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E&M > ROM > Flashcards

ROM Flashcards

1
Q

amount of joint motion attained by voluntary joint motion

A

AROM

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2
Q

amount of joint motion attained by an examiner without any assistance from client

A

PROM

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3
Q

4 things ROM may be limited due to

A
  1. weakness
  2. pain
  3. edema
  4. restricted joint mobility
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4
Q

7 things ROM provides info regarding

A
  1. strength
  2. coordination
  3. willingness to move
  4. ability to follow directions
  5. level of consciousness
  6. attention span
  7. joint ROM
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5
Q

PROM provides info about (2)

A
  1. integrity of art surfaces

2. extensibility of capsule, ligs, muscles

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6
Q

always stabilize _________ component

A

proximal

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7
Q

if a joint doesn’t need to be measured, ROM may be recorded as:

A

full, WFLs, WNLs

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8
Q

usually _____ is recorded before ______

A

PROM, AROM

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9
Q

intertester reliability is always _____ than intratester reliability

A

lower

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10
Q

what types of joints are more reliable?

A

hinge

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11
Q

3 things that affect reliability

A
  1. joint
  2. motion
  3. test position
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12
Q

when testing ROM, you want to _______ proximal body parts

A

stabilize

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13
Q

4 factors affecting measuring ROM

A
  1. pathology
  2. fear
  3. age
  4. gender
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14
Q

9 precautions for ROM

A
  1. inflammation
  2. meds (muscle relaxers or pain meds)
  3. osteoporosis
  4. hypermobility
  5. pain
  6. hemophilia
  7. hematoma
  8. post injury
  9. cervical sprain
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15
Q

formation of bone tissue after traumatic injury to the area

A

myositis ossificans

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16
Q

3 normal physiological end feels and examples of each

A
  1. soft - knee flexion
  2. firm - SLR
  3. hard - elbow extension
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17
Q

soft end feel denotes

A

soft tissue approximation

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18
Q

firm end feel denotes

A

muscular, capsular, or ligamentous stretch

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19
Q

hard end feel denotes

A

bone contacting bone

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20
Q

occurs sooner or later in range than usual or in joint that normally has hard or firm end feel AND example

A

abnormal soft end feel

- joint effusion

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21
Q

occurs sooner or later in range than usual, or in a joint that normally has a soft or hard end feel AND example

A

abnormal firm end feel

- capsule tightness

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22
Q

bony grating or bony block is felt AND example

A

abnormal hard end feel

- fracture

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23
Q

no real end feel because pain prevents reaching end of range AND example

A

abnormal empty end feel

- acute bursitis

24
Q

3 reasons a joint may have a non-capsular pattern

A
  1. ligamentous adhesions
  2. internal derangement
  3. contractures
25
Q

hip capsular pattern differences (3)

A
  1. restriction in IR
  2. limitations in flexion/abduction
  3. maybe extension
26
Q

shoulder capsular pattern differences (3)

A
  1. ER
  2. abduction
  3. IR slightly
27
Q

muscles with limited length are usually ______, promoting ________ of opposing muscles

A

strong; lengthening

28
Q

muscles with excessive length are usually

A

weak

29
Q

muscle imbalance can lead to (3)

A
  1. injury
  2. faulty posture
  3. abnormal movement patterns
30
Q

why should we assess quality of movement?

A

substitutions may be occurring

31
Q

number of degrees of motion present in a joint

A

range of joint measurement

32
Q

number of degrees of motion in a muscle

A

range of muscle length

33
Q

in one joint muscles, muscle length range __ joint range

A

=

34
Q

in two joint muscles, muscle length range __ joint range

A
35
Q

Hip flexion/extension axis, SA, MA

A

Axis: greater troch
SA: lateral midline of pelvis
MA: lateral midline of femur –> lateral epicondyle

36
Q

Hip flexion typical PROM

A

0-100/120º

37
Q

Hip flexion normal end feel

A

Soft

38
Q

Hip abd/add axis, SA, MA

A

Axis: ASIS
SA: line connecting bilateral ASIS
MA: anterior midline of femur toward midline of patella

39
Q

Hip abd normal PROM

A

0-40/45º

40
Q

Hip add normal PROM

A

0-20/30º

41
Q

End feel of hip add/abd

A

Firm

42
Q

Normal PROM of hip extension

A

0-30º

43
Q

Normal end feel of hip extension

A

Firm

44
Q

Hip IR/ER axis, SA, MA

A

Axis: midline of patella
SA: perpendicular to floor
MA: anterior midline of tib/along tib tub

45
Q

Hip ER/IR normal PROM

A

0-45º

46
Q

End feel of hip IR/ER

A

Firm

47
Q

Knee flexion/extension axis, SA, MA

A

Axis: lateral condyle of femur
SA: lateral midline of femur toward greater troch
MA: lateral midline of fibula, in line with fib head and lat mal

48
Q

Knee flexion normal PROM

A

0-135/150º

49
Q

Knee extension normal PROM

A

0-10º

50
Q

Knee flexion end feel

A

Soft

51
Q

Knee extension end feel

A

Firm

52
Q

Hip flexion substitution

A

Post pelvic tilt

53
Q

Hip extension substitution

A

Anterior pelvic tilt

54
Q

Hip ab/ad substitution

A

Lateral pelvic tilt

55
Q

Hip IR/ER substitution

A

Lateral trunk flexion or lifting thigh

56
Q

Position for testing knee flex/ext

A

Supine

E&M (24 decks)

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