quiz #1 Flashcards
goals of AROM
-increase ROM
-maintain contractility through available ROM
-help stimulate bone & tissue integrity
functional excursion
distance a muscle is capable of shortening after it has been maximally elongated
-active & passive insufficiency
active insufficiency
decreased tension of multiarticular muscle when it is shortened across one or more of its joints
-implies that muscle shortening leads to low tension
passive insufficiency
when multi-joint muscle is lengthened to its fullest extent at both joints, but also preventing full ROM of each joint it crosses
why would you want to take a person through PROM
-in region where there is acute, inflamed tissue
-when patient is not able to / not supposed to actively move
-after surgical repair
neuromuscular control
interaction of sensory & motor systems that enables synergists, agonists, & antagonists, as well as stabilizers and neutralizers, to anticipate / respond to proprioceptive & kinesthetic information
-work in correct sequence & magnitude to create coordinated movement
prescreening question that should be addressed before participation EXCEPT
“what are your BP & heart rate normally ??”
hypomobility definition
(reduced functional motion): often caused by adaptive shortening or decreased extensibility in soft tissues
flexion contracture
-bent (flexed) joint that cannot be straightened actively or passively
-chronic loss of joint motion due to structural changes in muscle, tendons, ligaments, or skin that prevents normal movement of joints
application of stretching - “which of following description represents safest & most comfortable process to achieve tissue lengthening?”
= slowly apply low load force …. = A
homecare
frequency, intensity, duration
what you need to do to maintain gains in homecare (FID)
-apply cold
-active ROM exercise
-strengthen antagonist
impaired extensibility of mm tendon unit as result of spasticity or rigidity from legion of central nervous system
pseudomyostatic
CI’s for stretching
Joint Limitations
Fractures
Inflammation/Infection
Healing Disruption
Acute Pain
Tissue Trauma
Joint Hypermobility
Necessary Stability
Functional Skills in Paralysis
ballistic stretching definition
-Rapid, forceful intermittent stretching.
-Increases flexibility but can cause tissue trauma and soreness.
-Avoid ballistic stretching in the elderly, sedentary people, or those with musculoskeletal issues.
when patient involved in stretching program, it is recommended that you…
- avoid strengthening mm that has been stretched
- warm up tissue to be stretched using heat
- avoid active exercise before stretching
- strengthen mm to be stretched in order to convert tissue to easily distensible
flexibility
ability to move freely, without restriction; used interchangeably with mobility
mobility
ability of structures / segments of body to move or be moved in order to achieve ROM needed for functional activities (functional ROM)
-passive mobility: dependent on soft tissue (contractile & noncontractile) extensibility
-active mobility requires neuromuscular activation
ROM definition
basic technique used for examination of movement and for initiating movement into a purposeful therapeutic intervention
-range of motion (ROM) is the full motion possible
stability
ability of neuromuscular system through synergistic muscle actions to hold proximal or distal body segment in stationary position or to control stable base during superimposed movement
-joint stability is maintenance of proper alignment of bony partners of a joint by means of passive & dynamic components
balance
ability to align body segments against gravity to maintain or move body within available base of support without falling; ability to move body in equilibrium with gravity via interaction of sensory & motor systems
