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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
hip capsular pattern differences (3)
1. restriction in IR 2. limitations in flexion/abduction 3. maybe extension
26
shoulder capsular pattern differences (3)
1. ER 2. abduction 3. IR slightly
27
muscles with limited length are usually ______, promoting ________ of opposing muscles
strong; lengthening
28
muscles with excessive length are usually
weak
29
muscle imbalance can lead to (3)
1. injury 2. faulty posture 3. abnormal movement patterns
30
why should we assess quality of movement?
substitutions may be occurring
31
number of degrees of motion present in a joint
range of joint measurement
32
number of degrees of motion in a muscle
range of muscle length
33
in one joint muscles, muscle length range __ joint range
=
34
in two joint muscles, muscle length range __ joint range
35
Hip flexion/extension axis, SA, MA
Axis: greater troch SA: lateral midline of pelvis MA: lateral midline of femur --> lateral epicondyle
36
Hip flexion typical PROM
0-100/120º
37
Hip flexion normal end feel
Soft
38
Hip abd/add axis, SA, MA
Axis: ASIS SA: line connecting bilateral ASIS MA: anterior midline of femur toward midline of patella
39
Hip abd normal PROM
0-40/45º
40
Hip add normal PROM
0-20/30º
41
End feel of hip add/abd
Firm
42
Normal PROM of hip extension
0-30º
43
Normal end feel of hip extension
Firm
44
Hip IR/ER axis, SA, MA
Axis: midline of patella SA: perpendicular to floor MA: anterior midline of tib/along tib tub
45
Hip ER/IR normal PROM
0-45º
46
End feel of hip IR/ER
Firm
47
Knee flexion/extension axis, SA, MA
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
Knee flexion normal PROM
0-135/150º
49
Knee extension normal PROM
0-10º
50
Knee flexion end feel
Soft
51
Knee extension end feel
Firm
52
Hip flexion substitution
Post pelvic tilt
53
Hip extension substitution
Anterior pelvic tilt
54
Hip ab/ad substitution
Lateral pelvic tilt
55
Hip IR/ER substitution
Lateral trunk flexion or lifting thigh
56
Position for testing knee flex/ext
Supine

E&M (24 decks)

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