial casting recommended?
When there is spasticity + contracture or contracture only
When is serial casting not recommended?
When there is spasticity only
Does increasing ROM automatically improve the ability to do a task?
No you must retrain motor movement (but they need the mobility in order to retrain)
