Lecture 1. Range of Motion Exercises PDF

Range of Motion Exercises M. Bakat Content Objectives Introduction Indications and goals of ROM exercises Precautions and contraindications of ROM exercises Procedures for applying ROM exercise techniques Patient preparation Application of ROM exercise techniques O...

Range of Motion Exercises M. Bakat Content Objectives Introduction Indications and goals of ROM exercises Precautions and contraindications of ROM exercises Procedures for applying ROM exercise techniques Patient preparation Application of ROM exercise techniques Objective Understand the concepts behind joint range of motion exercises Introduction Introduction Types: Range Of Motion Exercises Indications and goals for ROM exercise Passive ROM Goal Indication Decrease complication associated with In regions where there is acute, inflamed tissues, immobilization: (cartilage degeneration, adhesion, PROM is beneficial contracture formation, sluggish circulation) When patient is unable or not allowed to actively Maintain joint and connective tissue mobility move a body segment. Example: Minimize the effect on contracture formation  Comatose Assist with proper circulation and vascular  Paralyzed dynamics  On complete bed rest Enhance synovial movement for cartilage Movement is provided by an external source nutrition and diffusion of materials in the joint Decrease or inhibit pain Assist with the healing process after injury/surgery Help maintain patient’s awareness of movement Indications and goals for ROM exercise Active and Active Assistive ROM Goal Indication if there is no inflammation or contraindication to When patient is able to contract actively active motion, the same goals for PROM can be met with/without assistance with AAROM, AROM also. Weak musculature and is unable to move a joint Maintain physiological elasticity and contractility through desired ROM, AAROM is used to provide of participating muscles assistance for the muscle to function to it’s Provide sensory feedback from the contracting maximum level muscles Used for aerobic conditioning programs Provide stimulus for bone and joint tissue When segment of body is immobilized for a long integrity period of time, AROM is used on the regions Increase circulation and prevent thrombus above/below the immobilized segment to formation maintain the areas in their normal condition. And Develop coordination and motor skills for prepare for new activities; walking, with crutches functional activities Limitations of ROM Exercises ROM Limitations PROM True passive, relaxed ROM may be difficult to obtain when muscle is innervated and patient is conscious. PROM does not: Prevent muscle atrophy Increase muscle strength/endurance Assist circulation to the extent that active, voluntary muscle contraction does AROM For strong muscles, AROM does not maintain or increase strength Does not develop skill or co-ordination except in the movement pattern used  Precautions and Contraindications to ROM Exercises Indications Contraindications Carefully controlled motions within pain free limits ROM should not be done when motion is disruptive during early phases of healing benefits healing and to healing process recovery Increased pain and inflammation from too much PROM can be carefully initiated to major joints and movement or wrong movement AROM to ankles and feet to minimize venous stasis Patient’s response or condition is life threatening and thrombus formation After open heart surgery, AROM of UE and limited walking is tolerated under careful monitoring of symptoms Principles And Procedures For Applying ROM Techniques Patient Preparation Application of Techniques Application of PROM Application of AROM