Resisted Isometric ROM Assessment Quiz
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Questions and Answers

What should the candidate assume about the range of motion (ROM) if they did not perform the ROM tests?

  • They should assume a mid-range of a normal full range (correct)
  • They should assume a full range of motion
  • They should assume a limited range of motion
  • They should assume no range of motion

    • What should the candidate do if they feel they have time during the assessment?

  • Request additional time from the evaluator
  • Clarify the assumed mid-range of motion with the patient (correct)
  • Ask the patient to perform additional exercises
  • Explain the entire assessment process to the patient

    • What should the candidate explain to the patient regarding resistance?

  • They will resist the patient's movement in various ranges of the joint and where they will place their hands (correct)
  • They will not apply any resistance during the assessment
  • They will use resistance bands to test the patient's range of motion
  • They will ask the patient to resist their movement in various ranges of the joint

    • How should the patient respond when the candidate applies resistance?

    <p>The patient should not try to overpower the candidate</p> Signup and view all the answers

    When should the candidate test the painful or affected ranges of motion?

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

    What is the primary purpose of performing a Resisted Isometric ROM assessment?

    <p>To identify if a muscle contraction without joint movement elicits pain</p> Signup and view all the answers

    When preparing for a Resisted Isometric ROM assessment, what position should the candidate instruct the patient to be in?

    <p>The position that is most comfortable for the patient and efficient for the tested joint</p> Signup and view all the answers

    How does the candidate determine the mid-range for the joint being assessed?

    <p>By placing the joint in the midpoint of its available full range, based on the patient's PR ROM and AF ROM</p> Signup and view all the answers

    What should the candidate do before performing the Resisted Isometric ROM assessment?

    <p>Explain the purpose of the test and the expected patient position</p> Signup and view all the answers

    Which of the following statements is true regarding the Resisted Isometric ROM assessment?

    <p>The patient must use their own force against an external force to create movement at the joint</p> Signup and view all the answers

    What is the correct way for the candidate to introduce the Resisted Isometric ROM assessment?

    <p>&quot;I will perform a Resisted Isometric range of motion assessment on the GH (shoulder) joint.&quot;</p> Signup and view all the answers

    What should the candidate do if they feel they have time during the assessment?

    <p>Clarify that they did not perform the two ROM tests</p> Signup and view all the answers

    What should the candidate assume about the range of motion (ROM) if they did not perform the ROM tests?

    <p>The ROM is at the mid-range of a normal full range</p> Signup and view all the answers

    What should the candidate explain to the patient regarding the resistance applied during the Resisted Isometric ROM assessment?

    <p>The patient should not try to overpower the resistance</p> Signup and view all the answers

    What is the primary purpose of performing a Resisted Isometric ROM assessment?

    <p>To evaluate the patient's muscle pain</p> Signup and view all the answers

    How should the patient respond when the candidate applies resistance during the Resisted Isometric ROM assessment?

    <p>The patient should let the candidate know if they start experiencing any pain</p> Signup and view all the answers

    What is the purpose of applying resistance during the Resisted Isometric ROM assessment?

    <p>To identify if muscle contraction elicits pain</p> Signup and view all the answers

    When determining the mid-range for the joint being assessed, what should the candidate consider?

    <p>The patient's available full range based on PR ROM and AF ROM</p> Signup and view all the answers

    What should the candidate do when introducing the Resisted Isometric ROM assessment to the patient?

    <p>State that they will perform a Resisted Isometric ROM assessment on a specific joint</p> Signup and view all the answers

    What is the appropriate position for the patient during the Resisted Isometric ROM assessment?

    <p>The most comfortable and efficient position for the tested joint</p> Signup and view all the answers

    If the patient reports pain during the Resisted Isometric ROM assessment, what should the candidate conclude?

    <p>There is a potential muscle pathology</p> Signup and view all the answers

    What should the candidate avoid during the Resisted Isometric ROM assessment?

    <p>Applying excessive force</p> Signup and view all the answers

    The candidate should resist the patient's movement in various ranges of the joint and inform them to let know if they start experiencing any ______.

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

    During the Resisted Isometric ROM assessment, the patient should not try to over-power the candidate as it is a test of muscle ______, not muscle strength.

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

    The candidate should test the painful or affected ranges ______.

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

    The candidate may choose to clarify if they feel they have ______ to do so.

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

    If the patient starts experiencing any ______, they should inform the candidate immediately.

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

    The ______ must use their own force against an external force to create movement at the joint.

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

    RI ROM is used to rule in or out muscle pathology when there is a complaint of pain in a specific joint and/or ______.

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

    The candidate begins by stating that they will perform a Resisted Isometric range of motion assessment and to which ______.

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

    Mid-range is normally determined by the patient’s available full range, based on their PR ROM and AF ______.

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

    The position should also be most comfortable for the patient and efficient for the tested ______.

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

    RI ROM is when the ______ must use their own force against an external force to create movement at the joint.

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

    The patient should be instructed to let the candidate know if they start experiencing any ______, even though it is the candidate’s responsibility to check throughout the assessment continuously.

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

    The candidate should resist the patient's movement in various ranges of the joint and inform them to let know if they start experiencing any ______.

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

    The patient should not try to over-power the candidate, as this is a test of muscle ______, not muscle strength.

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

    Mid-range is normally determined by the patient’s available full range, based on their PR ROM and AF ______.

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

    RI ROM is used to rule in or out muscle pathology when there is a complaint of pain in a specific joint and/or ______.

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

    The candidate may choose to clarify if they feel they have ______ to do so.

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

    RI ROM is when the ______ must use their own force against an external force to create movement at the joint.

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

    The position should also be most comfortable for the patient and efficient for the tested ______.

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

    Mid-range is normally determined by the patient’s available full range, based on their PR ROM and AF ______.

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

    The candidate begins by stating that they will perform a Resisted Isometric range of motion assessment and to which ______.

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

    RI ROM is used to rule in or out muscle pathology when there is a complaint of pain in a specific joint and/or ______.

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

    The purpose of performing a Resisted Isometric ROM assessment is primarily to test muscle strength.

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

    In a Resisted Isometric ROM assessment, the patient must use their own force against an internal force to create movement at the joint.

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

    Mid-range for a joint should be determined by the candidate's available full range, based on their past ROM and future ROM.

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

    The Resisted Isometric ROM assessment is used to identify muscle pathology when there is a complaint of pain in a specific joint and/or range.

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

    The candidate should resist the patient's movement in all ranges of the joint during a Resisted Isometric ROM assessment.

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

    In a Resisted Isometric ROM assessment, the candidate should inform the patient to let them know if they start experiencing any pain.

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

    The candidate should resist the patient's movement in various ranges of the joint.

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

    The patient should always try to over-power the candidate during the assessment.

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

    The candidate is responsible for continuously checking for pain during the assessment.

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

    The patient should inform the candidate if they start experiencing any strength issues.

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

    The candidate should always test the unaffected ranges first.

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

    What is the correct step for the candidate to take after placing the patient's joint in mid-range during a Resisted Isometric ROM assessment?

    <p>Check in with the patient</p> Signup and view all the answers

    What indicates to the evaluators that the candidate understands and knows the ranges for the joint being tested during a Resisted Isometric ROM assessment?

    <p>Resisting all available ranges</p> Signup and view all the answers

    During a Resisted Isometric ROM assessment, what should a candidate do if they observe compensatory movements by the patient?

    <p>Address and correct them</p> Signup and view all the answers

    Which action should the candidate take if the patient experiences pain while contracting their muscles during a Resisted Isometric ROM assessment?

    <p>Inform the patient to stop</p> Signup and view all the answers

    What should be observed by the candidate when the patient contracts their muscles during a Resisted Isometric ROM assessment?

    <p>Compensatory movements</p> Signup and view all the answers

    Why is it important for a candidate to remind the patient to stop if they feel pain during a Resisted Isometric ROM assessment?

    <p>To ensure proper muscle contraction</p> Signup and view all the answers

    What does pain on resistance in a particular range during a RI ROM assessment typically indicate?

    <p>Muscle pathology</p> Signup and view all the answers

    If a patient experiences similar pain during both RI ROM and PR ROM, what could this indicate?

    <p>Combined joint capsule and muscle pathology</p> Signup and view all the answers

    Which type of pathology is unlikely to cause pain during a RI ROM test according to the text?

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

    During a RI ROM assessment, if a patient experiences pain in a particular range, what could be the most probable cause according to the text?

    <p>Muscle pathology</p> Signup and view all the answers

    What is the significance of experiencing pain during resisted ranges in a RI ROM assessment?

    <p>Signifies muscle pathology</p> Signup and view all the answers

    What should the candidate observe during the Resisted Isometric ROM assessment?

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

    If the patient experiences pain during the Resisted Isometric ROM assessment, what should the candidate do?

    <p>Immediately stop the assessment and address the pain</p> Signup and view all the answers

    What should the candidate do if they observe compensatory movements during the Resisted Isometric ROM assessment?

    <p>Address and correct the compensatory movements</p> Signup and view all the answers

    What is the purpose of placing the patient's joint in mid-range during the Resisted Isometric ROM assessment?

    <p>To provide a neutral starting position for the assessment</p> Signup and view all the answers

    How should the candidate determine which ranges to test during the Resisted Isometric ROM assessment?

    <p>Test all available ranges unless the exam indicates specific ranges</p> Signup and view all the answers

    What should the patient do if they feel pain during the Resisted Isometric ROM assessment?

    <p>Stop contracting and indicate where they feel pain</p> Signup and view all the answers

    What does experiencing pain during extension, abduction, and external rotation indicate during a Resisted Isometric ROM assessment?

    <p>Joint instability in other movement directions</p> Signup and view all the answers

    In what situations should the candidate stop the Resisted Isometric ROM assessment?

    <p>If pain is felt during specific contractions</p> Signup and view all the answers

    Why is it essential for the candidate not to overpower the patient during a Resisted Isometric ROM assessment?

    <p>To avoid potential injury to the patient</p> Signup and view all the answers

    What purpose does resistance serve during a Resisted Isometric ROM assessment?

    <p>To assess muscle strength</p> Signup and view all the answers

    Internal rotation and horizontal adduction did not cause pain in the GH joint during resistance. What can this indicate?

    <p>Normal joint function in those ranges</p> Signup and view all the answers

    The purpose of performing a Resisted Isometric range of motion assessment is to identify whether a muscle contraction, without movement in the joint, will elicit ______.

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

    The GH joint had no pain with resistance against flexion, internal rotation, and horizontal ______.

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

    The joint experienced some pain in extension, abduction, and external ______.

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

    The candidate should test the painful or affected ranges ______.

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

    Mid-range is normally determined by the patient’s available full range, based on their PR ROM and AF ______.

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

    RI ROM is used to rule in or out muscle pathology when there is a complaint of pain in a specific joint and/or ______.

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

    In a Resisted Isometric ROM assessment, the candidate should overpower the patient to test muscle strength.

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

    During a Resisted Isometric ROM assessment, the candidate should expect pain in all ranges of motion.

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

    The Resisted Isometric ROM assessment requires the candidate to use an internal force against the patient's external force.

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

    If a patient experiences pain during flexion, internal rotation, and horizontal adduction in a Resisted Isometric ROM assessment, it indicates no issues in those ranges.

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

    The main purpose of a Resisted Isometric ROM assessment is to test muscle strength.

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

    In a Resisted Isometric ROM assessment, the patient should inform the candidate immediately if they start experiencing any pain.

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

    During a Resisted Isometric ROM assessment, what should the candidate do if the patient reports pain in a specific range of motion?

    <p>Stop the assessment and note the range that elicited pain</p> Signup and view all the answers

    What is the primary purpose of performing a Resisted Isometric ROM assessment?

    <p>To identify if muscle contraction without joint movement causes pain</p> Signup and view all the answers

    When instructing the patient during a Resisted Isometric ROM assessment, the candidate should emphasize that the patient should:

    <p>Not allow the joint to move during the contraction</p> Signup and view all the answers

    If the patient experiences pain during flexion, internal rotation, and horizontal adduction in a Resisted Isometric ROM assessment, it indicates:

    <p>No issues in those ranges</p> Signup and view all the answers

    When determining the mid-range position for the joint during a Resisted Isometric ROM assessment, the candidate should consider:

    <p>The patient's available full range based on PR ROM and AF ROM</p> Signup and view all the answers

    What is the significance of experiencing pain during resisted ranges in a Resisted Isometric ROM assessment?

    <p>It indicates potential muscle pathology in those ranges</p> Signup and view all the answers

    Study Notes

    Resisted Isometric Range of Motion (RI ROM)

    • Definition: When a patient must use their own force against an external force to create movement at a joint.
    • Purpose: To identify whether a muscle contraction, without movement in the joint, will elicit pain.
    • Not a strength test: RI ROM is used to rule in or out muscle pathology when there is a complaint of pain in a specific joint and/or range.

    Patient Instructions

    • Inform the patient of the position required for the most efficient and effective RI ROM assessment.
    • Explain the procedure and what to expect from the candidate.
    • Indicate that the joint will be placed in mid-range.
    • Mid-range is normally determined by the patient's available full range, based on their PR ROM and AF ROM.
    • Instruct the patient to let the candidate know if they start experiencing any pain.
    • Inform the patient that they will test the painful or affected ranges last.

    Performing RI ROM

    • Position the patient in a seated or standing position.
    • Assist the patient in the appropriate position.
    • Place the patient's respective joint in mid-range.
    • Place the candidate's hand in the appropriate stabilizing position to resist the range being tested.
    • Check in with the patient during the procedure.
    • Observe the patient's face for any signs of pain or grimacing.

    Findings and Clinical Impression

    • State the resisted ranges that elicited pain.
    • Indicate what the painful resisted ranges would indicate: muscle pathology causing the patient's primary concern.
    • If similar pain was felt with PR ROM, this could indicate a combination of joint capsule and muscle pathology.

    Example of RI ROM for the Glenohumeral (GH) Joint

    • Introduce the exercise: "I am going to be performing a Resisted Isometric range of motion assessment on the GH (shoulder) joint."
    • State the purpose: "The purpose of performing a Resisted Isometric range of motion assessment is to identify whether a muscle contraction, without movement in the joint, will elicit pain."
    • Provide instructions: "You will then attempt to complete the movement while I resist your force."
    • Perform the procedure: "I am now going to have you try and move your shoulder into flexion and push against my hand."
    • Record findings: "The GH joint had no pain with resistance against flexion, internal rotation, and horizontal adduction."

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    Description

    Test your knowledge on Resisted Isometric range of motion (ROM) assessments where patients use their own force against an external force to create joint movement. Identify the purpose and procedure of this assessment technique.

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