Kinesiology Week 2 (complete) Flashcards
What is range of motion (ROM)?
the amount of movement that occurs at a joint, the measurement of motion available
Is range of motion the arc of motion or the measurement of the final angle?
the arc of motion
What are some client factors that effect joint motion?
- genetics
- activities (waitresses may have more wrist dorsiflexion due to carrying trays)
- health status
- inactivity of the muscles
- injury can result in edema, pain etc
- age (bones weaken, tendons weaken)
- gender (woman have more flexible joints than men
What do you want to assess specifically when assessing pain?
- intensity
- duration
Why assess ROM?
to identify strengths and limitations that will impact occupation
how is the patient moving the joint? are they protecting anything? is their edema?
What is Passive Range of Motion (PROM)
arc of motion through which a joint passes when moved by an outside force
What is Active Assistive Range of Motion (AAROM)
arc of motion through which a joint passes when moved initially by muscles then completed by an outside force
What is Active Range of Motion (AROM)
arc of motion through which a joint passes when moved by muscles acting on a joint
What is functional ROM?
amount of motion necessary to complete essential ADL tasks
What is total AROM?
The sum of the extension at the metacarpophalangeal (MCP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints is subtracted from the total achievable flexion of the same joints
What is the term for when bones weaken due to age?
osteoporosis
What is edema?
swelling, can affect ROM
What is a clinical screen?
Where you have the patient mimic the therapists motions
Are functional motion tests
a. done through standardized testing
b. done through non standardized testing
c. both
C. both
What is an example of a non-standardized assessment?
Asking the patient to reach overhead for items to test ROM
What is the instrument used to test ROM?
goniometer
What type of measurement is done first?
a. AROM
b. PROM
c. AAROM
a. AROM
When measuring ROM, where do you place the goniometer?
Over the axis of motion
Does end feel occur in passive or active ROM?
passive
What is end feel to ROM?
resistance to further motion
What is soft end feel?
due to soft tissue, tension of muscle tissue
What is firm end feel?
firmer but can feel a stretch
muscular, capsular or ligamentous stretch
What is hard end feel?
bone against bone
What is empty end feel?
no “feel”, movement stops due to pain
When assessing ROM, the ___ is the plane in which the motion is to occur with the ____ of the ____ acting as the arc of motion
body, axis, joint
Results stating “elbow flexion 20 degrees to 150 degrees” indicates what?
a limitation in full elbow extension
When assessing ROM, not only do you want to observe quality of motion but also…
a. speed
b. stiffness
c. joint swelling
d. coordination
e. A and B
f. all of the above
F. all of the above
You should assess ROM…
a. proximal to distal
b. distal to proximal
A. proximal to distal
What is an example of bony end feel?
elbow joint
What is an example of soft end feel?
abduction of the hip joint
What is hypermobility?
there is an excess of joint motion (ballet)
What is hypomobility?
constraints to joint mobility
