ROM

Question 1

When do we use ROM

Answer 1

Assessment
Treatment

Question 2

Benefits of ROM

Answer 2

Increased ROM
Motion is lotion
Decreases pain
Psychological Benifits
Circulation

Question 3

What anatomical structures allow NORMAL ROM

Answer 3

Bones
Ligaments
Muscles
Capsule
Neurology
Fat/skin/muscle bulk

Question 4

Two big classifications of joints

Answer 4

Capsular
Non capsular

Question 5

What things reduce normal joint movement

Answer 5

Bony structures (arthritis )
Internal derangements (meniscus, labrum)
Restrictions in soft tissues surrounding the joint
Contracture in the tendon
Pain
External forces
Motivation

Question 6

What are benefits of ROM

Answer 6

Prevention of contractures
Sensory stimulation
Circulation
Psycho social well being

Question 7

Tenodesis

Answer 7

Functional use of muscle shortening

Question 8

What are we looking for in virtual assessment

Answer 8

Quality of movement
Compensatory movement
Muscle contour and tone
Swelling and skin creases
Pain
Estimate of ROM

Question 9

What can we use to measure ROM

Answer 9

Radiographs
Photographs
Tape measure
Plumb line
Goniometry

Question 10

How to position goniometer

Answer 10

Axis; placed at the centre of axis of movement of the joint
Stationary arm; usually lies parallel to the longitudal axis of the fixed proximal joint segment
Moving arm; usually lies parallel to the longitutdal axis of the moving joint segment

Question 11

5 sources of error in measuring ROM

Answer 11

Within provider factors ( round off to 0 or 5, procedural error)
Between provider factors (lack of communication)
Patient factors (swelling, motivation pain, position)
Tools (different tools get different results)