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PTI 3 - Midterm > Range of Motion - Class 2 > Flashcards

Range of Motion - Class 2 Flashcards

(65 cards)

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1
Q

what is range of motion used for

A

basic technique

used for examination of movement

initiating movement into a program of therapeutic intervention

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2
Q

ROM

A

movement of each joint and muscle through its available arc of motion

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3
Q

what affects ROM

A

structure of the joints

integrity/flexibility of soft tissues that cross over the joints

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4
Q

muscle range

A

actual fxnal excursion of muscles

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5
Q

how can muscle range be measured

A

flexibility testing or mm length tests

fxnal excursion/extensibility of muscles

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6
Q

neuromuscular skill

A

necessary when a pt is actively involved in a mobility exercise

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7
Q

what does neuromuscular skill provide

A

control

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8
Q

what does neuromuscular skill require

A

mm strength and endurance

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9
Q

how is neuromuscular skill assesed

A

using active mobility tests

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10
Q

what allows for normal ROM to occur

A

constant interplay b/w joint ROM, muscle length and neuromuscular skill

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11
Q

maintaining normal ROM

A

important for different body segments to be moved regularly

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12
Q

factors that could lead to decreased ROM

A

systemic

joint

neurological

muscular dzs

surgical or traumatic injuries

general inactivity

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13
Q

fxnal ROM

A

ability of structures or segments of the body to move or be moved to allow the presence of ROM for fxnal activity

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14
Q

fxnal mobility

A

ability of an individual to initiate, control, or sustain active movements of the body to perform simple to complex motor skills

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15
Q

normal mobility requires

A

adequate tissue length to allow full ROM

neuromuscular skill to accomplish movement

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16
Q

adequate tissue length to allow full ROM –> normal mobility

A

passive mobility

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17
Q

neuromuscular skill to accomplish movement –> normal mobility

A

active mobility

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18
Q

how can ROM be used as an ongoing assessment

A

IE

follow up visits

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19
Q

ROM as a treatment

A

PROM

AROM

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20
Q

how can ROM be used as a treatment

A

specific exercises is form of ROM activities to improve ROM around a joint

can be performed in cardinal planes

can be performed in multiple planes

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21
Q

ROM in the cardinal planes

A

flexion-extension

ABD-ADD

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22
Q

ROM in multiple planes

A

PNF mobility

fxnal mobility

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23
Q

multiple planes –> PNF

A

D1 flexion-extension
–> flexion/ABD/ER

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24
Q

multiple planes –> fxnal mobility

A

movement through full motion to allow for normal performance of a fxnal task

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25
when should I start using ROM exercises
as soon as possible -if restricted PROM -if limited/painful AAROM -if weak/painful AROM
26
types of ROM
PROM AAROM AROM
27
PROM
movement of a segment w/in the unrestricted ROM that is produced by an external force there is little or no voluntary muscle contraction
28
PROM --> external force
gravity machine another individual another part of a person's own body
29
are PROM and passive stretching the same thing?
NO
30
possible equipment used w/ PROM
pulleys continuous passive motion devices towel bands hands
31
when is PROM used
active movement may disrupt the healing process/unable to move body part d/t medial or surgical reasons when the pt is physically or cognitively unable to move actively active movement is too painful to perform
32
PROM possible pts
comatose paralyzed bed rest post operatively
33
clinicians skill --> PROM
clinicians handling techniques can affect the pts comfort and ability to relax during treatment proper positioning of pt and clinician allows adequate stabilization be mindful of clinician grip and any bony prominences
34
at what pace should PROM be performed
smooth and steady avoiding abrupt movements or excessive speed that may cause a protective muscle contraction
35
what should we monitor --> PROM
pts response
36
motions should be performed in --> PROM
cardinals planes combined motions fxnal movement patterns
37
goals of PROM (1)
prevention of joint contractures and soft tissue stiffness or adaptive shortening maintenance of the normal mobile relationship b/w soft tissue layers decrease pain
38
goals of PROM (2)
assist circulation maintenance of awareness of movement assist with healing process enhance synovial movement for cartilage nutrition and diffusion of materials int he joint
39
uses of PROM during and examination
determine limitations in movement joint stability mm flexibility soft tissue elasticity
40
other uses for PROM
during education of an active exercise program while preparing for passive stretching
41
limitation of PROM
does not prevent muscle atrophy does not increase mm strength or endurance does not assist circulation
42
what helps with circulation --> PROM
active/voluntary muscle contraction
43
AAROM
mobility in which some muscle activation takes place
44
when should AAROM be used
pt is unable (weakness or pain) or not allowed to fully activate the muscle
45
when does AAROM occur
prior to tissue restrictions
46
goals of AAROM
same as PROM w/ added benefits of some active muscle contraction
47
specific goal of AAROM
increase confidence decrease pain kinesiophobia w/ active movements begin strengthening/load tolerance
48
benefits of active mm contraction
circulation stimulus of bone activity proprioception and kinesthesia little impact on strength involves active participation from pts
49
little impact of strength --> benefits of AAROM
teaches pt how to actively fire the muscle
50
what is AROM also called
dynamic flexibility
51
how can AROM be performed
against gravity or in gravity min position motions in cardinal planes combination of movement patterns fxnal activities
52
AROM
mobility activities performed by active muscle contraction
53
goals of AROM
those associated w/ PROM and AAROM
54
specific goals AROM
greater strength gains muscle coordination motor skill development for fxnal activities help prevent DVT great pt involvement
55
when should we do AROM
following any passive technique to reinforce proper movement patterns
56
as new mobility is achieved --> AROM
active exercise ensures the ability to use the new range effectively and reinforce "sticking" movement
57
limitations of AROM
only develops skill and coordination in the movement pattern used does not provide adequate load to increase mm strength
58
precautions and contraindications of ROM
when motion is disruptive to the healing process when pt response or condition is life threatening
59
principles and procedures of ROM
examine and evaluate the pts current level of fxn determine what type of ROM activity is best at this stage in the pts rehab how much motion can be applied considering the current condition what patterns would be best suited for my pt
60
principles and procedures (2)
monitor pt before, during and after ROM exam and intervention document and communicate findings and intervention that was given re-evaluate and modify the intervention as necessary
61
pt prep
communicate w/ pt free the region from restrictive clothing --> appropriately drape position the pt comfortably while allowing for adequate alignment and stabilization safe body mechanics
62
PROM application
force of movement is completely external no movement may occur from the pt or it becomes an active exercise motion must be carried out w/in the free ROM --> range that is available w/o forced motion or pain
63
AROM application
demonstrate the required motion using PROM ask pt to perform movement be ready to help if necessary
64
when to provide assistance --> AROM
only if necessary for smooth motion
65
motion is performed --> AROM
within available range

PTI 3 - Midterm (13 decks)

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