Podcast
Questions and Answers
What is the primary purpose of performing a Passive Relaxed range of motion (PR ROM) assessment?
What is the primary purpose of performing a Passive Relaxed range of motion (PR ROM) assessment?
- To identify how far the joint can be moved pain-free and without resistance (correct)
- To determine the cause of the patient's joint pain
- To assess the strength of the muscles crossing the joint
- To identify how far the joint can be moved with muscle activation
What external force is typically used to achieve the Passive Relaxed ROM?
What external force is typically used to achieve the Passive Relaxed ROM?
- The candidate's force (correct)
- A combination of the patient's body and the candidate's force
- Gravity
- The patient's own muscle contraction
What information can be gained by combining the Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What information can be gained by combining the Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
- The candidate can determine the patient's overall joint range of motion
- The candidate can determine the patient's overall joint flexibility
- The candidate can assess the strength of the patient's muscles crossing the joint
- The candidate can identify the cause of the patient's joint pain as being in the joint capsule or the muscles crossing the joint (correct)
What should the candidate state to the patient before performing the Passive Relaxed ROM assessment?
What should the candidate state to the patient before performing the Passive Relaxed ROM assessment?
Which of the following statements about Passive Relaxed ROM is NOT correct?
Which of the following statements about Passive Relaxed ROM is NOT correct?
What is the first step the candidate should take when performing a Passive Relaxed ROM assessment?
What is the first step the candidate should take when performing a Passive Relaxed ROM assessment?
Which muscles should be relaxed during a Passive Relaxed ROM assessment?
Which muscles should be relaxed during a Passive Relaxed ROM assessment?
What is the primary benefit of combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What is the primary benefit of combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
When performing a Passive Relaxed ROM assessment, the candidate should ensure that the patient is in a position that is:
When performing a Passive Relaxed ROM assessment, the candidate should ensure that the patient is in a position that is:
During a Passive Relaxed ROM assessment, the candidate should clearly explain to the patient:
During a Passive Relaxed ROM assessment, the candidate should clearly explain to the patient:
Which of the following statements about Passive Relaxed ROM is correct?
Which of the following statements about Passive Relaxed ROM is correct?
In a Passive Relaxed ROM assessment, the external force used to move the joint can come from:
In a Passive Relaxed ROM assessment, the external force used to move the joint can come from:
What is the purpose of a Passive Relaxed ROM assessment?
What is the purpose of a Passive Relaxed ROM assessment?
What distinguishes Passive Relaxed ROM from Active Free ROM?
What distinguishes Passive Relaxed ROM from Active Free ROM?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
How does combining Passive Relaxed ROM with Active Free and Resisted Isometric ROM assessments help in diagnosis?
How does combining Passive Relaxed ROM with Active Free and Resisted Isometric ROM assessments help in diagnosis?
What should the patient expect during a Passive Relaxed ROM assessment?
What should the patient expect during a Passive Relaxed ROM assessment?
Where should the candidate position the patient for an efficient Passive Relaxed ROM assessment?
Where should the candidate position the patient for an efficient Passive Relaxed ROM assessment?
What is the primary reason for performing a Passive Relaxed ROM assessment?
What is the primary reason for performing a Passive Relaxed ROM assessment?
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
Which assessment can help differentiate between joint capsule issues and muscle problems when combined with Passive Relaxed ROM?
Which assessment can help differentiate between joint capsule issues and muscle problems when combined with Passive Relaxed ROM?
What should be the most comfortable position for a patient during a Passive Relaxed ROM assessment?
What should be the most comfortable position for a patient during a Passive Relaxed ROM assessment?
How does a Passive Relaxed ROM assessment differ from an Active Free ROM assessment?
How does a Passive Relaxed ROM assessment differ from an Active Free ROM assessment?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What should the candidate do if the exam does not specify a range to be tested during Passive Relaxed ROM assessment?
What should the candidate do if the exam does not specify a range to be tested during Passive Relaxed ROM assessment?
Why should the candidate observe the patient's face during each full range of motion in Passive Relaxed ROM assessment?
Why should the candidate observe the patient's face during each full range of motion in Passive Relaxed ROM assessment?
During a Passive Relaxed ROM assessment, what should the candidate do if the patient exhibits signs of pain?
During a Passive Relaxed ROM assessment, what should the candidate do if the patient exhibits signs of pain?
What is the candidate advised NOT to do if a patient experiences pain during the Passive Relaxed ROM assessment?
What is the candidate advised NOT to do if a patient experiences pain during the Passive Relaxed ROM assessment?
Why should the candidate ask the patient if they are experiencing any pain during Passive Relaxed ROM assessment?
Why should the candidate ask the patient if they are experiencing any pain during Passive Relaxed ROM assessment?
What should the candidate do during Passive Relaxed ROM assessment if a grimace is observed on the patient's face?
What should the candidate do during Passive Relaxed ROM assessment if a grimace is observed on the patient's face?
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The patient is in the supine position. Assist the patient in the appropriate position. Candidate performing external rotation of the shoulder. The candidate should then proceed to move the joint in a properly supported and stabilized, controlled manner. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The patient is in the supine position. Assist the patient in the appropriate position. Candidate performing external rotation of the shoulder. The candidate should then proceed to move the joint in a properly supported and stabilized, controlled manner. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
Candidate checking in with the patient during PR ROM. The candidate needs to ask the patient if they are experiencing any ______, especially as they reach the end range. If pain is felt, then that should be mentally documented as the end range for the patient. The candidate should NOT apply overpressure in this scenario.
Candidate checking in with the patient during PR ROM. The candidate needs to ask the patient if they are experiencing any ______, especially as they reach the end range. If pain is felt, then that should be mentally documented as the end range for the patient. The candidate should NOT apply overpressure in this scenario.
Candidate adding overpressure to determine the ______.
Candidate adding overpressure to determine the ______.
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The patient is in the supine position. Assist the patient in the appropriate position. Candidate performing external rotation of the shoulder. The candidate should then proceed to move the joint in a properly supported and stabilized, controlled manner. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The patient is in the supine position. Assist the patient in the appropriate position. Candidate performing external rotation of the shoulder. The candidate should then proceed to move the joint in a properly supported and stabilized, controlled manner. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
Bilateral testing of range of motion is not necessary in a Passive Relaxed ROM assessment.
Bilateral testing of range of motion is not necessary in a Passive Relaxed ROM assessment.
If the exam does not specify a range to be tested, only one range should be performed during Passive Relaxed ROM assessment.
If the exam does not specify a range to be tested, only one range should be performed during Passive Relaxed ROM assessment.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment.
A grimace on the patient's face during Passive Relaxed ROM assessment indicates comfort and ease.
A grimace on the patient's face during Passive Relaxed ROM assessment indicates comfort and ease.
Combining Passive Relaxed ROM with Active Free and Resisted Isometric ROM assessments does not provide any additional diagnostic value.
Combining Passive Relaxed ROM with Active Free and Resisted Isometric ROM assessments does not provide any additional diagnostic value.
In Passive Relaxed ROM assessment, overpressure should be applied to determine the end-feel.
In Passive Relaxed ROM assessment, overpressure should be applied to determine the end-feel.
What does a bony end-feel during a Passive Relaxed ROM assessment indicate?
What does a bony end-feel during a Passive Relaxed ROM assessment indicate?
What should the candidate do if the patient experiences pain during the Passive Relaxed ROM assessment?
What should the candidate do if the patient experiences pain during the Passive Relaxed ROM assessment?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment?
What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment?
Reduced range due to pain in the joint (empty end-feel) may indicate a joint capsule pathology. Reduced range due to a physical barrier (a springy end-feel or bony end-feel in a joint that would be abnormal) without pain may indicate a more chronic joint pathology such as scar tissue from a previous injury or a pathological bony growth. Reduced range due to a physical barrier with pain may indicate joint capsule pathology and/or musculoskeletal pathology. Types of End-Feels: Firm or Tissue Stretch End-Feel The sensation is firm with an elastic response, and some give. Depending on the joint being tested, this is often a normal end-feel. For example: the GH joint, in all ranges except for adduction. Soft Tissue Approximation The sensation is soft and blocked by tissue or muscle. Depending on the joint being tested, this is very often a normal end-feel. For example: the GH joint in adduction and the knee joint in flexion. Bony End-Feel The sensation is hard with a definitive block by bone and no give. Depending on the joint being tested, this can be a normal end-feel, especially when it is not experienced with pain.
Reduced range due to pain in the joint (empty end-feel) may indicate a joint capsule pathology. Reduced range due to a physical barrier (a springy end-feel or bony end-feel in a joint that would be abnormal) without pain may indicate a more chronic joint pathology such as scar tissue from a previous injury or a pathological bony growth. Reduced range due to a physical barrier with pain may indicate joint capsule pathology and/or musculoskeletal pathology. Types of End-Feels: Firm or Tissue Stretch End-Feel The sensation is firm with an elastic response, and some give. Depending on the joint being tested, this is often a normal end-feel. For example: the GH joint, in all ranges except for adduction. Soft Tissue Approximation The sensation is soft and blocked by tissue or muscle. Depending on the joint being tested, this is very often a normal end-feel. For example: the GH joint in adduction and the knee joint in flexion. Bony End-Feel The sensation is hard with a definitive block by bone and no give. Depending on the joint being tested, this can be a normal end-feel, especially when it is not experienced with pain.
The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate ______ and must be addressed.
Candidate checking in with the patient during PR ROM. The candidate needs to ask the patient if they are experiencing any ______, especially as they reach the end range. If pain is felt, then that should be mentally documented as the end range for the patient. The candidate should NOT apply overpressure in this scenario.
Candidate checking in with the patient during PR ROM. The candidate needs to ask the patient if they are experiencing any ______, especially as they reach the end range. If pain is felt, then that should be mentally documented as the end range for the patient. The candidate should NOT apply overpressure in this scenario.
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
Where should the candidate position the patient for an efficient Passive Relaxed ROM assessment?
Where should the candidate position the patient for an efficient Passive Relaxed ROM assessment?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
In a Passive Relaxed ROM assessment, soft tissue approximation end-feel often indicates a normal end-feel.
In a Passive Relaxed ROM assessment, soft tissue approximation end-feel often indicates a normal end-feel.
A bony end-feel during Passive Relaxed ROM assessment always indicates a joint pathology.
A bony end-feel during Passive Relaxed ROM assessment always indicates a joint pathology.
Reduced range due to pain without an empty end-feel may indicate a more chronic joint pathology.
Reduced range due to pain without an empty end-feel may indicate a more chronic joint pathology.
During a Passive Relaxed ROM assessment, applying overpressure when a patient feels pain is recommended.
During a Passive Relaxed ROM assessment, applying overpressure when a patient feels pain is recommended.
In Passive Relaxed ROM assessment, firm or tissue stretch end-feel is often abnormal.
In Passive Relaxed ROM assessment, firm or tissue stretch end-feel is often abnormal.
If a patient experiences pain during a Passive Relaxed ROM assessment, the candidate should mentally document that as the end range for the patient.
If a patient experiences pain during a Passive Relaxed ROM assessment, the candidate should mentally document that as the end range for the patient.
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
During a Passive Relaxed ROM assessment, what should the candidate do if the patient exhibits signs of pain?
During a Passive Relaxed ROM assessment, what should the candidate do if the patient exhibits signs of pain?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What information can be gained by combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
During a Passive Relaxed ROM assessment, where can the external force used to move the joint come from?
What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment?
What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment?
What should the candidate do if the patient exhibits signs of pain during the Passive Relaxed ROM assessment?
What should the candidate do if the patient exhibits signs of pain during the Passive Relaxed ROM assessment?
What does a soft tissue approximation end-feel typically indicate during a Passive Relaxed ROM assessment?
What does a soft tissue approximation end-feel typically indicate during a Passive Relaxed ROM assessment?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What is the primary purpose of performing a Passive Relaxed ROM assessment?
What should the candidate do if a grimace is observed on the patient's face during the Passive Relaxed ROM assessment?
What should the candidate do if a grimace is observed on the patient's face during the Passive Relaxed ROM assessment?
Which assessment, when combined with Passive Relaxed ROM, can help differentiate between joint capsule issues and muscle problems?
Which assessment, when combined with Passive Relaxed ROM, can help differentiate between joint capsule issues and muscle problems?
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
Reduced range due to pain without an empty end-feel may indicate a more chronic joint ______.
Reduced range due to pain without an empty end-feel may indicate a more chronic joint ______.
Candidate adding overpressure to determine the ______.
Candidate adding overpressure to determine the ______.
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
Where can the external force used to move the joint come from in a Passive Relaxed ROM assessment?
In Passive Relaxed ROM assessment, overpressure should be applied to determine the ______.
In Passive Relaxed ROM assessment, overpressure should be applied to determine the ______.
What is the primary benefit of combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What is the primary benefit of combining a Passive Relaxed ROM assessment with Active Free and Resisted Isometric ROM assessments?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
What does a soft tissue approximation end-feel during a Passive Relaxed ROM assessment indicate?
The purpose of performing a Passive Relaxed range of motion assessment is to identify how far the joint can be moved pain-free, or without resistance, with no muscle activation. Combined with Active Free and Resisted Isometric range of motion assessments, this can help assess whether the cause of your pain is in the joint capsule, the muscles crossing the joint, or both. Positioning: I will have you seated/standing, and I will place my hands on your ________.
The purpose of performing a Passive Relaxed range of motion assessment is to identify how far the joint can be moved pain-free, or without resistance, with no muscle activation. Combined with Active Free and Resisted Isometric range of motion assessments, this can help assess whether the cause of your pain is in the joint capsule, the muscles crossing the joint, or both. Positioning: I will have you seated/standing, and I will place my hands on your ________.
I will be moving your shoulder joint in a slow controlled manner in various directions. I want you to keep your arm completely limp. Do not try and help me or move your arm yourself at all. I will not be moving the shoulder past any painful points, so please tell me if there is any pain at all as I move your arm. I will also be performing the most painful or the affected range last. Check In: Do you have any questions about this test before I begin? Is it okay if I proceed with this test? Procedure: I am going to start by moving your arm into ________. Are you experiencing any pain or discomfort?
I will be moving your shoulder joint in a slow controlled manner in various directions. I want you to keep your arm completely limp. Do not try and help me or move your arm yourself at all. I will not be moving the shoulder past any painful points, so please tell me if there is any pain at all as I move your arm. I will also be performing the most painful or the affected range last. Check In: Do you have any questions about this test before I begin? Is it okay if I proceed with this test? Procedure: I am going to start by moving your arm into ________. Are you experiencing any pain or discomfort?
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate discomfort and must be addressed. What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment? The candidate should test ________.
The candidate should test the range of motion bilaterally to compare if there is a difference between the two. If the exam does not indicate a specific range to be tested, then all available ranges should be performed. The joint indicated will determine the ranges that will need to be tested. The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate discomfort and must be addressed. What should the candidate do if the exam does not specify a range to be tested during the Passive Relaxed ROM assessment? The candidate should test ________.
The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate discomfort and must be addressed. What should the candidate do during Passive Relaxed ROM assessment if a grimace is observed on the patient's face? The candidate should address the patient's ________.
The candidate should observe the patient’s face as they proceed through each full range. A grimace may indicate discomfort and must be addressed. What should the candidate do during Passive Relaxed ROM assessment if a grimace is observed on the patient's face? The candidate should address the patient's ________.
What does a bony end-feel during a Passive Relaxed ROM assessment indicate? A bony end-feel indicates the end of the joint space, suggesting bone contacting bone. It is often a normal end-feel for joints such as the elbow. What should the candidate do if the patient experiences pain during the Passive Relaxed ROM assessment? The candidate should note the patient's ________ as the end range.
What does a bony end-feel during a Passive Relaxed ROM assessment indicate? A bony end-feel indicates the end of the joint space, suggesting bone contacting bone. It is often a normal end-feel for joints such as the elbow. What should the candidate do if the patient experiences pain during the Passive Relaxed ROM assessment? The candidate should note the patient's ________ as the end range.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment. What external force is typically used to achieve the Passive Relaxed ROM? The external force can come from the candidate's ________.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment. What external force is typically used to achieve the Passive Relaxed ROM? The external force can come from the candidate's ________.
In a Passive Relaxed ROM assessment, firm end-feels are typically observed in the GH joint during flexion and internal rotation.
In a Passive Relaxed ROM assessment, firm end-feels are typically observed in the GH joint during flexion and internal rotation.
The joint in a Passive Relaxed ROM assessment always reaches its full range in extension.
The joint in a Passive Relaxed ROM assessment always reaches its full range in extension.
In a Passive Relaxed ROM assessment, reduced range without an empty end-feel may indicate a more chronic joint pathology.
In a Passive Relaxed ROM assessment, reduced range without an empty end-feel may indicate a more chronic joint pathology.
Soft tissue approximation end-feels during Passive Relaxed ROM assessments are often abnormal.
Soft tissue approximation end-feels during Passive Relaxed ROM assessments are often abnormal.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment to determine the bony end-feel.
Applying overpressure is recommended when a patient feels pain during Passive Relaxed ROM assessment to determine the bony end-feel.
The external force used to move the joint in a Passive Relaxed ROM can come from both internal and external sources.
The external force used to move the joint in a Passive Relaxed ROM can come from both internal and external sources.
In a Passive Relaxed Range of Motion assessment for the glenohumeral joint, the purpose is to identify how far the joint can be moved with muscle activation.
In a Passive Relaxed Range of Motion assessment for the glenohumeral joint, the purpose is to identify how far the joint can be moved with muscle activation.
Soft tissue approximation end-feel during a Passive Relaxed Range of Motion assessment often indicates an abnormality.
Soft tissue approximation end-feel during a Passive Relaxed Range of Motion assessment often indicates an abnormality.
Combining Passive Relaxed Range of Motion assessment with Active Free and Resisted Isometric assessments does not provide any additional diagnostic value.
Combining Passive Relaxed Range of Motion assessment with Active Free and Resisted Isometric assessments does not provide any additional diagnostic value.
In a Passive Relaxed Range of Motion assessment, applying overpressure is recommended when a patient feels pain.
In a Passive Relaxed Range of Motion assessment, applying overpressure is recommended when a patient feels pain.
A bony end-feel during Passive Relaxed Range of Motion assessment always indicates a joint pathology.
A bony end-feel during Passive Relaxed Range of Motion assessment always indicates a joint pathology.
During a Passive Relaxed Range of Motion assessment, the candidate should apply overpressure to determine the end-feel.
During a Passive Relaxed Range of Motion assessment, the candidate should apply overpressure to determine the end-feel.