Skill 15 — Performs Modified Passive Range of Motion (PROM) for One Knee and One Ankle

Step 1

Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

Step 2

Provides privacy with a curtain, screen, or door.

Step 3

Ensures that client is supine in bed and instructs client to inform candidate if pain is experienced during exercise.

Step 4

While supporting the leg at knee and ankle, bends the knee and then returns leg to client’s normal position (flexion/extension) (AT LEAST THREE (3) TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

Step 5

While supporting the foot and ankle close to the bed, pushes/pulls foot toward head (dorsiflexion), and pushes/pulls foot down, toes point down (plantar flexion) (AT LEAST THREE (3) TIMES unless pain is verbalized). Moves joints gently, slowly and smoothly through the range of motion, discontinuing exercise if client verbalizes pain.

Step 6

Signaling device is within reach and bed is in low position.

Step 7

After completing the skill, washes hands.