Range of motion

Question 1

Precautions ROM

Answer 1

 Local, acute inflammatory or infectious process.
 Patients on pain medication or muscle relaxants.
 In a case of marked osteoporosis.
 In assessing subluxed or hypermobile joint.
 In very painful conditions.
 In haemophilic patients.
 In the region of a haematoma.
 In assessing joint where bony ankylosis is suspected.
 Immediately after an injury where there has been a disruption to the soft tissue.

Question 2

Explain the concepts of active and passive insufficiency using of shoulder flexion as an example.

Answer 2

Normal range : 0-180
When the muscle cannot cause adequate tension at all joints, it is called active insufficiency. Whereas passive insufficiency is when the opposing muscle becomes stretched to a point at which the muscle can no longer lengthen or cause movement.

Question 3

Range of motion for normal shoulder flexion

Answer 3

Shoulder Flexion: 0-180
Shoulder flexion = 0˚-120˚ (A); 0˚–130˚ (P)