Chap 2 & 3

Question 1

Functional excursion

Answer 1

the distance a muscle is capable of shortening after it has been elongated to its maximum

Question 2

indication for PROM

Answer 2

1. in the region where there is acute, inflame tissue, active motion would be detrimental to the healing process (inflammation after injury or surgery usually lasts 2-6 days)
2. Patient is not able to or not supposed to actively move a segment(s) of the body, as when comatose, paralyzed or on complete bed rest, movement is provided by external source

Question 3

3 limitation of PROM

Answer 3

prevent muscle atrophy

increase strength or endurance

Assist circulation to the extent that active, voluntary muscle contraction does

Question 4

4 indications of AROM/AAROM

Answer 4

1. when patient is able to contract mm actively and move a segment with or without assistance
2. When a patient has weak mm and is unable to move a joint through the desired range, AAROM is used
3. When a segment of the body is immobilized for a period of time, AROM is used on the regions above and below the immobilized segment to maintain the areas in as normal a condition as possible and to prepare for new activities such as walking with crutches
4. Aerobic conditioning programs to relieve stress from sustained postures

3.

Question 5

5 Goals for AROM

Answer 5

1. Maintain physiological elasticity and contractility of mm
2. Provide sensory feed back from the contracting mm
3. provide a stimulus for bone and joint tissue integrity
4. develop coordination and motor skills for functional activities

Question 6

Limitations of AROM

Answer 6

AROM does not maintain or increase strength. It also does not develop skill or coordination except in the movement patterns used

Question 7

8 Goals for PROM

Answer 7

1. Maintain joint and connective tissue mobility
2. minimize the effects of the formation of contractures
3. maintain mechanical elasticity of mm
4. assist circulation and vascular dynamics
5. Enhance synovial movement for cartilage nutrition and diffusion of materials in the joint
6. Decrease or inhibit pain
7. assist with the healing process after injury or surgery
8. help maintain the patient’s awareness of movement

Question 8

Precautions and CIs of ROM

Answer 8

ROM is not synonymous with stretching.
ROM should not be done when motion is disruptive to the healing process.

Carefully controlled motion within the limits of p free motion during early phases of healing has been shown to benefit healing and early recovery

Signs of too much or the wrong motion include increased pain and inflammation

PROM may be carefully initiated to major joints and AROM to ankles and feet to minimize venous stasis and thrombus formation

After MI, coronary artery bypass surgery,etc, AROM of upper extremities and limited walking are usually tolerated under careful monitoring

Question 9

ROM patterns

Answer 9

1. Anatomic planes of motion (frontal, sagittal, transverse)
2. Muscle range of elongation (antagonistic to the line of pull of the muscle)
3. Combined patterns (diagonal motions or movements that incorporate several planes of motion)
4. Functional patterns (motions used in activities of daily living)

Question 10

5 Steps to develop and implement prevention, health wellness and fitness programs

Answer 10

1. Identify a need
2. Set goals and objectives
3. Develop the intervention
4. Implement the intervention
5. Evaluate the results