Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PTI 3 - Midterm > Range of Motion - Class 2 > Flashcards

Range of Motion - Class 2 Flashcards

1
Q

what is range of motion used for

A

basic technique

used for examination of movement

initiating movement into a program of therapeutic intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ROM

A

movement of each joint and muscle through its available arc of motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what affects ROM

A

structure of the joints

integrity/flexibility of soft tissues that cross over the joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

muscle range

A

actual fxnal excursion of muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how can muscle range be measured

A

flexibility testing or mm length tests

fxnal excursion/extensibility of muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

neuromuscular skill

A

necessary when a pt is actively involved in a mobility exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does neuromuscular skill provide

A

control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does neuromuscular skill require

A

mm strength and endurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how is neuromuscular skill assesed

A

using active mobility tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what allows for normal ROM to occur

A

constant interplay b/w joint ROM, muscle length and neuromuscular skill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

maintaining normal ROM

A

important for different body segments to be moved regularly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

factors that could lead to decreased ROM

A

systemic

joint

neurological

muscular dzs

surgical or traumatic injuries

general inactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

fxnal ROM

A

ability of structures or segments of the body to move or be moved to allow the presence of ROM for fxnal activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

fxnal mobility

A

ability of an individual to initiate, control, or sustain active movements of the body to perform simple to complex motor skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

normal mobility requires

A

adequate tissue length to allow full ROM

neuromuscular skill to accomplish movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

adequate tissue length to allow full ROM –> normal mobility

A

passive mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

neuromuscular skill to accomplish movement –> normal mobility

A

active mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how can ROM be used as an ongoing assessment

A

IE

follow up visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ROM as a treatment

A

PROM

AROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how can ROM be used as a treatment

A

specific exercises is form of ROM activities to improve ROM around a joint

can be performed in cardinal planes

can be performed in multiple planes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

ROM in the cardinal planes

A

flexion-extension

ABD-ADD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

ROM in multiple planes

A

PNF mobility

fxnal mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

multiple planes –> PNF

A

D1 flexion-extension
–> flexion/ABD/ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

multiple planes –> fxnal mobility

A

movement through full motion to allow for normal performance of a fxnal task

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

when should I start using ROM exercises

A

as soon as possible

-if restricted PROM
-if limited/painful AAROM
-if weak/painful AROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

types of ROM

A

PROM

AAROM

AROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

PROM

A

movement of a segment w/in the unrestricted ROM that is produced by an external force

there is little or no voluntary muscle contraction

28
Q

PROM –> external force

A

gravity

machine

another individual

another part of a person’s own body

29
Q

are PROM and passive stretching the same thing?

A

NO

30
Q

possible equipment used w/ PROM

A

pulleys

continuous passive motion devices

towel

bands

hands

31
Q

when is PROM used

A

active movement may disrupt the healing process/unable to move body part d/t medial or surgical reasons

when the pt is physically or cognitively unable to move actively

active movement is too painful to perform

32
Q

PROM possible pts

A

comatose

paralyzed

bed rest

post operatively

33
Q

clinicians skill –> PROM

A

clinicians handling techniques can affect the pts comfort and ability to relax during treatment

proper positioning of pt and clinician allows adequate stabilization

be mindful of clinician grip and any bony prominences

34
Q

at what pace should PROM be performed

A

smooth and steady

avoiding abrupt movements or excessive speed that may cause a protective muscle contraction

35
Q

what should we monitor –> PROM

A

pts response

36
Q

motions should be performed in –> PROM

A

cardinals planes

combined motions

fxnal movement patterns

37
Q

goals of PROM (1)

A

prevention of joint contractures and soft tissue stiffness or adaptive shortening

maintenance of the normal mobile relationship b/w soft tissue layers

decrease pain

38
Q

goals of PROM (2)

A

assist circulation

maintenance of awareness of movement

assist with healing process

enhance synovial movement for cartilage nutrition and diffusion of materials int he joint

39
Q

uses of PROM during and examination

A

determine limitations in movement

joint stability

mm flexibility

soft tissue elasticity

40
Q

other uses for PROM

A

during education of an active exercise program

while preparing for passive stretching

41
Q

limitation of PROM

A

does not prevent muscle atrophy

does not increase mm strength or endurance

does not assist circulation

42
Q

what helps with circulation –> PROM

A

active/voluntary muscle contraction

43
Q

AAROM

A

mobility in which some muscle activation takes place

44
Q

when should AAROM be used

A

pt is unable (weakness or pain) or not allowed to fully activate the muscle

45
Q

when does AAROM occur

A

prior to tissue restrictions

46
Q

goals of AAROM

A

same as PROM w/ added benefits of some active muscle contraction

47
Q

specific goal of AAROM

A

increase confidence

decrease pain

kinesiophobia w/ active movements

begin strengthening/load tolerance

48
Q

benefits of active mm contraction

A

circulation

stimulus of bone activity

proprioception and kinesthesia

little impact on strength

involves active participation from pts

49
Q

little impact of strength –> benefits of AAROM

A

teaches pt how to actively fire the muscle

50
Q

what is AROM also called

A

dynamic flexibility

51
Q

how can AROM be performed

A

against gravity or in gravity min position

motions in cardinal planes

combination of movement patterns

fxnal activities

52
Q

AROM

A

mobility activities performed by active muscle contraction

53
Q

goals of AROM

A

those associated w/ PROM and AAROM

54
Q

specific goals AROM

A

greater strength gains

muscle coordination

motor skill development for fxnal activities

help prevent DVT

great pt involvement

55
Q

when should we do AROM

A

following any passive technique to reinforce proper movement patterns

56
Q

as new mobility is achieved –> AROM

A

active exercise ensures the ability to use the new range effectively and reinforce “sticking” movement

57
Q

limitations of AROM

A

only develops skill and coordination in the movement pattern used

does not provide adequate load to increase mm strength

58
Q

precautions and contraindications of ROM

A

when motion is disruptive to the healing process

when pt response or condition is life threatening

59
Q

principles and procedures of ROM

A

examine and evaluate the pts current level of fxn

determine what type of ROM activity is best at this stage in the pts rehab

how much motion can be applied considering the current condition

what patterns would be best suited for my pt

60
Q

principles and procedures (2)

A

monitor pt before, during and after ROM exam and intervention

document and communicate findings and intervention that was given

re-evaluate and modify the intervention as necessary

61
Q

pt prep

A

communicate w/ pt

free the region from restrictive clothing –> appropriately drape

position the pt comfortably while allowing for adequate alignment and stabilization

safe body mechanics

62
Q

PROM application

A

force of movement is completely external

no movement may occur from the pt or it becomes an active exercise

motion must be carried out w/in the free ROM
–> range that is available w/o forced motion or pain

63
Q

AROM application

A

demonstrate the required motion using PROM

ask pt to perform movement

be ready to help if necessary

64
Q

when to provide assistance –> AROM

A

only if necessary for smooth motion

65
Q

motion is performed –> AROM

A

within available range

PTI 3 - Midterm (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions