ROM, Muscle Length

Question 1

ROM is motion available…

Answer 1

at any single joint

Question 2

ROM is influence by…

Answer 2

bony structure
surrounding ligaments
joint capsule
muscle
SINS

Question 3

Muscle length

Answer 3

ability of the muscles surrounding the joint to lengthen, allowing one joint or series of joints to move through the available ROM

Question 4

Muscle length is referred to…

Answer 4

end range measurement of a muscle across the joint

Question 5

How will muscle length affect ROM measurements?

Answer 5

muscles that pass over ONE joint only, ROM and length will be the same

muscles that pass over TWO joints, ROM of muscle length will be

Question 6

Measuring muscle length (2 joint)

Answer 6

muscle needs to be elongated across all involved joints

Question 7

Measuring joint ROM (2 joint)

Answer 7

uninvolved should be placed in shortened position

Question 8

Kinematics

Answer 8

human movement without regard to the cause of the motion

Question 9

Osteokinematics

Answer 9

Bone, quality and degree of motion observed of the whole bone

Result of Arthrokinematic motions
Sagittal, frontal, transverse movements around axis

Question 10

Arthrokinematics

Answer 10

Joint, actual movement of the joint surfaces

Roll: rotary motion between joint surfaces
Slide: translation between the joint surfaces

Question 11

ROM Procedure

Answer 11

1) explain procedure to patient
2) position patient in test position (ROM & muscle length is different)
3) stabilize the proximal joint segment
4) instruct the patient on the motion to be performed
5) palpate bony landmarks and take initial measurement
6) move patient through ROM
7) re-palpate bony landmarks and take end measurement
8) return to initial test position
9) record

Question 12

AROM vs PROM

Answer 12

A: patient moves through
P: examinar moves patient

Question 13

AROM advantages

Answer 13

allows the examiner to determine how much the patient is willing to move the joint being measured

observation of a functional task provides the examiner with info on multiple joints

Question 14

PROM advantages

Answer 14

allows the examiner to determine the total ROM that patient possesses

provides the examiner with information to determine any limitations to full ROM, end feel

Question 15

AROM vs. PROM

Answer 15

PROM usually more than AROM
same when there’s ligaments/capsules involved
AROM more than PROM when the patient guards

Question 16

Typical End-Feels

Answer 16

Bony: approximation of 2 bones w/ an abrupt, hard stop to obtaining more motion

Firm:

• Capsular: limited by joint capsule/non-contractile tissues producing a firm end feel w/ slight amount of give
• Muscular: limited by muscular tension, not as firm as capsular

Soft: approx of S.T. that is limiting further ROM

Question 17

Pathological End-Feels

Answer 17

Empty: limited due to patient’s pain

Muscular spasm
Springy (meniscal tear)
“normal” end feel is found when or where not expected…

Question 18

Factors that affect ROM

Answer 18

changes across lifespan
gender
culture
occupation & ref activities
anatomy

Question 19

Draping

Answer 19

expose only the body part being treated to allow freedom of motion

maintain patient’s modesty and warmth

protect the patent’s clothing and skin from being soiled/damaged