Active Free ROM Test Identification Quiz
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Questions and Answers

What is the candidate's responsibility during the assessment?

  • To let the patient know if they experience any pain
  • To continuously check for pain throughout the assessment
  • To inform the patient not to push past any painful barriers
  • All of the above (correct)

    • When should the candidate test the painful or affected ranges?

  • At the end of the assessment (correct)
  • In the middle of the assessment
  • Whenever the patient indicates pain
  • At the beginning of the assessment

    • What should the candidate do before proceeding with the test?

  • Neither a nor b
  • Ask the patient if it is okay to proceed
  • Both a and b (correct)
  • Ask the patient if they have any questions

    • What movement is the patient performing in the given text?

    <p>Shoulder abduction</p> Signup and view all the answers

    When should the candidate test the range of motion bilaterally?

    <p>Only if the candidate suspects a difference between the two sides</p> Signup and view all the answers

    What does the acronym 'AF ROM' stand for?

    <p>Active Free Range of Motion</p> Signup and view all the answers

    During an Active Free ROM assessment, what is the patient instructed to do?

    <p>Move their limb through space using only their own muscles</p> Signup and view all the answers

    What is the primary purpose of performing an Active Free ROM assessment?

    <p>To determine the patient's willingness to move the joint and their pain-free range</p> Signup and view all the answers

    Which of the following assessments, when combined with an Active Free ROM assessment, can help narrow down the root cause of joint pain?

    <p>Passive Relaxed ROM and Active Resisted ROM</p> Signup and view all the answers

    What should the examiner instruct the patient regarding their positioning during an Active Free ROM assessment?

    <p>To assume a position that is most efficient and effective for the tested joint</p> Signup and view all the answers

    What should the examiner tell the patient regarding their role during an Active Free ROM assessment?

    <p>The patient should move their own joint and mirror the actions of the examiner</p> Signup and view all the answers

    If the patient reports pain or discomfort during the Active Free Range of Motion (AF ROM) assessment, what should the candidate do?

    <p>Modify the movement to avoid the painful range and continue the assessment</p> Signup and view all the answers

    When testing the range of motion bilaterally, what should the candidate's primary goal be?

    <p>To identify any significant differences between the affected and unaffected sides</p> Signup and view all the answers

    What should the candidate do if the patient asks a question during the AF ROM assessment?

    <p>Briefly address the patient's question and then continue with the assessment</p> Signup and view all the answers

    If the patient reports feeling a 'stuck' sensation or inability to move farther during the AF ROM assessment, what should the candidate do?

    <p>Respect the patient's limitations and avoid forcing the movement beyond that point</p> Signup and view all the answers

    When should the candidate test the painful or affected ranges during the AF ROM assessment?

    <p>At the end of the assessment, once the unaffected ranges have been thoroughly tested</p> Signup and view all the answers

    What is the main difference between Active Free ROM and Passive ROM?

    <p>Active Free ROM is performed without assistance or external force.</p> Signup and view all the answers

    Why is combining Active Free ROM with Passive Relaxed and Active Resisted assessments useful?

    <p>To help narrow down the root cause of joint pain.</p> Signup and view all the answers

    What should the examiner explain to the patient regarding their role during an Active Free ROM assessment?

    <p>To mirror the actions of the examiner.</p> Signup and view all the answers

    How should the examiner instruct the patient regarding positioning for an Active Free ROM assessment?

    <p>Tell them to be in a comfortable position for the tested joint.</p> Signup and view all the answers

    What does the candidate need to determine during an Active Free ROM assessment?

    <p>How far the patient can move the joint without pain.</p> Signup and view all the answers

    What is the key aspect that distinguishes Active Free ROM from Active Resisted ROM?

    <p>Joint movement without added resistance.</p> Signup and view all the answers

    What should the candidate do if the patient grimaces during the Active Free ROM assessment?

    <p>Remind the patient to stop if they feel pain</p> Signup and view all the answers

    How should the candidate demonstrate the ranges of motion?

    <p>In a slow and controlled manner</p> Signup and view all the answers

    When should the candidate address compensatory movements exhibited by the patient?

    <p>As soon as they are observed</p> Signup and view all the answers

    What should the candidate do if the patient asks a question during the Active Free ROM assessment?

    <p>Answer the question briefly and continue the assessment</p> Signup and view all the answers

    What should the candidate state before beginning the Active Free ROM assessment?

    <p>The ranges of motion to be tested</p> Signup and view all the answers

    What is the primary goal when testing range of motion bilaterally?

    <p>To compare the affected side to the unaffected side</p> Signup and view all the answers

    What should the candidate do if the patient exhibits compensatory movements during the Active Free ROM assessment?

    <p>Gently correct the patient and demonstrate the proper movement</p> Signup and view all the answers

    If the patient reports pain or discomfort during the Active Free ROM assessment, what is the most appropriate action?

    <p>Stop the assessment and document the point of pain</p> Signup and view all the answers

    Which of the following is NOT a reason for combining Active Free ROM with other assessments?

    <p>To identify the patient's maximum range of motion</p> Signup and view all the answers

    During the Active Free ROM assessment, what should the candidate do if the patient asks a question?

    <p>Pause the assessment and answer the patient's question</p> Signup and view all the answers

    When should the candidate test the range of motion bilaterally?

    <p>Always, to establish a baseline for comparison</p> Signup and view all the answers

    What should the candidate do if the patient grimaces during the Active Free ROM assessment?

    <p>Stop the assessment and document the point of discomfort</p> Signup and view all the answers

    What should the candidate do if the patient reports pain or discomfort during the Active Free Range of Motion (AF ROM) assessment?

    <p>Clarify that the patient should not try to push past any painful barriers</p> Signup and view all the answers

    When should the candidate test the painful or affected ranges during the AF ROM assessment?

    <p>At the end of the assessment</p> Signup and view all the answers

    What should the candidate do before proceeding with the AF ROM assessment?

    <p>All of the above</p> Signup and view all the answers

    When should the candidate test the range of motion bilaterally?

    <p>Whenever it is relevant to the assessment</p> Signup and view all the answers

    What movement is the patient performing in the given text?

    <p>Active Free Range of Motion</p> Signup and view all the answers

    Which of the following indicates joint capsule pathology and/or musculoskeletal pathology according to the text?

    <p>Reduced range due to pain in the joint</p> Signup and view all the answers

    What does the text indicate about reduced range due to a physical barrier without pain?

    <p>It may indicate more chronic joint pathology, such as scar tissue from a previous injury or pathological bony growth</p> Signup and view all the answers

    What does reduced range due to a physical barrier with pain indicate?

    <p>Joint capsule pathology and/or musculoskeletal pathology</p> Signup and view all the answers

    When providing the candidate's clinical impression from an AF ROM assessment, what should they state according to the text?

    <p>The active ranges reached, expressed as approximations of degrees or a statement of how far the joint went into its full range</p> Signup and view all the answers

    What is often easier and less time-consuming than expressing the active ranges reached as approximations of degrees?

    <p>Stating how far the joint went into its full range</p> Signup and view all the answers

    What should the candidate do if the patient reports pain or discomfort during the Active Free ROM assessment?

    <p>Inform the patient that they will test the painful or affected ranges last</p> Signup and view all the answers

    What should the candidate do before proceeding with the AF ROM assessment?

    <p>Ask the patient if they have any questions and if it is okay to proceed</p> Signup and view all the answers

    What is the primary goal when testing range of motion bilaterally during the AF ROM assessment?

    <p>To compare the ranges of motion between the two sides</p> Signup and view all the answers

    If the patient reports feeling a 'stuck' sensation or inability to move farther during the AF ROM assessment, what should the candidate do?

    <p>Clarify that the patient should not try to push past any painful barriers</p> Signup and view all the answers

    What is the key aspect that distinguishes Active Free ROM from Active Resisted ROM?

    <p>The use of external resistance</p> Signup and view all the answers

    When should the candidate test the range of motion bilaterally during an Active Free ROM assessment?

    <p>For all joints, regardless of symptoms or presentation</p> Signup and view all the answers

    What should the candidate do if the patient exhibits compensatory movements during the Active Free ROM assessment?

    <p>Note the compensatory movements for later discussion</p> Signup and view all the answers

    What should the candidate do if the patient reports a 'stuck' sensation or inability to move farther during the Active Free ROM assessment?

    <p>Note the point at which the limitation occurs and continue the assessment</p> Signup and view all the answers

    What is the primary purpose of performing an Active Free ROM assessment, as stated in the text?

    <p>To identify the patient's willingness to move the joint and their pain-free range of motion</p> Signup and view all the answers

    Which of the following assessments, when combined with an Active Free ROM assessment, can help narrow down the root cause of joint pain?

    <p>Passive Relaxed ROM and Active Resisted ROM</p> Signup and view all the answers

    What should the candidate do before proceeding with the Active Free ROM assessment?

    <p>Instruct the patient on the positioning and their role</p> Signup and view all the answers

    What is the primary purpose of performing an Active Free range of motion assessment for the Glenohumeral Joint?

    <p>To identify the specific degree of movement a patient can achieve without assistance</p> Signup and view all the answers

    During an Active Free ROM assessment, what should the patient do if they feel pain or restriction?

    <p>Stop the movement immediately</p> Signup and view all the answers

    Which statement best describes why combining Active Free ROM with other assessments is useful according to the text?

    <p>To pinpoint whether the pain is in the joint capsule, muscles, or both</p> Signup and view all the answers

    What should the examiner do if the patient reports feeling a 'stuck' sensation or inability to move farther during an Active Free ROM assessment?

    <p>Respect the sensation and do not push beyond that point</p> Signup and view all the answers

    When performing an Active Free ROM assessment, what should be avoided regarding moving the shoulder?

    <p>Forcing the shoulder into painful positions</p> Signup and view all the answers

    In an Active Free ROM assessment, what should be expected as a patient moves their arm through demonstrated ranges?

    <p>'Stuck' sensation may be reported by patients</p> Signup and view all the answers

    What is the main purpose of performing an Active Free range of motion (AF ROM) assessment for the glenohumeral joint?

    <p>To determine the cause of pain in the joint capsule or muscles crossing the joint</p> Signup and view all the answers

    During an Active Free range of motion assessment, what should a patient do if they feel pain or experience restriction?

    <p>Stop the movement and report the pain or restriction</p> Signup and view all the answers

    What is an examiner likely to instruct a patient before starting an Active Free range of motion assessment?

    <p>To stop if they encounter any painful points</p> Signup and view all the answers

    Which combination of assessments can help narrow down the cause of pain in the glenohumeral joint?

    <p>Passive Relaxed and Active Resisted assessments</p> Signup and view all the answers

    What should a candidate do if a patient reports feeling 'stuck' or unable to move farther during an Active Free ROM assessment?

    <p>Tell them to stop immediately and report the sensation</p> Signup and view all the answers

    When conducting an Active Free range of motion assessment on the GH joint, what should the candidate emphasize regarding the patient's movements?

    <p>Moving with mirror movements demonstrated by the examiner</p> Signup and view all the answers

    What is the main benefit of combining an Active Free ROM assessment with Passive Relaxed and Resisted Isometric assessments?

    <p>To determine if the cause of pain is in the joint capsule, muscles crossing the joint, or both</p> Signup and view all the answers

    What should the candidate do if the patient exhibits compensatory movements during the Active Free ROM assessment?

    <p>Note the compensatory movements for further evaluation</p> Signup and view all the answers

    What is the primary purpose of performing an Active Free Range of Motion (AF ROM) assessment, as stated in the text?

    <p>To identify how far the patient can move the joint pain-free on their own</p> Signup and view all the answers

    What should the candidate do before proceeding with the Active Free ROM assessment?

    <p>Ask the patient if they have any questions and if it's okay to proceed</p> Signup and view all the answers

    During the Active Free ROM assessment, what should the candidate do if the patient reports pain or discomfort?

    <p>Note the point at which the patient reported pain or discomfort</p> Signup and view all the answers

    How should the candidate demonstrate the ranges of motion during the Active Free ROM assessment?

    <p>Have the patient mirror the candidate's movements</p> Signup and view all the answers

    What is the primary purpose of performing an Active Free Range of Motion (AF ROM) assessment for the glenohumeral joint, as stated in the text?

    <p>To assess the patient's willingness to move the joint and identify pain-free ranges</p> Signup and view all the answers

    What should the candidate do if the patient reports feeling 'stuck' or unable to move their shoulder farther during the Active Free ROM assessment?

    <p>Encourage the patient to relax and try to move the shoulder again</p> Signup and view all the answers

    Which of the following assessments, when combined with an Active Free ROM assessment, can help narrow down the root cause of joint pain according to the text?

    <p>Resisted Isometric assessment</p> Signup and view all the answers

    What should the candidate do if the patient exhibits compensatory movements during the Active Free ROM assessment?

    <p>The text does not provide any information about how to address compensatory movements</p> Signup and view all the answers

    What should the candidate emphasize to the patient regarding their movements during the Active Free ROM assessment of the glenohumeral joint?

    <p>That they should only move their shoulder as far as they can without experiencing any pain or discomfort</p> Signup and view all the answers

    What is the key aspect that distinguishes Active Free ROM from Active Resisted ROM assessments?

    <p>The presence or absence of resistance applied by the examiner</p> Signup and view all the answers

    What finding from the assessment indicates a possible chronic joint pathology according to the text?

    <p>Partial range in abduction</p> Signup and view all the answers

    In the assessment, what was the reason for the joint having limited extension and partial abduction?

    <p>Sensation of a barrier preventing further movement</p> Signup and view all the answers

    What range of motion was most affected by a barrier sensation during the assessment?

    <p>Abduction</p> Signup and view all the answers

    What is the significance of a patient experiencing discomfort during a range of motion assessment?

    <p>It suggests a possible chronic joint pathology</p> Signup and view all the answers

    Based on the assessment findings, what can be inferred about the patient's range of motion in external rotation?

    <p>It was partially limited</p> Signup and view all the answers

    The candidate should move the patient's arm through ranges that are not demonstrated in the text.

    <p>False</p> Signup and view all the answers

    If a patient experiences pain or restriction, they should be encouraged to push through it during the assessment.

    <p>False</p> Signup and view all the answers

    The GH joint had full range in extension according to the assessment findings.

    <p>False</p> Signup and view all the answers

    The limited range of motion in abduction was due to a pathological bony growth within the shoulder joint.

    <p>False</p> Signup and view all the answers

    The text indicates that reduced range due to a physical barrier with pain suggests an acute joint pathology.

    <p>False</p> Signup and view all the answers

    In Active Free ROM assessment, it is acceptable for the patient to continue moving their shoulder past any painful points if they feel discomfort.

    <p>False</p> Signup and view all the answers

    The GH joint had full range in flexion, internal rotation, and horizontal adduction, but limited range in __________.

    <p>extension</p> Signup and view all the answers

    The joint had half its range in extension, two-thirds its range in abduction, and a third its range in external rotation due to a sensation of a barrier not allowing the joint to move farther. This indicates there may be a more chronic joint pathology, such as __________.

    <p>scar tissue from a previous injury</p> Signup and view all the answers

    During the assessment, the candidate should stop the movement if the patient feels __________ or restriction/resistance.

    <p>pain</p> Signup and view all the answers

    The candidate should ask the patient if they have any questions about the test before proceeding and confirm if it is okay to __________ with the test.

    <p>proceed</p> Signup and view all the answers

    The candidate should have the patient mirror their movements and move their arm through the ranges that are __________.

    <p>demonstrated</p> Signup and view all the answers

    When testing the range of motion, the candidate should ensure the patient does not move the shoulder past any __________ points.

    <p>painful</p> Signup and view all the answers

    Study Notes

    Candidate Responsibilities During Assessment

    • Ensure the patient understands the assessment procedure before it begins.
    • Stop the assessment if the patient reports pain or restriction.
    • Address any questions the patient may have and clarify their role during the assessment.

    Active Free ROM Assessment

    • Active Free ROM (AF ROM) requires patients to move their joints through the full range without resistance.
    • Patients should be instructed to move their arm freely through demonstrated ranges, avoiding overly painful points.
    • The primary goal is to assess the movement quality and identify any limitations or discomfort.

    Testing Procedures

    • Test painful or affected ranges last to minimize discomfort.
    • Both active and passive assessments can help narrow down joint pain causes, particularly when combined with techniques like Passive Relaxed and Active Resisted assessments.
    • Examine bilaterally to compare range of motion, identifying discrepancies between the two sides.

    Patient Experience

    • If patients feel a 'stuck' sensation, the candidate should stop the assessment and reassess.
    • Patient discomfort during the AF ROM indicates the need for careful evaluation of underlying issues.
    • The candidate should encourage patients to express any discomfort they encounter during the assessment.

    Indicators of Joint Pathology

    • Pain without a physical barrier suggests acute joint pathology.
    • Compensatory movements exhibited by patients may indicate underlying issues and should be addressed promptly.
    • Observing a limited range of motion can signify chronic joint pathologies.

    Pre-Assessment Instructions

    • Before starting, the candidate should demonstrate movements and ensure the patient mirrors these actions.
    • The candidate must clarify that the patient should avoid pushing through significant pain during the assessment.
    • It's important to confirm the patient's consent to proceed with the test.

    Distinctions in ROM Assessments

    • Active Free ROM differs from Active Resisted ROM in that AF ROM assesses movement capability without resistance.
    • The candidate must be vigilant for any grimaces or signs of discomfort during the AF ROM, adjusting the approach accordingly.

    Assessment Goals

    • The aim of testing range bilaterally is to establish a baseline for movement quality and potential dysfunction.
    • Establishing a clinical impression based on observations during AF ROM can inform further diagnostic or therapeutic strategies.

    Measurement Considerations

    • If assessing physical barriers causing restriction, it's crucial to document when pain is present accompanying the barrier sensation.
    • Candidates should avoid directing the patient to push through pain during any range of motion testing, ensuring a patient-centered approach.

    Outcomes and Observations

    • Findings suggesting chronic joint pathology might indicate ongoing issues that require intervention or additional investigation.
    • Documenting the full range of motion in certain directions and limited motion in others aids in diagnosing specific conditions affecting joint health.

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    Description

    Test your knowledge on identifying the Active Free range of motion (ROM) test where a patient moves their limb through space using their own muscle contractions against gravity. Identify the correct procedure for performing the test without external assistance or resistance.

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