Range Of Motion

Question 1

What is Occupational-based functional motion assessment ?

Answer 1

Observing ROM, strength and motor control through functional occupations.
May indicate need for more specific testing
Heightened engagement
Quicker

Question 2

What are the precautions for ROM assessment ?

Answer 2

Pain
Inflammation
Osteoporosis 
Hypermobility 
Hemophilia
Hematoma
Recently healed go 
Prolonged immobilization 
Bony ankylosis 
Disruption of soft tissue 
Prolonged immobilization

Question 3

What are contraindications for ROM assessment ?

Answer 3

Motion that will cause damage or interrupt healing (tendon repair)
You suspect fracture, subluxation or dislocation
Myositis ossification, ectopic ossification, heterotopic ossification

Question 4

What are the principles and procedures in JOInt ROM?

Answer 4

Visual observation 
Palpitation
Positioning of therapist 
Support the limb
End feel

Question 5

Visual observation of ROM assessment

Answer 5

Facial expression 
Symmetry 
Compensatory motions 
Guarding 
Posture 
Color 
Condition
Moisture 
Deformity 
Wounds 
Scars 
Hematoma
Atrophy 
Creases of the sink 
Muscle contours 
Body proportions 
Compare with uninvolved side

Question 6

When it comes to palpitation what should you use ?

Answer 6

use IF and MF
Sensitive but firm touch
Blanching, edema, nodules,
Temperature

Question 7

Therapist posture during ROM assessment

Answer 7

Stand with feet shoulder width apart
Knees flexed 
One foot in front the other 
Weight shift 
Keep close to patient 
Avoid spinal rotation 
Use leg muscles 
Adjust height of the mat to keep neutral posture

Question 8

Normal end-feel for joints what are they?

Answer 8

Hard/bony - painless stop to motion bone meet bone PROM elbow ext
Soft - when two body structures come together PROM elbow flex
Firm - Firm/springy sensation MCP extension
Capsular - hard/firm stretch (stretching leather_ PROM shoulder ER