ROM Exercises and Techniques in Rehabilitation

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is NOT a limitation of Passive Range of Motion (PROM)?

Prevention of muscle atrophy (correct)

Difficulty obtaining true passive ROM

Assistance with circulation

Increase in strength or endurance

What is the primary purpose of using Continuous Passive Motion (CPM) post-total knee arthroplasty?

To increase blood flow during inactivity

To facilitate passive motion for recovery (correct)

To prevent muscle contraction

To achieve active muscle strengthening

What are potential drawbacks of Continuous Passive Motion (CPM) therapy?

Immediate improvement in strength

Risk of overexertion of muscles

Dependency on manual therapy

High cost and inconvenience (correct)

Active-Assistive Range of Motion (AAROM) primarily involves which of the following?

Support from an external force to complete motion Signup and view all the answers

What complication is Continuous Passive Motion (CPM) therapy intended to reduce?

Joint immobilization complications Signup and view all the answers

What is the primary purpose of Range of Motion Exercises (ROMEx) in therapeutic intervention?

To initiate movement and improve function Signup and view all the answers

Which condition should be considered a contraindication for performing ROM exercises?

Presence of life-threatening responses Signup and view all the answers

What is passive insufficiency, as opposed to active insufficiency?

Inability to generate tension when lengthened Signup and view all the answers

Which of the following is a key factor in determining a patient's ability to participate in ROM activities?

The level of impairment and functional ability Signup and view all the answers

What does the term 'functional excursion' refer to in the context of muscle movement?

The distance a muscle can shorten after being fully elongated Signup and view all the answers

What contributes to the limitation of elbow flexion during full shoulder flexion?

The biceps brachii assisting in shoulder flexion Signup and view all the answers

Which muscle is primarily responsible for limiting knee extension during hip flexion?

Rectus femoris Signup and view all the answers

What happens to hip extension during full knee flexion?

It is limited Signup and view all the answers

What is passive insufficiency?

When a muscle lengthens at all joints it crosses Signup and view all the answers

During finger extension, what is typically limited by the elbow position?

Elbow flexion Signup and view all the answers

Which of the following is NOT a recommended part of patient preparation?

Allowing unrestricted movement Signup and view all the answers

What should be monitored during the intervention process?

Change in range of motion Signup and view all the answers

What is important to do when a multi-joint muscle is activated?

Maintain proper biomechanics Signup and view all the answers

What is the primary purpose of providing Active Range of Motion (AROM) therapy?

To maintain elasticity and contractility of muscles Signup and view all the answers

Which of the following is NOT a benefit of Active Range of Motion (AROM)?

Increases flexibility in all movement patterns Signup and view all the answers

In which situation should AROM be employed?

During postoperative rehabilitation to decrease pain Signup and view all the answers

Which of the following describes an indication for using AROM?

Patient can contract muscles and move independently Signup and view all the answers

What does AROM primarily help to prevent during periods of immobilization?

Thrombus formation and decreased circulation Signup and view all the answers

Which outcome cannot be achieved through AROM exercises?

Increase strength of strong muscles Signup and view all the answers

How does AROM contribute to joint health?

By increasing synovial fluid to lubricate the joint Signup and view all the answers

Which of the following statements about AROM is true?

AROM provides sensory feedback from contracting muscles Signup and view all the answers

What characterizes passive range of motion (PROM)?

It is movement produced by an external force. Signup and view all the answers

When is passive range of motion particularly indicated?

When acute or inflamed tissue needs protection. Signup and view all the answers

Which joint limitation occurs when the hip is extended?

Knee flexion. Signup and view all the answers

What is a key feature of the movements performed during PROM?

They are performed within the unrestricted range of motion. Signup and view all the answers

For how long is it typically advised to use PROM in cases of acute or inflamed tissues?

2-6 days Signup and view all the answers

What is a potential benefit of continuous passive motion following total knee arthroplasty?

It may aid in early mobilization. Signup and view all the answers

How many repetitions are suggested to perform during a PROM session?

5-15 reps Signup and view all the answers

Why might a patient require passive motion instead of active motion?

The patient is unable to actively move the segment or due to medical advice. Signup and view all the answers

Study Notes

ROM Exercises

Definitions
- ROM: Basic technique for examining movement.
- ROMEx: Initiating therapeutic movement.
- Functional excursion: Maximum muscle shortening 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 biceps brachii assists with shoulder flexion.
- Passive insufficiency: Multi-joint muscle lengthens across all joints, limiting range of motion.
  - Example: Finger extension is limited when the elbow is extended.

Precautions and Contraindications

Should not disrupt healing.
If response is life-threatening, discontinue.

Examination, Evaluation, and Treatment Planning

Determine impairments and function level.
Determine precautions, prognosis, and intervention plan.
Determine participant's ability to perform ROM exercises.
Decide on exercise patterns (anatomical plane, muscle range of elongation, combined patterns, functional patterns).
Monitor patient condition and response.
Document and communicate findings.
Re-evaluate and modify intervention as needed.

Patient Preparation

Communicate intervention plan.
Remove restrictive clothing.
Position patient comfortably, maintaining alignment and stabilization.

Application (L Posture)

Stabilize and support appropriate joint areas.
Perform movements smoothly and rhythmically (5-15 repetitions).
Adjust as needed.

Passive Range of Motion (PROM)

Movement of a segment within unrestricted ROM entirely by an external force.
Little to no voluntary muscle contraction.
Applications include when active motion disrupts healing, patient is unable or not supposed to actively move body part, assessment purposes, and preparation for stretching.

Limitations of PROM

Difficulty obtaining true passive ROM when muscles are innervated and patient is conscious.
Does not prevent muscle atrophy, increase strength/endurance, or assist circulation.

Active-Assistive Range of Motion (AAROM)

Assistance provided by an outside force (manual or mechanical) when prime mover muscles cannot complete motion.

Active Range of Motion (AROM)

Movement produced by active contraction of muscles.
Within unrestricted ROM.

Continuous Passive Motion (CPM)

Passive motion performed by a mechanical device, moving a joint slowly and continuously.
Developed for healing effects on joint structures and soft tissues.

Indications and Benefits for Various Techniques

Detailed information on specific indications and benefits of each technique, such as PROM, AROM, and CPM, and their use in different situations is available in the text.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers key concepts related to Range of Motion (ROM) exercises, including definitions, distinctions between active and passive insufficiency, and important precautions for therapeutic movement. Test your understanding of examination and treatment planning in rehabilitation settings.