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TherEx > ROM and Stretching > Flashcards

ROM and Stretching Flashcards

1
Q

Fuctional Excursion

A

-entire length of a muscle
-max elongation

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2
Q

Range of Motion

A

-used for examination of movement

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3
Q

PROM

A

-motion produced by external force (PT)
-no active contraction
-motion only through pain free range

Indication:
-Don’t disrupt repair
-pain
-neurological inability to activate muscles

Goals:
-avoid stiffness
-mainstain mobility
-mitigate pain
-avoid contracture

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4
Q

AROM and A-AROM

A

-motion produced by active contraction or a combination
-demonstrate using PROM
-movement in pain free range

Indication:
-move against gravity

Goals:
-restore AROM

Limitations:
-not enough to sustain strength

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5
Q

ROM Contraindications

A

-disruptive to healing process (precautions)
-response or condition is life threatening

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6
Q

Exam, Eval, Treatment of ROM

A

-level of ROM present
-safe amount of motion
-pattern of motion that meets goals
-pt response
-document
-re-eval and modify

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7
Q

Patient Preparation for ROM

A

-decribe
-free the area/drape
-position pt and PT

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8
Q

Application of Techniques of ROM

A

-control movement
-support areas of poor structural integrity
-move segment through pain free range
-smooth and slow
-repetitions

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9
Q

Self-Assisted ROM

A

-pt can determine level of assistance

Equipment:
-wantd, wall climbing, ball rolling, overhead pulleys, skateboard, reciprocal exercise (bike)

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10
Q

Continuous PROM

A

-CPM
-mechanical device that moves joint slowly and continuously through controlled ROM
-for pt unable to move themselves

Benefits:
-prevents contractures
-stimulates healing structures
-increases synovial fluid lube
-prevents degrading from immobilization
-quicker return of ROM
-decreases postop pain

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11
Q

Functional Patterns

A

-asssits teaching ADLs and IADLs
-help realize value and purpose
-motor patterns
-meaningful exercises

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12
Q

Acute ROM

A

PROM
-3-5 reps w/in pain tolerance
-several times a day

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13
Q

Subacute ROM

A

-PROM to AAROM to AROM
-gravity eliminated to antigravity
10-15 reps with brief hold w/in pain free range
-2-3x per day

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14
Q

Chronic/Functional ROM

A

-AROM
->30 reps for maintenance of ROM
-stretching to gain ROM

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15
Q

Stretching

A

-therapeutic maneuver to move soft tissues
-improve ROM of hypomobility

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16
Q

Dynamic Flexibility

A

-flexibility of muscle due to active mmt
-how high you can kick your leg

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17
Q

Passive Flexibility

A

-flexibility of muscle due to a passsive force
-PROM usually greater
-how far someone can bend your leg

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18
Q

Hypomobility

A

-limited arthrokinematic mmt of a joint
-motion you can feel

19
Q

Arthrokinematics

A

-movement at the joint
-can be improved to improve osteokinematics
-can treat glides not rolls

20
Q

Active Insufficiency

A

-muscle comprimises movement from being too contracted to produce movement

Ex: triceps in full ext and shoulder hyperext

21
Q

Passive Insufficiency

A

-muscle comprimsies movement from being too lengetthend to produce movement

ex: finger extensors in full wrist flexion

22
Q

Convave on Convex

A

-concave moving on convex
-roll and glide move in same direction

-tibia on femur during open chain kick

23
Q

Convex on Concave

A

-convex moving on concave
-roll and glide happen in opposite direction

-femur moving on tibia in closed chain squat

24
Q

Roll

A

-direction bone moves farthest from joint
-rotational

25
Q

Glide

A

-direct bone movement closest to joint
-linear: forward/backward

26
Q

Contractures

A

-joint or muscle stuck in place
-designation by location and position joint is stuck in

27
Q

Myostatic Contracture

A

-MT unitt is adaptively shortended

28
Q

Pseudomyostatic Contracture

A

-hypertonicity due to CNS lesion

29
Q

Arthrogenic and Periarticular Contractures

A

-adhesions, synovial proliferation, joint effusion, osteophytes

30
Q

Fibrotic and Irreversible Contractures

A

-fibrous changes in connective tissue leads to adhesions
-difficult to re-establish normal tissue length

31
Q

Selective Stretching

A

-purposeful stretch certain muscles and joints while letting others become hypomobile to improve function

32
Q

Overstretching/Hypermobility

A

-purposefully overstretch certain muscles or joint to increase function

33
Q

Interventions to Increase Mobility

A

Manual Stretching
-external force to perform a passive stretch

Passive Stretching
-no active contraction of contractile unit

Assisted Stretching
-patient assistance by themselves, machine or another person
-self stretching

Neuromuscular Fasciltation and Inhibition
-PNF
-increase or decrease msucle tone

Muscle Energy Techniques
-hold-relax-repositon techniques

Joint Mobilization/Manipulation
-passive techniques to restore arthrokinematics

Soft Tissue Mobiliation

Neural Tissue Mobilization

34
Q

Indications for Stretching

A

-adhesions, scars, scar tissue limit ROM
-potential deformity due to ROM limitations
-muscle weakness, shortening
-part of training
-pre/post exercise

35
Q

Contraindications for Stretching

A

-bony block
-non-union fracture
-acute inflammation
-infection
-sharp pain
-hematoma or tissue trauma
-hypermobility
-hypomobility provides stability or control

36
Q

Mechanical behaviors: toe region

A

-Laxity in tissue/collagen begins to straighten

37
Q

Mechanical behaviors: elastic region

A

Can return to original shape and size after being deformed

38
Q

Mechanical behaviors: elastic limit/yield point

A

Following elastic region, the yield point signals, the point of no return for the tissue

39
Q

Mechanical behaviors: plastic range

A

Residual deformations of the tissues will be permanent

40
Q

Mechanical behaviors: failure point

A

Tear or break of tissues

41
Q

Mechanical behaviors: Necking

A

-ultimate strength
-warning for failure

42
Q

Creep

A

-load applied for extended time to elongate
-PROM

43
Q

Stress-Relaxation

A

-load is applied for extended time with tissue at constant length
-AROM

44
Q

PNF Types

A

-Propriocetive Neuromuscular Facilitation

Hold-Relax and contract- Relax

Agonist Contraction

Hold- Relax with agonist contraction

TherEx (20 decks)

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