Therapetic Exercise

Question 1

What’s is ROM?

Answer 1

Technique used to exam movement and determine how far it can move

Question 2

What affects the amount of motion?

Answer 2

Joint range and muscle range

Question 3

How do physiotherapist measure ROM? In what measurement?

Answer 3

Using a goniometer, measured in degrees

Question 4

What are the 2 types of muscle insufficiency and explain them.

Answer 4

Active insufficiency : when a muscle crosses 2 joints and prevents muscle shortening
Passive insufficiency: when a muscle crosses 2 joints and prevents muscle lengthening

Question 5

What are the types of ROM exercises and explain them.

Answer 5

AROM: ROM performed entirely by the patient
PROM: performed entirely by the assistant
AAROM: performed by the patient with slight assistance

Question 6

When is PROM performed?

Answer 6

Major reasons:
during acute inflammation, paralysis of the patient and complete immobility or bed rest, decrease or inhibit pain

Minor reasons:
Demonstrating stretches for later AROM, increase circulation, maintain stability and muscle firmness

Question 7

What are PROM limitations?

Answer 7

1. Doesn’t assist in circulation the same way as voluntary movement does
2. Doesn’t prevent atrophy
3. Doesn’t increase strength or endurance

Question 8

What is AROM used for?

Answer 8

Aerobic conditioning and stress and sustained posture relief (yoga literally)

Question 9

When is AAROM used?

Answer 9

Upon weak musculature or unable to reach desired range due to gravity or muscle weakness

Question 10

What are the goals for AROM?

Answer 10

If no inflammation or contraindication to muscle contraction, same goal is met with PROM.

Additional goals:
Improve circulation
Prevent thrombus formation
Maintain elasticity and contractility
Develop coordination and motor skills for functional purposes

Question 11

Limitations for AROM?

Answer 11

For strong muscles, it doesn’t increase strength nor does it develop skill or coordination except for the movement patterns used

Question 12

What is CPM?

Answer 12

Machine which causes careful, continuous joint and muscle movement on a patient

Question 13

Goals of CPM?

Answer 13

Prevent joint stiffness, immobility, enhances recovery, enhances healing

Question 14

What is the arc of motion used in CPM?

Answer 14

Initially 20 to 30° then progresses to 10 to 15° within the day.
This also depends on the patients tolerance

Question 15

What is the rate of motion used in CPM?

Answer 15

1 cycle/45 secs to 2 minutes again depending on the patients tolerance

Question 16

What are some CPM contraindications?

Answer 16

1. Unstable fracture
2. Deep vein thrombosis
3. Spreader infection
4. Poor patient compliance
5. Spastic paralysis