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Orthopedics Test 1 > ROM assessment > Flashcards

ROM assessment Flashcards

1
Q

what is ROM?

A

available arc of motion within a joint which is assessed with goniometer
could be assessment or tx

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2
Q

what does PROM determine?

A

limitation of movement
joint stability
muscle/soft tissue elasticity

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3
Q

how does edema affect ROM?

A

tissues arent moving b/c they are traveling through thicker substance

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4
Q

how does pain affect ROM?

A

pt doesnt want to move

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5
Q

how do adhesions affect ROM?

A

scar tissue prevents glide

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6
Q

how does tendon excursion affect ROM?

A

shortened tendons dont go through full ROM

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7
Q

how does muscle hypertrophy affect ROM?

A

muscles too bulky

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8
Q

what is codmans exercise?

A

pt bends over and waves arms incircles using trunk for distraction of GH jts

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9
Q

what are indications for PROM?

A 
when pt is unable to move a segment
coma
paralysis
bed rest
inflammation
surgical repair of soft tissue
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10
Q

what are the benefits of active/active assistive ROM?

A

maintain muscles
sense feedback
circulation

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11
Q

what will PROM NOT do?

A

prevent atrophy
increase strength + endurance
assist circulation

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12
Q

what will AROM NOT do?

A

maintain or strengthen muscle

develop skill/coordination

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13
Q

when will ROM disrupt healing?

A

fracture, tendon repair, n. graft

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14
Q

when is AROM contraindicated?

A

unstable cardiovascular status

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15
Q

how do you improve AROM vs PROM?

A 
AROM = STRENGTHENING
PROM = STRETCHING
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16
Q

what are types of active inhibition exercises?

A

contract/relax
agonist contraction
contract/relax/contract

17
Q

how is tinels test conducted?

A

tap prox to distal along n. path

+ tinels = most distal pt where pt has tingling

18
Q

how is phalens test administered?

A

OT positions limb to cause n. compression

+ phalens = tingling along n. path

19
Q

what is the length test for the extrinsic flexors of hand?

A

supinate forearm
extend wrist
extend fingers

20
Q

what is the length test for the extrinsic extensors of hand?

A

pronate forearm
flex wrist
flex fingers

21
Q

what is the length test for the intrinsic hand muscles?

A

make a hook fist

Orthopedics Test 1 (10 decks)

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