Practical section 2

Question 1

Section 2 / Lance:
Demonstrate PROM (may be supine or seated)
a. Shoulder ER/IR, flexion/extension, abduction/adduction

Answer 1

“I’m going to move your hand to the side don’t help me”

Question 2

Shoulder ER/IR, flexion/extension, abduction/adduction

Answer 2

supine

Question 3

Elbow flexion/extension & Forearm supination/pronation

Answer 3

sitting

Question 4

Wrist flexion/extension, Ulna/ radial deviation & finger intrinsic plus, minus position and extension

Answer 4

sitting

Question 5

Hip flexion/extension & Knee flexion/extension & ankle dorsiflexion/plantar flexion

Answer 5

Hip flexion: supine, bend knee
Hip extension: prone
Knee flexion and extension: prone or sitting
Ankle dorsiflexion/plantarflexion: supine or sitting

Question 6

PROM position for someone who just had surgery?

Answer 6

supine

Question 7

Techniques to superimpose to increase ROM
Traction (shoulder, wrist, MCP)
Shoulder abduction

Answer 7

Lay the patient in supine
PROM
Hold at the arm and forearm, at the end ROM, pull arm towards you and gently move into further abduction
Do it until full ROM if possible, in practice you may be doing this for like 10 minutes. But for practical just keep doing it until professor says time.
Make sure the arm is not internally rotated

Question 8

Wrist: Techniques to superimpose to increase ROM

Answer 8

Grasp pt forearm slightly proximal to the wrist and pull from slightly distal to wrist

Question 9

MCP: Techniques to superimpose to increase ROM

Answer 9

Hold at MCP joint
Pull pt finger at the proximal phalanx

Question 10

Contract relax (elbow flexors, shoulder IR)
Do Elbow Flexors

Answer 10

Elbow flexors
Have the patient sit and extend the elbow as much as they can, supinated
Place your hand on the top of their forearm and instruct the patient to flex their elbow, as you resist it
Once the muscle is fatigued, continue extending their elbow
From the new end of the ROM, repeat the process

Question 11

Shoulder Internal Rotation (contract relax)

Answer 11

Patient is having a hard time ER, so let’s fatigue IR
OT pull arm out into ER, and patient pull into IR so that we fatigue IR
Then relax, and stretch it out. And repeat process

Question 12

Pendulum

Answer 12

have arm swing “don’t move arm”
just use legs to move arm

Question 12

AAROM (Demonstrate using one method)
Shoulder

Answer 12

Towel on the table, unaffected over affected, guiding their own hand to wipe the table OR
Using a broomstick to guide their own shoulder into flexion OR
Laying supine they do it and you help
Arm around their wrist and below their elbow
Flexion and extension, abduction and adduction, internal and external rotation (in abducted position )

Question 12

Elbow AAROM

Question 13

Knee extensors AAROM

Answer 13

Sitting
Raising foot up and bring it back down
Stabilize at top of knee
They’re actively moving and you’re helping them a little

Question 14

AROM

Answer 14

Wrist flexion/extension, ulnar/radial deviation, forearm supination/pronation
AROM for wrist fracture, how you set up OT and pt
Functional activities