Podcast
Questions and Answers
The basic technique used for the examination of movement is called ______.
The basic technique used for the examination of movement is called ______.
ROM
The abbreviation ROMEX stands for ______.
The abbreviation ROMEX stands for ______.
Range of Motion Exercise
What is the definition of 'functional excursion'?
What is the definition of 'functional excursion'?
The distance a muscle can shorten after it has been elongated to its maximum.
Immobility can lead to adverse effects on various body systems. This statement is...
Immobility can lead to adverse effects on various body systems. This statement is...
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Which of these statements correctly describes active insufficiency?
Which of these statements correctly describes active insufficiency?
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During full shoulder flexion, what movement will be limited due to active insufficiency?
During full shoulder flexion, what movement will be limited due to active insufficiency?
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Which movement is limited during full hip flexion due to active insufficiency?
Which movement is limited during full hip flexion due to active insufficiency?
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What movement is limited during full knee flexion due to active insufficiency?
What movement is limited during full knee flexion due to active insufficiency?
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Passive insufficiency occurs when a multi-joint muscle ______ at all the joints it crosses.
Passive insufficiency occurs when a multi-joint muscle ______ at all the joints it crosses.
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Passive insufficiency limits the range of motion at each joint because a muscle is typically short enough to allow full range of motion at all joints simultaneously.
Passive insufficiency limits the range of motion at each joint because a muscle is typically short enough to allow full range of motion at all joints simultaneously.
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Which movement is limited when the elbow is extended due to passive insufficiency?
Which movement is limited when the elbow is extended due to passive insufficiency?
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Which movement is limited when the hip joint is extended due to passive insufficiency?
Which movement is limited when the hip joint is extended due to passive insufficiency?
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ROM exercises should be performed when it disrupts the healing process.
ROM exercises should be performed when it disrupts the healing process.
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If ROM exercises pose a life-threatening risk to the patient, they should be performed anyway.
If ROM exercises pose a life-threatening risk to the patient, they should be performed anyway.
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What is the primary goal of ROM techniques?
What is the primary goal of ROM techniques?
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Which of these is NOT a component of the examination and evaluation process?
Which of these is NOT a component of the examination and evaluation process?
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Which of these is NOT a precaution or contraindication for performing ROM exercises?
Which of these is NOT a precaution or contraindication for performing ROM exercises?
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During the examination and evaluation process, what should the therapist monitor?
During the examination and evaluation process, what should the therapist monitor?
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The therapist should document the patient's findings and intervention strategies.
The therapist should document the patient's findings and intervention strategies.
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The therapist should re-evaluate and modify the intervention as needed.
The therapist should re-evaluate and modify the intervention as needed.
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What is the first step in patient preparation for ROM exercises?
What is the first step in patient preparation for ROM exercises?
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Restrictive clothing should be removed and the patient positioned comfortably for ROM exercises.
Restrictive clothing should be removed and the patient positioned comfortably for ROM exercises.
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It is unnecessary to maintain proper biomechanics (therapist posture) during ROM exercises, as long as the patient is comfortable.
It is unnecessary to maintain proper biomechanics (therapist posture) during ROM exercises, as long as the patient is comfortable.
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Which of these describes the proper application of ROM exercises in relation to the patient's joint?
Which of these describes the proper application of ROM exercises in relation to the patient's joint?
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ROM exercises should be performed with a smooth, rhythmic motion.
ROM exercises should be performed with a smooth, rhythmic motion.
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The number of repetitions for ROM exercises should always be 10-15 reps.
The number of repetitions for ROM exercises should always be 10-15 reps.
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What is the definition of PROM?
What is the definition of PROM?
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PROM is generally performed when the patient is conscious and aware of the movement.
PROM is generally performed when the patient is conscious and aware of the movement.
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Which of these is NOT a benefit of PROM?
Which of these is NOT a benefit of PROM?
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There is consistent, conclusive evidence about the effectiveness of continuous passive motion (CPM) following total knee arthroplasty.
There is consistent, conclusive evidence about the effectiveness of continuous passive motion (CPM) following total knee arthroplasty.
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Possible benefits of CPM need to be weighed against its potential costs and inconvenience.
Possible benefits of CPM need to be weighed against its potential costs and inconvenience.
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Current research has definitively established the effectiveness of CPM for treating various orthopedic conditions.
Current research has definitively established the effectiveness of CPM for treating various orthopedic conditions.
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What does the abbreviation 'AAROM' stand for?
What does the abbreviation 'AAROM' stand for?
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AAROM involves assistance from an external force, either manual or mechanical, to aid the patient in completing the movement.
AAROM involves assistance from an external force, either manual or mechanical, to aid the patient in completing the movement.
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AAROM exercises are primarily used when the patient's prime mover muscles are unable to complete the motion independently.
AAROM exercises are primarily used when the patient's prime mover muscles are unable to complete the motion independently.
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Define AROM.
Define AROM.
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What is the purpose of demonstrating the desired movement through PROM before asking the patient to perform the movement independently?
What is the purpose of demonstrating the desired movement through PROM before asking the patient to perform the movement independently?
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The therapist should always be prepared to assist the patient during AROM exercises but avoid doing the movement for them.
The therapist should always be prepared to assist the patient during AROM exercises but avoid doing the movement for them.
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The patient's range of motion should be restricted during AROM exercises to prevent injury.
The patient's range of motion should be restricted during AROM exercises to prevent injury.
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AROM exercises cannot contribute to increasing the strength of already strong muscles.
AROM exercises cannot contribute to increasing the strength of already strong muscles.
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AROM exercises can help develop coordination skills for specific movement patterns.
AROM exercises can help develop coordination skills for specific movement patterns.
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CPM devices were developed based on research that suggested continuous passive motion has beneficial effects on diseased and injured tissues.
CPM devices were developed based on research that suggested continuous passive motion has beneficial effects on diseased and injured tissues.
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What is NOT a benefit of CPM?
What is NOT a benefit of CPM?
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CPM can help reduce post-operative pain.
CPM can help reduce post-operative pain.
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Study Notes
ROM Exercises
-
Definitions
- ROM: Basic technique for examining movement.
- ROMEX: Initiating therapeutic movement.
- Functional excursion: Muscle's shortening distance after elongation.
- Immobility: Physical restriction due to disease or treatment.
-
Passive vs. Active Insufficiency
- Active insufficiency: Multi-joint muscle shortens across all joints simultaneously, reducing its ability to generate optimal tension.
- Example: Full shoulder flexion limits elbow flexion because the biceps brachii is assisting in shoulder flexion.
- Example: Hip flexion limits knee extension because rectus femoris assists in hip flexion.
- Passive insufficiency: A multi-joint muscle lengthens across all joints, limiting range of motion at each joint.
- Example: Finger extension is limited when elbow is extended.
- Example: Hip flexion is limited when knee is extended.
- Example: Knee flexion is limited when hip joint is extended.
- Active insufficiency: Multi-joint muscle shortens across all joints simultaneously, reducing its ability to generate optimal tension.
Precautions and Contraindications
- Should not disrupt healing process.
- If response threatens life, do not use.
Examination, Evaluation, and Treatment Planning
- Assess impairments and function level.
- Determine precautions and prognosis, and plan intervention.
- Determine ability to participate in ROM activity.
- Decide type of ROM to meet goals (e.g., anatomic plane, muscle range, combined).
- Monitor condition and response; document findings, and communicate.
- Re-evaluate and modify as needed.
Patient Preparation
- Communicate plan of intervention to patient.
- Remove restrictive clothing, drape appropriately.
- Position comfortably, maintaining proper alignment.
- Ensure proper biomechanics.
Passive Range of Motion (PROM)
- Movement of body segment by external force, with little to no voluntary muscle contraction.
- Used to examine range of motion in inflamed joints where active motion may disrupt healing.
- Useful when patient cannot actively move a body segment.
Active-Assistive Range of Motion (AAROM)
- Assistance by external force for movements a muscle cannot complete on its own.
Active Range of Motion (AROM)
- Movement produced by active contraction of muscles within the unrestricted range of motion.
- Used to demonstrate movement, and independently perform movements.
Continuous Passive Motion (CPM)
- Mechanical device for continuous passive joint movement.
- Used to promote healing, prevent adhesions/contractures, and improve range of motion in joints after injury or surgery.
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Description
This quiz covers the basics of Range of Motion (ROM) exercises and the concepts of active and passive insufficiency. It includes definitions and examples related to muscle movement and limitations due to various factors. Test your understanding of these essential therapeutic movement principles.
