week 3

Question 1

Observing ROM, strength and motor control through functional occupations • Heightened engagement • Quicker • May indicate need for more specific testing

Answer 1

Occupational based functional motion assessment

Question 2

Motion will cause damage or interrupt the healing process (measuring active fisting after flexor tendon repair) • You suspect fracture, subluxation or dislocation • Myositis ossificans/Ectopic ossification/Heterotopic ossification

Answer 2

contraindication for ROM

Question 3

• Pain • Inflammation • Osteoporosis • Hypermobility • Hemophilia • Hematoma • Recently healed fx • Prolonged immobilization • Bony ankylosis • Disruption of soft tissue • Prolonged immobilization

Answer 3

precautions for ROM

Question 4

Visual Observation • Palpation • Positioning of Therapist • Support of Limb • End Feel

Answer 4

principals and procedures of ROM

Question 5

Practice! • Use IF and MF (not thumb) • Sensitive but firm touch needed • Find bony landmarks for measurement tool placement • Used to assess muscle contraction • Assess soft tissue status • Temperature • Blanching, edema, nodules • Identify structures that require direct treatment

Answer 5

palpation

Question 6

• Stand with feet shoulder width apart, knees slightly flexed, one foot in front of the other, stance inline with direction of movement. Shift weight from one foot to the other • Keep close to patient • Avoid spinal rotation • Use leg muscles • Adjust height of the mat to keep neutral posture

Answer 6

therapist posture

Question 7

Hard/ Bony

Answer 7

Painless, hard stop to motion. Bone meets bone (PROM elbow ext)

Question 8

When two body surfaces come together a soft compression of tissue is felt- PROM elbow flexion

Answer 8

Soft

Question 9

Firm/springy sensation- MCP extension or wrist flexion

Answer 9

firm

Question 10

hard/firm stretch (stretching leather) (PROM shoulder ER)

Answer 10

Capsular

Question 11

“the extent to which the instrument yields the same repeated measure”

Answer 11

reliability

Question 12

Intrarater reliability

Answer 12

same rater Intrarater is higher than interrater

Question 13

Interrater reliability

Answer 13

different rater

Question 14

“the degree to which an instrument measures what it is supposed to measure.”

Answer 14

validity

Question 15

§ Volumetry § Use of volumeter, beaker and 500 ml graduated cylinder § Figure-of-eight method § Use of a tape measure § Circumferential measurement § Use of a tape measure of circumferential measurement device

Answer 15

measuring EDEMA

Question 16

Infection § Areas of inflammation § Hematoma or clot § Active cancer § CHF, severe cardiac or pulmonary problem § Renal failure § Primary lymphedema or lymphedema from mastectomy

Answer 16

contraindications to MEM