Module 2 Lecture PTT 120 One ROM

Patients who can’t move are at risk of what?

• Joint stiffness

• Muscle Shortening

• Pain

• Edema

• pressure injuries

Range of Motion exercises help pressure mobility by?

• promoting circulation and maintaining joint nutrition

What is Passive Range of Motion? (PROM) and Indicators.

• Movement produced entirely by another person or external force/ Patient provides no muscular help.

• Indicators=Paralysis, Coma, Severe Weakness

What is an example PROM/ And its Benefits?

• PTA/ PT moving patient shoulders

• Caregiver performing ROM

• Mechanical CPM

  • Benefits;

  • Joint integrity

  • Circulation

  • Synovial Fluid Movement

What is Active Assist Range of Motion? AAROM and Indicators

• Patient performing movement with assistance either from family or PT/ PTA

• Indicators= weakness, pain, fatigue

What is an example AAROM and it’s Benefits?

• Patient Lifting arm using its opposite/ stronger hand

  • Benefits;

  • Reduce stiffness

  • Circulation

  • synovial fluid movement

What is Active Range of Motion? AROM

• Patient performing movement independently no outside assistance/ external support

What is an example of AROM and its benefits?

• Shoulder flexion/ Knee extension/ Ankle Pumps

  • Benefits;

  • Muscle Strength

  • Endurance

  • Coordination

  • Functional Mobility

  • Joint Nutrition

What is functional range of motion? FROM

• the amount of range of motion needed to perform everyday task

What are some examples of FROM?

• Walking Requiring= hip flexion, knee flexion, and dorsiflexion.

• Eating requires= Shoulder Flexion

Why is Range of Motion Important what does it Prevent?

• Prevention=

  • Contractures= permanent shortening of muscle/ connective tissue

  • Muscle Atrophy= muscle mass loss from inactivity

  • Joint Stiffness= when joints not being moved

  • Pain

  • Edema

When shouldn’t you use ROM during Intervention Treatment?

• Unhealed fractures= movement disrupting healing

• Acute Inflammation= movement increasing inflammation

• Joint Instability= movement may dislocate the joint

• Physician Restrictions

When is ROM Appropriate to perform on Patient?

• CVA/ Stroke

• SCI (Spinal Cord Injury)

• ICU Patient

• Weakness

• Burns

• Pain

• Ortho Surgery

What are some situations where you should use precaution when performing ROM?

• Osteoporosis(bones easy to break)

• Blood clots

• Pain

• Hypermobile Joints

• Recent Surgery

• Fragile Skin

What is the Proper Body Mechanics when performing ROM?

• Widen BOS

• Bending the knees

• Avoid twisting

• Raising bed to proper height

• Shifting weight

What are the General Guidelines for ROM?

• Explain to patient

• Wash Hand before touching Patient

• Position Patient comfortably

• Expose only treated area

• Support Proximal and Distal Joints

• Move slowly

• Maintain Good Body mechanics

• Observe and adjust patient if needed

What are Pressure sores?

• A skin and tissue injury caused by long-lasting pressure that reduces blood flow to the body

What are the 3 different types that causes pressure sores?

• Shear= a skin and tissue injury caused by long-lasting pressure that reduces blood flow to the body

• Pressure= external force exceeding capillary pressure

• Friction= force generated when skin rubs across external forces

Who are at risk for bedsores and what causes them?

• Immobility & Decreased Activity

• Sensory Loss

• Moisture

• Poor Nutrition

• Older Age

What Positions are at high risk of of Bedsores?

• Supine/ Side lying/ Seated

During the Position Supine what areas are affected that can give you bedsore?

• Occiput

• Scapula

• Spinous Process

• Sacrum/ Tailbone

• Heels

During the Position Side lying what areas are affected that can give you bedsore?

• Ears

• Acromion Process

• greater trochanter of the hip

• malleoli

During the Position Seated what areas are affected that can give you bedsore?

• Ischial

• Tuberosity

• Scapula

• Olecranon Process

What are some Preventions of Bedsores?

• Bed Positioning 2 hour rule

• Wheelchair Pressure relief

• Floating Heels

• Independent Relief