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Questions and Answers
In what condition should active muscle contraction be avoided?
In what condition should active muscle contraction be avoided?
- During passive movements
- When applying ice to the affected area
- During active inflammation (correct)
- When the patient is in a postoperative phase
Which type of normal end feel is associated with soft tissue approximation?
Which type of normal end feel is associated with soft tissue approximation?
- Soft (correct)
- Firm
- Elastic
- Hard
Which scenario necessitates paying attention to the end feel during the examination?
Which scenario necessitates paying attention to the end feel during the examination?
- Conducting cardiovascular assessments
- Evaluating muscle strength
- Measuring body composition
- Assessing joint range of motion (correct)
What type of normal end feel is characterized by a bony sensation?
What type of normal end feel is characterized by a bony sensation?
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When should a patient be restricted from moving a body part?
When should a patient be restricted from moving a body part?
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What type of normal end feel is associated with soft tissue stretch?
What type of normal end feel is associated with soft tissue stretch?
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Study Notes
Passive Range of Motion (PROM)
- Goal: decrease complications arising from immobility, such as cartilage degeneration, adhesions, contracture, and decreased circulation
Indications for PROM
- Acute inflammation
- Active motion would be detrimental
- Patient unable to move a body part or not allowed to do so
Contraindications for PROM
- Extreme pain at rest
- Disruption of healing process
Limitations of PROM
- Does not prevent muscle atrophy
- Does not increase strength or endurance
- Does not increase circulation to the extent of active muscle contraction
Importance of End Feel
- Pay attention to end feel during treatment, especially after surgery while tissues are healing
Conditions for PROM
- Bed rest
- Paralysis
- Comatose
Normal End Feels
- Hard (bony)
- Firm (soft tissue stretch)
- Soft (soft tissue approximation)
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