Week 2 ROM and Stretching Flashcards
(71 cards)
What is the basic technique used for examination of movement and for initiating movement into a purposeful therapeutic intervention?
Range of Motion
Where to start
pain > mobility > stability
What is the distance a muscle is capable of shortening after it’s been maximally elongated?
Functional excursion
What type of insufficiency is this: difficulty making a fist when wrist is flexed?
Active insufficiency
What type of insufficiency is this: fingers flex when wrist is extended?
Passive insufficiency
What is a motion produced by an external force, manual or mechanical?
Passive ROM
What is a motion produced by an active contraction of the muscles? self
Active ROM
What is a motion produced by a combination of external force and active muscle contraction?
Active Assistive ROM
PROM indications
if it hurts too bad for them to move it but they need to turn on mechanoreceptors
worried about tissue damage that would occur with AROM
Precautions and Contraindications to ROM Exercises
- ROM should not be done when motion is disruptive to the healing process
- ROM should not be done when patient’s response or condition is life threatening (cervical laxity or smth that could lead to SC compression)
What should you do during your examination, evaluation, and treatment planning?
- determine appropriate level of ROM
- determine safe amount of motion
- decide the pattern of motion to best meet goals
- monitor pt response to ROM intervention
- document and communicate findings
- re-evaluate and modify as possible
how often should you re-evalute and modify the ROM techniques?
after every session! want to assess irritability. ask them how they felt after last session
Patient prep for ROM includes what 5 things?
- Describe the intervention
- free the area from restriction
- Drape
- Position pt for alignment and stabilization
- Position yourself for proper body mechanics
When applying ROM, you need to support areas of ____ _____ _______.
Poor structural integrity
Move the segment through _____-_____ ______ to the point of resistance.
Pain-free range
If the patient is only able to do 100 degrees of shoulder flexion but you can get them to 180, what is the limiting factor?
muscle weakness
if the patient is only able to get to 100 degrees of shoulder flexion and you are also not able to get them further, what is the limiting factor
probably joint capsule (not muscle)
If the patient is unable to perform ROM painfree, what should you do?
Choose gravity reduced or eliminated position due to muscle weakness
What is Continuous Passive Motion?
- performed by a mechanical device that moves the joint slowly and continuously through a pre-set, controlled ROM
Benefits of CPM:
- Prevents development of adhesions, contractures
- Stimulates healing of tendons, ligaments
- Enhances healing of incisions
- Increases synovial fluid lubrication
- Prevents degrading effects of immobilization
- Quicker return of ROM
- Decreases post-op pain
General Guidelines for CPM
- Device immediately applied post-op
- Arc of motion is adjustable
- Rate of motion is adjustable
- Duration is determined
- PT included in off periods
- Device is portable & battery operated
What is the purpose of ROM through functional patterns?
- assists in teaching ADLs and IADLs
- helps pt realize purpose and value of ROM
- assists in developing motor patterns
- promotes compliance for “meaningful” exercises
Exercise RX for acute stage
PROM 3-5 reps
within pain tolerance (surgical restrictions) several times per day
Exercise RX for subacute stage
PROM –> AAROM –> AROM: 10-15 reps with brief hold periods (3-5 seconds) within pain free range
2-3 times per day
