Passive ROM

Capacity for Mobility

Assessment: assess how much they have

Treatment: therapeutic benefit through ROM

ROM IS NOT STRETCHING

Arthrokinematics: describes how joint moves (glides/roll)

Diagonal ROM (putting on seatbelt) one from each cardinal plane

• Flexion/extension

• Abduction/adduction

• fadf

Passive ROM: No active muscle involvement moves joint

Active ROM: active muscles moves joint

Active-assisted ROM: some help from PT needed

Benefits of PROM

• tissue healing

• prevents joint stiffness and adhesions

AROM benefits

• PROM benefits PLUS

• increase sensory input

• PUMP (local circulation)

• Health and elasticity of tissues

When to USE PROM

• When pt can’t/unsafe for them to move around joint themselves

• assessment technique

• as an intervention

PROM precautions

• undesired muscles activated

• watch for increased pain

DONT DO IF

• increased pain

SINSS

• severity, irritability, nature, stage, stability

  • guide level of PROM needed

PROM Dosage

• 5-12 reps (5-10 seconds), 3-5 times a week

• 20-60 sec for cerebral palsy

AROM Contradictions

• PROM contradictions

• Pain throughout motion and after

• Cardiac distress

AROM Precautions

• undesired movements/ pain for pt

AROM Dosage

• Watch pt’s

  • fatigue, pain, change in quality movement, vital signs

Use straight planes

• for examination/treatment

• isolation movements

Use diagonals:

• not for examination since multiple

ROM procedure

• Stabilize proximal joint

• make sure pt comfortable

• Lumbrical Grip

• 1. Move thru ROM slowly with hold at end

• 2. Light overpressure at end range

AROM procedure

• Intruct (how to do)

• Watch (pt perform)

• Monitor

Self Rom

• pt uses self to perfrom PROM