#3 Range of Motion Self-Assessment Quizzes

PT631 Therapeutic Exercises I, Oregon Tech

A PTA explains the benefits of passive range of motion to a patient with a diagnosis of cerebral vascular accident (CVA) with left hemiplegia.  Which of the following is NOT correct regarding passive range of motion (PROM)?

Passive range of motion will prevent muscle atrophy from occurring

Which of the following is NOT an immediate goal of active range of motion exercise?

To promote muscle coordination

A PTA is instructing a patient on utilizing equipment to assist with range of motion exercises.  Which of the following is NOT a typical piece of equipment used with active assisted range of motion?

CPM machine

Which of these is NOT true regarding mobility impairments?

Hypermobility and instability issues can be addressed with the same treatments

Which of these is NOT a benefit of the post-operative use of a CPM machine?

Promotes synovial regeneration within the inflamed joint

Which of these is NOT a goal or indication for the use of passive range of motion (PROM)?  

PROM can prevent strength loss during immobilization

A physical therapist is working with a post-operative rotator cuff repair patient that is absolutely restricted from any active range of motion.  While doing passive range of motion which of the following would be the most reliable indicator that the patient is actively trying to help do the motion? 

Biofeedback using surface EMG electrodes on target muscles

Which of the following is NOT a suitable situation for the use of active assisted range of motion exercises?

With a patient after removal of an orthosis, to increase range of motion in a muscle with a contracture

Which of these is best suited for the objective measurement of the available range of motion (ROM)?

Standardized goniometry

The distance that a muscle can shorten after it has been elongated to its maximum is best known as:

Functional excursion

While a patient is standing upright, the left hamstring muscles are fired to bring the knee into full flexion, but the hamstrings are then unable to also bring the hip into full extension at the same time.  This is an example of:

Active insufficiency of the hamstrings

Which of these is a goal of active range of motion (AROM) that is not possible with passive range of motion (PROM)?

Maintain physiologic elasticity and contractility of a muscle

Which of these patients is NOT a candidate for range of motion exercises?

Cervical fracture with C5 spinal cord injury, prior to spinal stabilization

With a patient positioned in supine, the physical therapist supports the patient’s right arm loosely and comfortably at the wrist and hand.  Which motion must be allowed to occur to achieve full shoulder abduction?

Shoulder external rotation

To effectively reach the full, normal range of motion of the long head of the triceps brachii muscle, the physical therapist should position the patient in: 

Short sitting

Which of the following is a goal of passive range of motion (PROM) exercises?

Enhance movement of synovial fluid for articular cartilage nutrition

Which of the following is a contraindication to PROM exercises?

When movement of a body segment is disruptive to the healing process

All of the following can cause impaired range of motion (ROM) EXCEPT:

Early movement after surgery

Which of the following best describes ROM exercises?

Passive, assisted, or active movement of a body segment through the available range of motion

During active ROM exercises, which of the following structures is most elongated with full active extension and ulnar deviation of the wrist if the fingers remain relaxed?

Flexor carpi radialis

You are treating a patient with weak hip abductors (muscle grade is 2/5). Which of the following ROM exercises is most appropriate to prevent tightness of the hip adductors and maintain the current level of strength of the hip abductors?

Have the patient perform active hip abduction through the available ROM while positioned in the supine position as you support the weight of the leg

Research surrounding use of continuous passive motion (CPM) provides varying results regarding the benefits, however there are general guidelines and benefits to consider when using a CPM machine.  All of the following statements are true EXCEPT:

Standardized protocols have not been established for cycle speed, length of time or duration for use of CPM machines because of the variety of uses, types of machines and inconclusive research results

Which of the following PROM exercises provides the most flexion of the lumbar spine?

Double knees to chest

Mr. J underwent a repair of a torn biceps brachii 2 days ago. During PROM exercises, which combination of motions should you avoid at end range to protect (not disrupt) the healing tissue?

Elbow extension, shoulder extension, forearm pronation

Which of the following is a true statement about ROM exercises?

Passive ROM can be carried out manually or mechanically

During ROM of the cervical spine:

Avoid grasping the jaw

During your examination of a patient’s lower extremity, you have identified tightness of the gastrocnemius muscle. You are teaching a patient to perform self-ROM exercises of the ankle. In order to maintain the gastrocnemius in a relaxed position while moving the ankle into full range of dorsiflexion available, the patient should:

Keep the knee flexed

In order to maintain the web space of the hand, it is important to maintain which of the following motions of the carpometacarpal joint of the thumb?

Abduction and extension

The most effective and safe way to perform passive pronation and supination of the forearm is to:

Grasp the patient’s forearm just proximal of the wrist and perform ROM while maintaining the elbow in flexion

You are treating a patient who sustained an anterior dislocation of the glenohumeral joint. When it is permissible for the patient to begin self-assisted or active ROM of the involved shoulder within pain-free ranges, which of the following exercises places the most stress on the anterior aspect of the capsule at the end range of external rotation, therefore posing the greatest risk of re-dislocating the involved shoulder?

Wand exercises while lying in the supine position with both shoulders abducted to 90° (upper arms supported on the treatment table) and both elbows flexed to 90°

When incorporating functional patterns into ROM interventions, which of the following guidelines is correct?

Incorporate the functional movement into the patient’s daily activities once the pattern can be performed safely and correctly, without assistance or compensation