Week 5 - ROM Assessment

Question 1

Key principles of measuring AROM

Answer 1

STANDARDISE

• patient position
• landmarks
• equipment
• force/effort & instructions (p1/p2/r1/r2) or (move as far as poss. until onset of pain)

Question 2

Measurement:

Answer 2

• More movement should indicate more + (i.e. sh’ flx. or hyperextension)
• Reduced movement often more - (i.e. loss of extension)

Question 3

Key principles of measuring PROM:

Answer 3

• Use gravity as a reproducible force

- P1,P2,R1,R2 stopping points

Question 4

If releasing stretch at the 1st joint increases range at the 2nd:

Answer 4

The muscle was limiting ROM

Question 5

If releasing stretch at the 1st joint does not change the range at the 2nd joint:

Answer 5

The muscle was not limiting ROM

Question 6

Types of PAMs

Answer 6

AP/PA
Caudal: gliding distally
Cephalad: gliding proximally

Question 7

IMT’s:

Answer 7

Sub-max isometric contraction of a muscle against appropriate resistance
- Stabilise proximal segment
- for 2 joint : 1 muscle must be off stretch
- Pain provocation test, NOT A STRENGTH TEST
Strong contractions compress joints & stress ligaments

Question 8

Using a goniometer:

Answer 8

• Mark the axis of rotation & distal landmarks to assist positioning device
• Centre the protractor component on the axis of joint rotation
• Stationary arm is positioned in line w/ the proximal bone.
• Moving arm is in line w/ the distal/moving bone.