Range of Motion Exercises

Question 1

Objectives

At the end of the class and lab, the student will be able to:
 Perform ROM on each joint of the body
 Describe diaganol patterns for PROM movements
 Describe passive and active ROM exercises

Answer 1

fyi

Question 2

Acute, inflammed tissue
Patient is not permitted to move the segment
Patient is not able to move the segment
Patient ability is limited due to paralysis, comatose state, or an order of complete bed rest

Answer 2

PROM- Indications

Question 3

Maintain…maintain…maintain…
Joint and connective tissue mobility
Elasticity of muscles
Patient’s awareness of movement
Minimize effects of the formation of a contracture
Assist in circulation
Enhance synovial movement
Decrease or inhibit pain
Assist with healing

Answer 3

PROM- Goals

Question 4

PROM- limitations does not ????

Answer 4

Prevent muscle atrophy
Increase endurance and strength
Does not assist with circulation to the same degree as AROM

Question 5

When a patient can complete or assist movement (AROM, AAROM)
Weak musculature that limits ability to move segment through anti-gravity ROM (AAROM)
Aerobic conditioning programs (AROM)
Joints above and below and immobilized joint (AROM)

Answer 5

AROM and AAROM- Indications

Question 6

Maintain contractility of participating muscles
Provide sensory feedback
Provide stimulus for bone and joint tissue integrity
Increase circulation; prevent thrombus formation
Develop coordination and motor skills

Answer 6

AROM- Goals- and same as PROM

Question 7

AROM- limitations

Answer 7

• For strong muscles, it does not increase strength or often maintain it
• Does not develop skill and coordination except in the movement patterns used

Question 8

Precautions and Contraindications of ROM

Answer 8

ROM should not be completed when motion disrupts the healing process

ROM should not be done when the patient response or condition is life threatening

Box 3.1, K & C, Chap 3

Question 9

Basic Procedures for Basic Exercise Activities

Answer 9

p103
Protect unstable structures
Education…education. Instruct your patients on the desired performance
“Breathing is the key to life” No Valsalva!
Perform movements smoothly
Proper body mechanics and safe equipment
Appropriate modification and progression should be happening.

Question 10

Benefits of Active and Passive Exercise….. What are they?

Active (p102)

Passive (p101)

Answer 10

look up

Question 11

• PNF- Proprioceptive Neuromuscular Facilitation (Table 6-2)
• D1 Flexion/Extension

UE: Pick an apple and put it in the bucket
LE: Hacky Sack

• D2 Flexion/Extension

UE: Sword fighter (reach for sword and lift it up)
LE: Dancer pose

Answer 11

Diagonal Patterns for PROM Movements

Question 12


Considerations for PNF with Patients who have Neuro-Rehab diagnoses

Answer 12

Hand Placement
Tactile stimulation often increases tone and response of spasticity
Stay off the “trigger areas” that will increase flexion or extension tone.
Tactile stimulation can increase tone in areas of flaccidity
Use the trigger areas to create tactile cueing to stimulate patient response to movement