ROM Flashcards
ROM what is it?
The amount of motion that the joint has
What is the purpose of ROM?
Maintain tissue mobility
Decrease loss of flexibility
Decrease contractures
Possibly help with healing tissue
Passive ROM?
Why passive ROM is ordered?
PT. does not assist at all with the movement.
Clinician moves them.
Acute injury, pt. can’t move the part of body, to demonstrate, prepare for stretching, and assess how much they can move.
Active - assistive ROM?
Why do we do it?
May assist pt. in motion.
Active ROM?
Pt. does all the motion
What are some contraindications to Active ROM?
- inhibits healing
- potential trauma to the heart
- when it causes increased pain and inflammation
What is self ROM?
Teaching the pt. to use the unaffected side to gain ROM.
What are some indications for ROM?
Preserve and maintain ROM Minimize contracture formation Maintain elasticity of muscle Increase circulation and prevent thrombus formation Promote awareness of joint motion Enhance cartilage nutrition
What is Functional excursion?
The distance a muscle is capable of shortening after it has been elongated to its max (does not apply when it crosses 2 joints); dependent on the available ROM in a joint; this is the full range
What is Active insufficiency?
The point at which a muscle can no longer shorten
What is Passive insufficiency?
The point at which a muscle is completely elongated
What are some limitations to passive ROM?
Does not prevent muscle atrophy
Does not increase strength or endurance
Does not increase circulation enough to get an active, voluntary muscle contraction
What are some limitations to active and active assisted range of motion?
Does not maintain or increase strength to muscles that are already strong
Does not develop coordination except in the movement pattern used