Passive movements Flashcards
What are the two classifications/types of passive movements?
Physiological passive movements
Movements performed for the patient , which the patient would BE able to perform if they had muscle activity (e.g. Elbow flexion)
Accessory passive movements
Movements performed for the patient, which the patient would NOT be able to perform even if they had muscle activity (e.g. Individual vertebral bone OR individual carpal/tarsal bone movements)
What are the 2 methods of passive movements?
Relaxed
The limb/joint is moved within the available ROM to maintain ROM
Forced
The limb/joint is moved beyond the available ROM to increase ROM
What are the uses of passive movements?
- To prevent contractures
- To prevent soft tissue adhesions
- To maintain joint range
- To improve joint range
- To relieve pain
- To move joints which are normally not under voluntary control
- To demonstrate an active movement which is required of the patient
- To maintain the memory pattern of movement
- To improve normal sensory motor experience
- To induce relaxation
What are the precautions of passive movements?
No overzealous stretching , especially around the elbow myositis ossificans
Myositis ossificans : do gentle movements within pain free range
Pain medication and muscle relaxants : prevents patient from responding appropriately
What are the CIs of passive movements?
Immediately following surgical procedures to tendons, ligaments, muscles, joint capsule or skin
In the region of a dislocated joint or an unhealed/unfixed fracture
