ROM

Question 1

ROM of joint

Answer 1

measured by goniometer

Question 2

muscle range

Answer 2

related to function excursion of muscles

Question 2

function excursion

Answer 2

the distance a muscle is capable of shortening after it has been elongated to its max

Question 2

one joint muscle

Answer 2

ROM directly limited by the joint it crosses
- brachialis, elbow

Question 3

two joint muscles

Answer 3

ROM goes beyond limit of any one joint it crosses
- hamstring, hip, knee

Question 4

active insufficiency

Answer 4

2 jt muscles
reaches when mm becomes shorter to where it cant generate/maintain active tension
- feels like cramps
- shortest possible length of mm

Question 4

passive insufficiency

Answer 4

2 jt muscles
reached when opposing mm is stretched to where it can no longer lengthen
- longest possible length of muscle

Question 5

types of ROM exercises x3

Answer 5

PROM
AROM
AAROM

Question 6

PROM

Answer 6

movement of segment within available ROM by external force (gravity, machine, person, or self)
no mm contraction

Question 7

AROM

Answer 7

movement of segment within available ROM produced by mm contraction crossing a joint

Question 8

AAROM

Answer 8

type of arom w assistance is manually/mechanically provided by external force
mm need assistance to complete motion

Question 8

indications for PROM x3

Answer 8

acute, inflammed tissue
unable/not supposed to actively move a body segment
after surgery repair of contractile tissue

Question 9

goals for PROM x7

Answer 9

decrease complications that would occur with immobilization
- minimize formation of contractures
- maintain joint & CT mobility & mechanical plasticity of mm
- enhance synovial membrane for cartilage nutrition
- help w circulation & vascular dynamics
- assist w healing after injury/surgery
- maintain pts awareness of movement

Question 9

indications for AROM x5

Answer 9

• pt can contract mm actively & move w/wo assistance
• aerobic conditioning
• stress relief from prolonged postures
• above/below immobilized segment
• weak mm & unable to move jt through desired ROM (AAROM)

Question 9

limitations of AROM x2

Answer 9

does not:
- maintain/increase strength in strong muscles
- develop skill/coordination beyond the movement pattern used

Question 9

Limitations of PROM x3

Answer 9

Does not:
- prevent muscle atrophy
- increase strength or endurance
- assist circulation to the extent of active range of motion

Question 10

Contraindications & precautions to ROM

Answer 10

ROM should not be done when motion is disruptive to the healing process

Question 11

True or false: it is OK to force beyond the available range for ROM

Answer 11

NO, Forcing beyond available range of motion is stretching not ROM

Question 11

Application of AROM

Answer 11

• Demonstrate motion using PROM
• ask patient to perform motion
• Place hands in position to assist or guide as needed
• Within free range of motion

Question 12

Application of self assisted ROM

Answer 12

• Should begin ASAP when the patient is able to understand and learn what to do
• promotes patient independence becomes - part of HEP

Question 13

Continuous passive motion (CPM)

Answer 13

• Performed by mechanical device
• moves slowly and continuously through controlled roam

Question 13

ROM through functional patterns/activites x2

Answer 13

• helps pt recognize purpose & vaule of ROM exercises
• develops movement patterns used in daily activities