interventions for improving functional ROM

Question 1

when do we address ROM?

Answer 1

• when ROM is impaired in regard to being able to complete ADLs or IADLs
  
  • AROM or PROM

Question 2

when do we NOT need to address ROM?

Answer 2

if their FUNCTIONAL AROM or PROM is good; they don’t always need a “normal” AROM or PROM

Question 3

adjunctive methods

Answer 3

• stretching programs

Question 4

immobilization can lead to:

Answer 4

• physiological changes
• contracture formation

Question 5

what are the physiological changes caused by immobilization?

Answer 5

• loss in muscle fibers and fiber length
• disorganized synthesis of new collagen
• ligament weakness
• increased viscosity of joint synovial fluid
• increase in scar formation (adhesions)

Question 6

what are the contracture formations caused by immobilization?

Answer 6

• permanent changes in soft tissue, joint capsule, etc.
• muscle length and bony tissue

Question 7

hold PROM in end range for ___

Answer 7

15 seconds

Question 8

Codman’s exercises or pendulum exercises

Answer 8

used post surgery for shoulder replacement and rotator cuff repair
- NO active muscle contraction of shoulder muscles
- body position must provide the gentle movement (pendulum)
- what safety considerations

Question 9

AROM with end range stretch

Answer 9

• uses GRAVITY to provide end range stretch
• SUPINE

Question 10

AAROM or AROM

Answer 10

• NO resistance
• AAROM used when client cannot independently achieve needed AROM
• can involve trunk when doing AROM of UE if client is safe
• can use other UE as a stabilizer if needed… joint compression and weight bearing for flaccid UE