Podcast
Questions and Answers
What does the assessment of Range of Motion (ROM) typically involve?
What does the assessment of Range of Motion (ROM) typically involve?
- Gross and goniometric measurements in a planar manner (correct)
- Only active motion measurements
- Measurement of pain levels exclusively
- Multiplanar assessments without testing for irritability
Which plane is shoulder abduction and adduction measured in?
Which plane is shoulder abduction and adduction measured in?
- Frontal plane (correct)
- Sagittal plane
- Transverse plane
- Coronal plane
What can the presence of pain during active motion indicate?
What can the presence of pain during active motion indicate?
- Only muscle injuries
- Full range of motion is expected
- The condition is not acute
- Possible inflammation or irritation of noncontractile tissues (correct)
What is a common misconception held by novice physical therapy students regarding pain during AROM assessment?
What is a common misconception held by novice physical therapy students regarding pain during AROM assessment?
Which of the following motions involves shoulder flexion, adduction, and internal rotation?
Which of the following motions involves shoulder flexion, adduction, and internal rotation?
What is the primary characteristic of functional motion compared to planar motion?
What is the primary characteristic of functional motion compared to planar motion?
Which factor is not typically assessed when evaluating limited Active Range of Motion (AROM)?
Which factor is not typically assessed when evaluating limited Active Range of Motion (AROM)?
What implication does an evaluation of multiplanar motion have on patient treatment?
What implication does an evaluation of multiplanar motion have on patient treatment?
What is a significant consequence of lack of movement in patients?
What is a significant consequence of lack of movement in patients?
Which factor is generally associated with greater joint range of motion (ROM) in the population?
Which factor is generally associated with greater joint range of motion (ROM) in the population?
Why might a clinician choose to have a patient lie down during assessment?
Why might a clinician choose to have a patient lie down during assessment?
How does age affect joint motion in elderly individuals?
How does age affect joint motion in elderly individuals?
Which scale type does the outer scale of a goniometer NOT include?
Which scale type does the outer scale of a goniometer NOT include?
What is a potential source of pain during right lateral flexion in a patient?
What is a potential source of pain during right lateral flexion in a patient?
Excessive soft tissue in a joint may cause which of the following?
Excessive soft tissue in a joint may cause which of the following?
What percentage of clinical instructors expected students to utilize goniometric measures primarily?
What percentage of clinical instructors expected students to utilize goniometric measures primarily?
What factor may pose a challenge for patients during PROM assessment of the cervical spine in a seated position?
What factor may pose a challenge for patients during PROM assessment of the cervical spine in a seated position?
What component of a goniometer is aligned with a nonmoving reference point?
What component of a goniometer is aligned with a nonmoving reference point?
What can limit the range of motion aside from pain in a patient?
What can limit the range of motion aside from pain in a patient?
Which of the following diseases is known to negatively affect joint motion?
Which of the following diseases is known to negatively affect joint motion?
What is the primary purpose of conducting a gross screening assessment of range of motion?
What is the primary purpose of conducting a gross screening assessment of range of motion?
How many scales does the inner scale of a goniometer consist of?
How many scales does the inner scale of a goniometer consist of?
How does the position of a patient (supine or seated) affect range of motion assessment?
How does the position of a patient (supine or seated) affect range of motion assessment?
What is an example of an intra-articular block that could limit range of motion?
What is an example of an intra-articular block that could limit range of motion?
What is the primary purpose of a goniometer in a clinical setting?
What is the primary purpose of a goniometer in a clinical setting?
How should joint range of motion be quantified for accurate assessment?
How should joint range of motion be quantified for accurate assessment?
Which part of the goniometer allows for free motion in a circular pattern?
Which part of the goniometer allows for free motion in a circular pattern?
What typical changes in joint motion can occur in children under 2 years old?
What typical changes in joint motion can occur in children under 2 years old?
What should a clinician be cautious of during PROM assessment?
What should a clinician be cautious of during PROM assessment?
Which of the following methods was expected to be used equally by 21% of clinical instructors?
Which of the following methods was expected to be used equally by 21% of clinical instructors?
What plays a role in clinical decision-making regarding patient positioning during motion assessments?
What plays a role in clinical decision-making regarding patient positioning during motion assessments?
What is the axis of rotation in a goniometer referred to as?
What is the axis of rotation in a goniometer referred to as?
What is the primary consideration when maneuvering a patient's limbs for motion assessment?
What is the primary consideration when maneuvering a patient's limbs for motion assessment?
When is a standard goniometer not the ideal choice for measuring joint motion?
When is a standard goniometer not the ideal choice for measuring joint motion?
What should be noted before the patient moves through their range of motion?
What should be noted before the patient moves through their range of motion?
Which method provides adequate objective information for assessing thoracolumbar spine motion?
Which method provides adequate objective information for assessing thoracolumbar spine motion?
What should be documented if an alternate testing position is used?
What should be documented if an alternate testing position is used?
Which of the following statements about palpating bony landmarks is correct?
Which of the following statements about palpating bony landmarks is correct?
Which of the following is a recommended practice when assessing joint motion?
Which of the following is a recommended practice when assessing joint motion?
What should be documented when documenting the goniometer's position?
What should be documented when documenting the goniometer's position?
What is the primary purpose of assessing passive range of motion (PROM) in a clinical setting?
What is the primary purpose of assessing passive range of motion (PROM) in a clinical setting?
Which statement regarding patient movements and limitations is accurate?
Which statement regarding patient movements and limitations is accurate?
Why is it essential to avoid assumptions about the type and localization of pain during assessment?
Why is it essential to avoid assumptions about the type and localization of pain during assessment?
What might cause a patient's perception of pain to differ during active and passive range of motion assessments?
What might cause a patient's perception of pain to differ during active and passive range of motion assessments?
How should outcomes of PROM assessments be interpreted when a patient experiences pain?
How should outcomes of PROM assessments be interpreted when a patient experiences pain?
In the example given, why does the patient stop the knee flexion at approximately 75% of the expected normal range during active range of motion (AROM)?
In the example given, why does the patient stop the knee flexion at approximately 75% of the expected normal range during active range of motion (AROM)?
What is the implication of observing moderate effusion in a patient's knee during an assessment?
What is the implication of observing moderate effusion in a patient's knee during an assessment?
Why is it important to take note of how a patient describes their limitation in movement?
Why is it important to take note of how a patient describes their limitation in movement?
Flashcards
Range of Motion (ROM)
Range of Motion (ROM)
The amount of movement possible at a joint.
Gross Screen of ROM
Gross Screen of ROM
A quick initial assessment of the range of movement at a joint, often without precise measurement.
Active ROM
Active ROM
The range of motion a person can achieve by themselves.
Passive ROM
Passive ROM
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Goniometer
Goniometer
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Factors affecting ROM
Factors affecting ROM
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Patient Problems
Patient Problems
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Physical Therapy Examination
Physical Therapy Examination
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Active Range of Motion (AROM)
Active Range of Motion (AROM)
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Painful AROM
Painful AROM
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Multiplanar Motion
Multiplanar Motion
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Planar Motion
Planar Motion
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Irritated Tissues
Irritated Tissues
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Pain Description
Pain Description
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Pain Reproduction
Pain Reproduction
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Novice Error
Novice Error
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Supine Position for PROM
Supine Position for PROM
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Pain & ROM
Pain & ROM
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PROM in Seated vs Supine
PROM in Seated vs Supine
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Factors limiting ROM
Factors limiting ROM
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Articular Dysfunction
Articular Dysfunction
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Protective Guarding
Protective Guarding
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Supine Assessment Benefit
Supine Assessment Benefit
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Patient Relaxation & Assessment
Patient Relaxation & Assessment
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Passive Range of Motion (PROM)
Passive Range of Motion (PROM)
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Evaluating Patient Movement
Evaluating Patient Movement
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Patient Pain Description
Patient Pain Description
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Anterior Knee Pain
Anterior Knee Pain
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Knee Effusion
Knee Effusion
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Active Range of Motion (AROM)
Active Range of Motion (AROM)
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Limitation in PROM
Limitation in PROM
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End Feel
End Feel
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Goniometer Parts
Goniometer Parts
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Goniometer Use (Clinicians)
Goniometer Use (Clinicians)
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Different ROM Scales
Different ROM Scales
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Fulcrum in Goniometry
Fulcrum in Goniometry
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Stationary vs. Moving Arm
Stationary vs. Moving Arm
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Estimated vs. Measured ROM
Estimated vs. Measured ROM
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Importance of Goniometer Scales
Importance of Goniometer Scales
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Goniometry Reliability
Goniometry Reliability
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Goniometer use
Goniometer use
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Alternative Measuring Methods
Alternative Measuring Methods
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Patient comfort
Patient comfort
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Patient Position
Patient Position
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Limb Movement Assessment
Limb Movement Assessment
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Estimated Range of Motion
Estimated Range of Motion
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Determining the Specific Measurement
Determining the Specific Measurement
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Active Range of Motion (AROM)
Active Range of Motion (AROM)
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Study Notes
Introduction to Range of Motion
- Physical therapy frequently addresses movement limitations
- Screening assessments gauge the quantity and quality of joint motion (regional, local, global).
- Gross ROM screening is sometimes sufficient, while other times formal measurement (goniometry) is needed.
- Normal ROM varies by age, sex, body mass index and cultural factors.
- Active ROM (AROM) is movement by the patient; Passive ROM (PROM) involves assistance.
Factors Affecting ROM
- Age: Children (under 2 years) and elderly show different trends in loss of movement
- Gender: Females generally exhibit greater tissue elasticity
- Body mass index (BMI): Excessive tissue can limit possible motion
- Disease: Inflammatory and degenerative diseases reduce ROM
- Occupation/recreation: Repeated movements, stretching, result in ROM adaptation
- Culture: Certain activities or postures are common in some cultures.
Fundamental Concepts of Active Range of Motion (AROM)
- Observation of AROM reveals a patient's motivation, coordi- nation, motor control, force production and potential limita- tions.
- Painful or limited ROM requires further investigation.
Fundamental Concepts of Passive Range of Motion (PROM)
- Assessing a patient's PROM offers insight into joint integrity, tissues extensibility, and potential tissue irritability.
- PROM is more useful than AROM in detecting sensitive tissue inflammation.
Joint End Feels
- Provides indications of possible pathology; used to determine the severity and acuity.
- Classification systems detail normal and abnormal end feels (bone-to-bone, soft tissue approximation, tissue stretch).
Quantifying Gross ROM
- Goniometry provides precise and objective ROM measurement.
- Visual estimation may be appropriate in some clinical situa- tions for specific types of assessments.
Documentation
- Using terms like “within normal limits” and “within functional limits” should be done cautiously and in adherence with clinical guidelines of the specific facility.
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