Week 4.5 interventions for limited Passive ROM Flashcards
what might limited ROM affect
ADL, functional activities , vocational things, recreational things.
can having normal tenodysis be detrimental
yes, when talking about a tenodysis grip
what are some mechanisms of PROM loss
inertia of the limb
stretch reflex opposition (neural factor)
viscoelastic properties of the muscles, CT or joint capsule.
how can the stretch reflex opposing affect PROM
when you are in sustained positions you get stiff, and then a small strength can cause a large contraction
is a loss of PROM diagnosis or pathology specific
no
what kinds of things can decreased ROM lead to
decreased strength, skin breakdown, decreased balance…
how should we prescribe passive stretching
slow and sustained, 30 seconds, over 15 minutes
what must we always do after stretching or getting some more ROM
activities to work with what we just got
what can static and dynamic splints provide
prolonged stretch for hours
are splints and casts well supported in literature
not really
success of the splints and casts depends on…
fit of device, compliance of use
can we do joint mobs for limited ROM
yes
can we do heat modalities for limited ROM
yes, like increasing the temp, both superficially and deep, and used with other interventions
if you have hypertonicity, what might oscillations do
increase muscle tone
what can we do for ROM with an HEP
give them strengthening and functional activities, prevention programs and educate them on wearing schedules for splints and casts
