Key Points On ReMex + ROM Flashcards
uses of a combination of active and passive exercises to restore and improve the client’s musculoskeletal health. This is used by therapist during treatment and by the client after treatment as self care.
Remedial Exercise
3 Main categories of REMEDIAL exercises are?
ROM, stretching and resistance exercise
It is the motion allowed by the shape of the joint and the soft tissue surrounding it which occurs in planes.
Range of Motion (ROM)
This organ cell determine the degree of angulation of a joint by detecting the stretch placed on tissues and joint capsule.
Proprioceptive Nerve Receptor called Ruffini’s End Organ
This is the distance that a muscle can shorten from the point of maximum lenghtening to the point of maximum contraction.
Range of Muscle or Functional Excursion
When a muscle contracts. it moves the joint or joints that crosses it; and the muscles and joints that crosses is described as a position from where the muscle is completely shortened to where the muscle is half way thru its full range and this is called?
Inner Range
The muscle and joint that it crosses is a position from half way thru the full range to where the muscle ia fully stretch is called?
Outer Range
The segment from the midpoint of the inner range to the midpoint of outer range is called?
Mid Range
Performed when client actively contracts the muscle crossing a joint, moving a joint thru unrestricted range.
Active Free ROM (AFROM)
It maintains joint ROM, proprioception, circulation and lymphatic flow, successive action of the joint and some muscle strength.
Effects of AFROM
It is an active free ROM performed when assistance is required by the client to complete the active motion; used when a client has decreased muscle strength. Effects is same qith AFROM
Active Assisted ROM (AAROM)
It is a movement within the unrestricted ROM that is produced by an external force: the therapist, gravity or other part of the client’s body. The client is NOT contracting the muscles- it is not the same with passive stretching.
Passive Relaxed ROM (PRROM)
This maintains thr joint ROM same with AFROM and also reduces formation of adhesions and contractures.
Effects of PRROM
This is performed by therapist to client or the client alone which lenghtens soft tissue
Stretching
This are contractile tissue that has the ability to contract and relax.
Muscle Fibers
This provides extensibility and are also able to elongate when stress load placed on them.
Elastin Fibers
This are the gel that transports nutrients and metabolites as well as reduces friction between connective tissue fibers; it is likely that it prevents excess cross linking between the individual collagen fibers.
Ground Substance
When non contractile tissue is stressed or stretched, the wavy collagen fibers straighten out; the tissue and is thought to be the slack that that is taken out of the tissue during stretch. ( If the stretch is released at this point, the collagen fibers will return to their original lenght)
Elastic Range of the Tissue
When the stretched past the elastic range, the cross links and bonds between the collagen fibers breaks and there is a release of heat (called hysteresis) this is termed as? ( If the stretched is released at this point, the tissue is permanently stretched)
Plastic Range of the Tissue
__________has the greatest resistance to stress with their parallel arrangement of collagen fibers; ___________, _________, and __________ have moderate resistance to stress; __________ the least resistance to stress due to its random arrangment of collagen fibers.
Tendon; Ligaments, Fascia, Joint capsule; Skin
3 Categories of stretches:
Active Inhibition techniques, passive stretching and self stretching
Active Inhibition technique is held up to _______ while a passive and self stretch are held up to ________.
10sec for AIT; 15-30sec for Passive and Self stretching
Stretching is performed by RMT or client, and it is done in:
SLOW, GENTLE, & SUSTAINED MANNER
Rapid stretching and ballistic stretching engage the stretch reflex which causing __________ of the muscle; this should be avoided.
Reflex Contraction
What technique used when a client reflexively inhibits (relaxes) the muscle to be lengthened?
Active Inhibition Technique Stretching
4 Types of Active Inhibition Techniques:
Hold-Relax, Contract-Relax, Post Isometric Relaxation, Agonist Contraction
