Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Range of Motion - Lecture Slides | PT 220, Study notes of Physiotherapy

California State University (CSU) - SacramentoPhysiotherapy

Material Type: Notes; Class: Therapeutic Exercise I; Subject: Physical Therapy; University: California State University - Sacramento; Term: Unknown 1989;

Typology: Study notes

2009/2010

Uploaded on 03/28/2010

koofers-user-12k
koofers-user-12k 🇺🇸

5

(1)

10 documents

1 / 5

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1
Range of Motion
PT220
LoisBoulgarides,PT,DPT,MS
Types of ROM Exercises
• Passive
• Active
• ActiveAssisted
• Manual
•Self‐Exercise
• Mechanical(CPMmachine)
• Assistivetools(recip pulley,wand,skateboard)
Indications and Goals for ROM
• PassiveROM
– IndicationsforPROM
•AROMisnotpossibleoriscontraindicated
• Severeinflamedinjury
–GoalsforPROM
• Minimizecontractures/maintainelasticity/mobility
• Assisthealing
• Assistcirculation
•Improvesynovialmovement/nutritionofcartilage
•Decreasepain
• Maintainpatientawareness
–OtherusesforPROM
•Examination
•Patientteaching
•Preparationforstretch
Indications and Goals for ROM
•Activeandactive‐assistiveROM
–IndicationsforAROM
•Patientstrongenough:UseAROM
• Weakness:UseAAROM
•Aerobicconditioning
•Aboveandbelowareaofinjuryduringhealing
–GoalsforAROM
• Maintainelasticityandstrength
•Sensoryfeedback
• Stimulatesofttissueandboneintegrity
•Improvecirculation/preventthrombusformation
• Coordinationandmotorskilldevelopment
Limitations of ROM Exercises
• Limitations of passive motion
– Does not prevent atrophy or increase strength
– Limited improvement in circulation
• Limitations of active ROM
– Does not increase strength of STRONG muscles
Principles and Procedures for
Applying ROM Techniques
• Examination, evaluation, and treatment planning
• Patient preparation
• Application of techniques
• Application of PROM
• Application of AROM
pf3
pf4
pf5

Partial preview of the text

Download Range of Motion - Lecture Slides | PT 220 and more Study notes Physiotherapy in PDF only on Docsity!

Range of Motion

PT 220

Lois Boulgarides, PT, DPT, MS

Types of ROM Exercises

  • Passive
  • Active
  • Active Assisted
  • Manual
  • Self‐Exercise
  • Mechanical (CPM machine)
  • Assistive tools (recip pulley, wand, skateboard)

Indications and Goals for ROM

• Passive ROM

  • Indications for PROM
    • AROM is not possible or is contraindicated
    • Severe inflamed injury
  • Goals for PROM
    • Minimize contractures/maintain elasticity/mobility
    • Assist healing
    • Assist circulation
    • Improve synovial movement/ nutrition of cartilage
    • Decrease pain
    • Maintain patient awareness
  • Other uses for PROM
    • Examination
    • Patient teaching
    • Preparation for stretch

Indications and Goals for ROM

  • Active and active‐assistive ROM
    • Indications for AROM
      • Patient strong enough: Use AROM
      • Weakness: Use AAROM
      • Aerobic conditioning
      • Above and below area of injury during healing
    • Goals for AROM
      • Maintain elasticity and strength
      • Sensory feedback
      • Stimulate soft tissue and bone integrity
      • Improve circulation/prevent thrombus formation
      • Coordination and motor skill development

Limitations of ROM Exercises

• Limitations of passive motion

  • Does not prevent atrophy or increase strength
  • Limited improvement in circulation

• Limitations of active ROM

  • Does not increase strength of STRONG muscles

Principles and Procedures for

Applying ROM Techniques

• Examination, evaluation, and treatment planning

• Patient preparation

• Application of techniques

• Application of PROM

• Application of AROM

Application of ROM Techniques

  • Clothing
  • Support
  • Hands
  • Body mechanics
    • Select appropriate treatment (motion, vigor and method)
    • Patient CLOSE (when appropriate)
    • Support proximal segments
    • Use legs
    • Back straight
    • Shoulders relaxed
    • Smooth / Rhythmic
    • Usually 5 ‐ 10 repetitions
    • Within normal joint ROM
    • (Sometimes) slight hold at the end of the range

Upper Extremity ROM

Techniques

  • Shoulder: flexion and

extension

  • Hand placement and

procedure

  • Shoulder: extension (hyperextension) - Alternate positions - Shoulder Abduction

Upper Extremity ROM

Techniques (cont.)

  • Shoulder: internal (medial) and external (lateral) rotation - Shoulder: horizontal abduction (extension) and adduction (flexion)
  • Scapula:

elevation/depression,

protraction/retraction,

and upward/downward

rotation

  • Elbow: flexion and extension
    • Hand placement and procedure

Elongation of the two‐joint rectus femoris muscle

  • WHEN STRETCHING
    • Stabilize pelvis
      • Prone with opposite leg hanging down foot on floor
      • Supine with opposite knee hugged to chest
      • Sidelying with opposite knee hugged to chest
    • Extend hip
    • Flex knee
  • WHEN GOING THROUGH RANGE OF MOTION WITHOUT STRETCH: Pelvic stabilization is less important 1. In prone position, stabilize pelvis with hand 2. Hip is already extended (increase with pad under thigh) 3. Flex knee

Lower Extremity ROM

Techniques (cont.)

  • Hip: abduction and adduction - Hip: internal (medial) and external (lateral) rotation

Lower Extremity ROM

Techniques (cont.)

  • Ankle: dorsiflexion
  • Ankle: plantarflexion
  • Subtalar (lower ankle) joint: inversion and eversion

Lower Extremity ROM

Techniques (cont.)

  • Transverse tarsal joint
  • Joints of the toes: flexion and extension and

abduction and adduction (metatarsophalangeal and

interphalangeal joints)

Cervical Spine ROM Techniques

  • Flexion
  • (Extension)
  • Lateral flexion
  • Rotation
  • Precautions
    • VBA
    • UC Ligamentous laxity

Lumbar Spine ROM Techniques

  • Flexion • Rotation

Self-Assisted ROM

  • Self‐assistance
  • Wand (T‐bar) exercises
  • Wall climbing

Self-Assisted ROM (cont.)

  • Overhead pulleys
    • Shoulder ROM
  • Skate board/powder board
  • Reciprocal exercise unit (bicycle/UE cycle)
  • Continuous passive motion
    • Benefits of CPM
    • General guidelines for CPM