Range of Motion Exercises

_______ is the amount of motion of the limb avaiable at a specific joint

Range of motion

_______ is measured by a gonio, and described by a plane of motion.

Joint range

________ is the functional excursion of the muscle…

Muscle range

______ is the distance that a muscle is capable of _________ after it has been _______ to its maximum as influenced by the joint it crosses…

Functional excursion, shortening, elongated

_____ a 2 jointed muscle contrats on both joints that it crosses to a point where it cannot be shortened anymore…

Active insufficiency

________ when a 2 jointed muscle is fully elongated at both joints and comes to a point of its max length…

Passive insufficiency

Name 3 factors leading to decreased form…

Systemic, joint, neurologic or muscular disease, surgical insults, inactivity

The general use of ROM exercises to maintain _____ and ______ tissue _______ and minimize loss of _______ ___________ and contracture formation.

Joint, soft, mobility, tissue, flexibility, contracture

Name the 3 types of ROM Exercises…

1. ___________

2. ___________

3. ___________

passive, active, active-assistive ROM

________ is the movement of a segment within the unrestricted ROM that is produced entirely by an external force.

Passive ROM

True or False: PROM and passive stretching are synonymous

False

3 Indications for PROM exercise:

1. In the region where there is ______, __________ tissue

2. When a patient is not able to move a ________ of a body

3. After ________ _______ or _________ tissye

Acute, inflamed, segment, surgical repair, contractile tissue

3 Limitations of PROM exercise:

1. does NOT prevent muscle _______

2. does NOT increase _______ or _________

3. does NOT assist ________ in the extent that active, voluntary muscle contraction

Atrophy, strength, endurance, circulation

4 Indications of AROM exercise:

1. Maintain physiological _________ & _________ of participating muscles

2. For regions ________ & _________ immobilized segments to maintain the areas in as normal conditions as possible

3. Improve __________ & ___________ responses if done repetively (_________ conditioning program)

4. To relieve _______ from ________ _________

Elasticity, contractility, above, elbow. cardiovascular, respiratory, stress, sustained postures

2 Limitations of AROM exercise:

1. does NOT ________ or _________ strength.

2. dies NOT develop ______ or ________ except in the movement patterns used.

Maintain, increase, skill, coordination

______- type of AROM in which enough assistance is provided manually or mechinically by an outside force because the prime mover muscles need assistance to complete the motion (usually against gravity)

Active-assistive

________ ➡ _________ ➡ __________

AAROM, AROM, Resistance Exercise

Precautons and Contraindications: (Type 1)

1. Additional trauma to the part

2. If motion to a segment is disruptive to the healing process

3. Signs of too much or wrong motion; pain and inflammation

4. Shoud stay within the careful controlled range, speed and tolerance of the patient in the acute phase

5. Should NOt be done when response or condition is life-threatening

1

______ should be done on major joints with ____ to ankle & foot prevent ______ ______ & _______ ________.

PROM, AROM, venous stasis, thrombus formation

After __, ____ or ____, AROM to both __ & ______ walking with careful monitoring of symptoms

Myocardial infaraction, CABG, PTCA, UE, limited

Principles and procedures for applying ROM techniques (Evaluation, examination and treatment planning, patient preparation and application techniques) refere to Notes (Type 1)

1

3 Influences of Gravity:

1. __________

2. __________

3. __________

Gravity-assisted motions, gravity-eliminated motions, against gravity motions

________ used to protect healing tissues when more intensive muscle contraction is contraindicted after surgery or traumatic injury…

Self-assisted AROM

Name the 9 forms of S-ROM:

1. ___________

2. ___________

3. ___________

4. ___________

5. ___________

6. ___________

7. ___________

8. ___________

9. ___________

Manual, wand exercises, overhead pully, finger ladder, ball rolling, wall climbing, skate board, powder board, reciprocal exercise device

_______ is passive motion performed by a mechanical device that moves a joint slowly and cotinously through a controlled ROM…

Continous passive motion

______ can be benificial in initiating the teaching of ADLs and instrumental activities of daily living (IADLs)

Functional range of motion