ROM assessment Flashcards
what is ROM?
available arc of motion within a joint which is assessed with goniometer
could be assessment or tx
what does PROM determine?
limitation of movement
joint stability
muscle/soft tissue elasticity
how does edema affect ROM?
tissues arent moving b/c they are traveling through thicker substance
how does pain affect ROM?
pt doesnt want to move
how do adhesions affect ROM?
scar tissue prevents glide
how does tendon excursion affect ROM?
shortened tendons dont go through full ROM
how does muscle hypertrophy affect ROM?
muscles too bulky
what is codmans exercise?
pt bends over and waves arms incircles using trunk for distraction of GH jts
what are indications for PROM?
when pt is unable to move a segment coma paralysis bed rest inflammation surgical repair of soft tissue
what are the benefits of active/active assistive ROM?
maintain muscles
sense feedback
circulation
what will PROM NOT do?
prevent atrophy
increase strength + endurance
assist circulation
what will AROM NOT do?
maintain or strengthen muscle
develop skill/coordination
when will ROM disrupt healing?
fracture, tendon repair, n. graft
when is AROM contraindicated?
unstable cardiovascular status
how do you improve AROM vs PROM?
AROM = STRENGTHENING PROM = STRETCHING
what are types of active inhibition exercises?
contract/relax
agonist contraction
contract/relax/contract
how is tinels test conducted?
tap prox to distal along n. path
+ tinels = most distal pt where pt has tingling
how is phalens test administered?
OT positions limb to cause n. compression
+ phalens = tingling along n. path
what is the length test for the extrinsic flexors of hand?
supinate forearm
extend wrist
extend fingers
what is the length test for the extrinsic extensors of hand?
pronate forearm
flex wrist
flex fingers
what is the length test for the intrinsic hand muscles?
make a hook fist
