AROM

Question 1

Indications for AROM?

Answer 1

Oxford scale 3-4

Question 2

What is active exercise?

Answer 2

Patient carries it out themselves
No assistance or resistance
Voluntary contraction of muscles
Unrestricted range of joint

Question 3

What are the types of active exercise?

Answer 3

Rhythmical 
Pendular
Single patterned - PNF 
Short/long levers
Open/closed chain (open, distal part is free and close is weight bearing)

Question 4

Limitations to AROM

Answer 4

For strong muscles - does not maintain or increase strength

Does not develop skill or coordination

Question 5

Effects of AROM?

Answer 5

Increase c/r efficiency 
Increase protein synthesis
Increase joint nutrition 
Decrease pain
Increase stability 
Relax muscles
Increase patient confidence

Question 6

What do you need to consider?

Answer 6

Starting position
Patient specific
Duration - reps and sets 
Speed of exercise
Fatigue
Rest periods

Question 7

What is including when planning a programme?

Answer 7

Holistic
Prioritise pain relief before strengthening 
Involve patient
SMART
varied
Make easy then progress harder
Contraindications
Consider type of exercise 
Observe patient doing it
Correct performance 
Praise correct technique
Adapt tonne environment

Question 8

What are the stages of motor learning?

Answer 8

Cognitive - know what to do and why

Associative - refining movement based on feedback

Autonomous - can consistently perform the movement well

Question 9

How do you motivate your patient?

Answer 9

Involve them
Make goals
Avoid long boring exercises
Encouragement
Set number of reps
Use music and voice effectively 
Show patient improvements

Question 10

Other benefits to AROM?

Answer 10

Decrease weight
Decrease stress
Increase balance
Decrease risk of osteoporosis
Increase relaxation 
Increase muscle tone
Increase CR function