Range of Motions

Question 1

Define Range of Motion

Answer 1

full motion possible
joint range and muscle range

Question 2

Joint Range or Muscle Range
Focused on the Degree of Freedom

Answer 2

Joint Range

Question 2

What is the point where the muscle can no longer shorten

Answer 2

Active insufficiency

Question 2

Joint Range or Muscle Range
Uses a Goniometer for measurement

Answer 2

Joint Range

Question 2

Joint Range or Muscle Range
Associated with Functional Excursion

Answer 2

Muscle Range

Question 3

What is the length a muscle is capable of shortening after being fully elongated

Answer 3

Functional Excursion

Question 3

Joint Range or Muscle Range
There is no specific device used to measure this

Answer 3

Muscle Range

Question 3

In PROM the external force can come from?

Answer 3

Physical Therapist
Equipment
Gravity
Another part of the patient’s body

Question 3

PHYSIOLOGICAL EFFECTS/BENEFITS of PROM

Answer 3

⬇️Decrease secondary complications —> contracture
⬆️ Increase blood flow
⬇️Decrease pain, ⬆️relaxation
⬆️Increase tissue healing
precursor for stretching
Maintains tissue elasticity

Question 4

What is the point where the muscle can no longer lengthen

Answer 4

Passive insufficiency

Question 4

Facilitation of movement through UNRESTRICTED RANGE OF MOTION via EXTERNAL FORCES

Answer 4

PASSIVE RANGE OF MOTION EXERCISES

Question 5

What are the indications for PROM?

Answer 5

If pt cannot actively move the body segment
If pt is not supposed to move the body part

Question 6

Other uses for PROM

Answer 6

Examination (ROM)
used to Teach active range of motion activities
can induce relaxation = decrease pain

Question 6

Facilitation of movement through UNRESTRICTED RANGE OF MOTION via ACTIVE MUSCLE CONTRACTION

Answer 6

ACTIVE RANGE OF MOTION EXERCISES (AROME)

Question 6

Limitations of PROM

Answer 6

it does not reduce atrophy
di nag cocontract yung muscle
it does not increase strength
it does not increase blood flow compared to Active Range of Motion Exercises

Question 7

T or F
If pt has a radial fx, PROM can still be done sa wrist, elbow, and shoulder jnt

Answer 7

FALSE
If pt has a radial fx, AROME can stil be done sa wrist, elbow, and shoulder jnt

Question 8

INDICATIONS for AROME

Answer 8

assessment
if the pt. has adequate muscle strength
above and below immobilized segment
if you want to initiate with strengthening exercises
aerobic conditioning

Question 9

LIMITATION of AROME

Answer 9

does not increase strength in strong muscle
does not increase coordination -> not including patterns

Question 9

PHYSIOLOGICAL BENEFITS of AROME

Answer 9

same benefits with PROME but more
Muscle elasticity is maintained
Cause improvement is strength

Question 10

Moving through UNRESTRICTED MOVEMENT or pt’s that require ASSISTANCE in completing range

Answer 10

ACTIVE AASSISTIVE RANGE OF MOTION EXERCISES

Question 11

INDICATIONS of AAROME

Answer 11

Weak musculature (Grade 2-3 / 5)
Process is PROME -> AAROME -> AROME
SAROME is given for Home instructions for pt or gusto maging independent si pt sa clinic (pwede AROME or AAROME)

Question 11

Question: Your Patient has an Acute inflamed tissue, what type of ROM will you utilize? Why?

Answer 11

Use PROM (less painful for the pt)

Question 11

CONTRAINDICATIONS to performing ROM exercises

Answer 11

If procedure is DISRUPTIVE TO HEALING PROCESS
if RESPONSE to exercise is LIFE-THREATENING