Thera ex ROM

Question 1

indications for PROM

Answer 1

• acute, inflamed tissue, passive motion in a beneficial range; arom would be detrimental to the healing process. inflammation after injury or surgery usually lasts 2 to 6 days
• when a pt is not able or not suppose to actively move a segment(s) of the body
• after surgical repair of contractile tissue when active motion would compromise the repaired muscle

Question 2

goals of PROM

Answer 2

-maintain joint and connective tissue mobility
-maintain mechanical elasticity of muscle
-minimize the effects of the formation of contractures
-enhance synovial movement for cartilage nutrition and diffusion of materials in the join
-assist circulation and vascular dynamics
-decrease or inhibit pain
-help maintain the patient’s awareness of movement
-assist with the healing process after injury or surgery
+therapist exam
+demostrate exercise
+therapist preparing pt for streching

Question 3

limitations of passive motion

Answer 3

prevent muscle atrophy
increase strength or endurance
assist circulation to the extent that active, voluntary muscle contraction does

Question 4

Indications for AROM

Answer 4

• pt able to contract mm actively
• pt has weak musculature and is unable to move joint through desired range
• segment of the body is immobilized for a period of time- above and below immobilized joint
• aerobic conditioning

Question 5

goals for AROM

Answer 5

develop coordination and motor skills for functional activities
increase circulation and prevent thrombus formation
provide a stimulus for bone and joint tissue integrity
provide sensory feedback from the contracting muscles
maintain physiological elasticity and contractility of the participating muscles

Question 6

limitations of AROM

Answer 6

for strong muscles, arom does not maintain or increase strength. it also does not develop skill or coordination except in the movement patterns used

Question 7

precautions and contraindications to ROM

Answer 7

• signs or too much or the wrong motion include increased pain and inflammation
• when pt response or the condition is life threatening
• after MI, CAGB, arom of UE and limited walking are usually tolerated under carefull monitoring of sx
• sedative interruption followed by AROM with progression to sitting, standing, and walking may be initiated early on mechanically ventilated patients