PCS 6 ROM Flashcards
contracture
condition of shortening and hardening of muscles, tendons or other tissue oftend leading to deformity and rigity of joints
-hardening/shortening of tissues
Adhesion
fibrous band of scar tissue that binds together anatomic structures that are normally seperate
-scar tissue that brings to structures together
thrombophlebitis
inflammation of a vein associated with the formation of thrombus
thrombus
an combo of blood factors, with entrapment of cellular elements that commonly leads to a clot and obstruction of blood vessels
Volar
pertaining to the palm
PROM
moving joint/body segment with a external force within normal ROM without active/voluntary contraction by pt.
-moving that area without them doing it
(no increase in joint range, we are not doing stretching)
The external force used in PROM
manually, mechanically/weights/pulleys/CPM/, GRAVITY
AROM
moving that area by pt active voluntary muscle contraction within normal ROM
-strength may be increased here, but not looking to increase ROM
Indications for PROM
unable to perform any active exercise, paralysis, comatose, pain occurs with active, recovering from surgery, surgical procedure prohibits, avoiding exercise to an unhealed fracture
Reason for PROM
to counteract the negative aspect of immobilization, check joint range and flexibility, sensory stimulation and awareness, reduce stress on cardiopulmonary system
Contraindications for PROM
if PROM increases/intensifies symtoms
Benefits of PROM
preserves maintains ROM, minimizes contracture formation/adhesion formation, maintains mechanical elasticity of muscle/local circulation, promotes local circulation/awareness of joint motion, evaluates joint integrity and motion, enhances cartilage nutrition and stimulates movement of synovial fluid, stops or reduces pain
Indicators for AROM
pt able to voluntarily contract, control and coordinate muscle moves with or without assistance.
Contraindicators for AROM
cardioP issues, unhealed and unprotected fracture site/recent surgical site, or sever soft tissue trauma, if AROM increases issues
Benefits for AROM
helps with physiological elasticity, strength, contractile endurance of muscle
local circulation/awareness of joint motion and sensory awareness
cardoP functions especially with aerobic exercise, less risk with thrombus in lower extremities when ankle flexion-extension moves are used
muscle-tendon integrity
muscle strength
Pre-cervical PROM
perform the vertebral artery occlusion test
vertebral artery occlusion test
evaluates ability of the vertebral artery to maintain adequate blood flow to the brain
dizziness, lightheadedness, visual problems=something wrong
Further treatment should be stopped or cautiously monitored, and PT told
Vertebral artery occlusion steps.
supine and passively do:
full head/neck extension
full head/neck rotation to left and right in neutral
full head/neck rotation to left and right in exten.
simulated mobilization movements and unilateral posteroanterior oscillation of c1-c2 facet joints with head rotated left and right (prone lying)
Each position-10-15 secs or until symtoms appear
Isometrics does and doesnt
does help maintain muscle tone, or when resistance is applied increase strength, avoid pain associated with joint motion, stability or trunk or extremities
Doesnt help cardioV or joint or muscle flexibility or maintain coordinated movement
