Objective Exam (Physiologic ROM) - Musculoskeletal Flashcards
physiological movements
ROM
use of a goni
what are physiological movements
normal movements we perform during our daily activities
how can physiological movements be performed
active or passively
AROM
performed voluntarily
what does AROM show
pt’s combined willingness to move
joint ROM
location of pain
muscle power
what do contractile tissues experience during ROM
tension placed on them
by stretching or contracting them
what do inert tissues experience during AROM
tension placed on them by stretching or pinching
inert tissues
all structures other than contractile tissues
determination of a problem…
should not be made by the first positive sign
when should we determine the problem
when all other contradictory signs have been eliminated
what should we note when testing active movements (1)
when and where in the movement the onset of pain occurs
if movement increases the intensity +/or quality of the pain
pts rxn to pain
amount of observable restriction
pattern of movement
what should we note when testing active movements (2)
movement of associated joints
willingness to move
quality of the movement
any limitation of movement
nature of limitation
when and where in the movement the onset of pain occurs
w/ pain at start, middle and end
if movement increases the intensity +/or quality of the pain
should be suspicious of contractile tissue pathology
but dont jump to conclusion
dont jump to conclusion
it could be vascular or the joint may be very irritated
pattern of movement
beware of subs
movement of associated joints
look at what occurs at surrounding joints
quality of movement
is the motion smooth and controlled
is it coordinated
