Test over week 5 and 6 material Flashcards
when is PROM preformed?
- When there is a need to maintain full joint range of motion.
- When AROM is limited
What limits AROM
o Fluctuating muscle tone o Subluxation o Pain o Edema o Fractures o Joint disease o Reduced mobility of the scapula and clavicle o Joint contraction is developing o Hand injuries o Spinal Cord Injuries
- no muscle contraction.
- Not used to increase strength
- Purpose is to maintain the ROM and prevent contractures, adhesion and/or deformity.
PROM
• Can be performed by another individual or through the technique of self-range of motion (SROM).
PROM
_____ is when the unaffected arm is supporting the affected arm through the exercises.
SROM
important to remember in PROM exercises to
adhere to patient’s pain, MD orders, and slow steady stretch with contractures or spasticity.
Is an isotonic muscle contraction where patient moves the joint through partial ROM.
AAROM
- Goal is to increase strength of 1-4 muscle strength.
* Great opportunity to use bilateral UE tasks to assist with the exercise.
AAROM
_____ is performed In the acute stage, however complete to the point of pain and attend the pain while looking for substitution patterns.
AROM
AROM is limited by
o Fluctuating muscle tone o Subluxation o Pain o Edema o Fractures o Joint disease o Reduced mobility of the scapula and clavicle
AROM treatment is preformed when limited by
- Working with soft tissue injuries.
- Spinal Cord Injuries
- Hand Injuries
- Joint Contractures are developing
- When neural muscular weakness present with less than 5/5 MMT score or WFLs for strength.
• Is an isotonic or isometric muscle exercise done to increase the strength of the contracting muscle.
AROM
Goal to increase strength of 3+ to 4+
AROM
• Great opportunity to use resistance or no resistance dependent upon demands of activity.
AROM
o Process of moving a client from one surface to another
- must be adapted for certain client based on needs
transfer
functional mobility falls under what category of OTPF-4
ADL & IADL
Moving from one position to another, W/C mobility, Transfers
Functional mobility
- Ability to use one or both UEs to assist in pushing during sit to stand motion.
- Sufficient strength in one or both LEs to come to a standing position and pivot on one or both LEs.
- Diagnoses (examples): TKR, THR, Generalized weakness
- Typically, the therapist provides only minimal to stand-by assistance.
indications for stand picot transfer
- Client unable to assume a standing position.
o MS, SPI, Diabetic people with amputations, ASL, MD, - Concern about skin breakdown/abrasion with use of sliding board.
- Ability to place wheelchair close to surface transferring.
- Concern about maintaining equal weight bearing on both LEs.
- Need for greater assistance due to overall weakness. Assistance can be 1 or 2 persons.
- Client diagnoses are varied and can include orthopedic or neurological (PNS or CNS) conditions.
Indications for Lateral Transfer/LPT
- Client unable to weight bear on LEs
- Some trunk control/balance
- Need to “bridge” space
- paraplegia, quadriplegia, LE amputations, SCI
Indications for Transfer (sliding) Board
o Reduced UE ROM
o Reduced UE Strength
o Impaired standing balance
stand pivot
o Reduced LE ROM
Reduced LE Strength-
Impaired sitting balance
Lateral
<26% help needed
Minimal assist
51-74% help needed
Moderate assistance
