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  1. Indications for PROM
    • The Pt has acute inflamed tissue
    • The Pt is unable to or not supposed to actively move a segment
  2. Goals for PROM
    • Maintain joint and connective tissue mobiliyt
    • Minimize the formation of contructures
    • Maintain elasticity of muscle
    • Assist circulation and vascular dynamics
    • Ennhance synovial fluid movement
    • Devrease or inhibit pain - assist with healing
    • Help maintain Pt awareness of movement
    • To assess or demonstrate
  3. Indiecations and Goals for AAROM
    • Same as PROM with added benefit of muscle contraction
    • Sensory feedback
    • Increase circulation
    • develops coordination / motor skills for function
    • can increase strength in poor / fair range
  4. Goals for AROM
    • maintain elestivity and contractility of muscles
    • Provide sensory feedback from the contracting muscles
    • Provide a stimulus form bone and joint integrity
    • Increase circulation and prevent thrombus formation
    • develop coordination and motor skills for functional activites
  5. Indications for AROM
    • Whena pt is able to actively contract muscles
    • when a pt has weak muscles
    • for low level aerobic conditioning - warm up/ cool down
    • to mobilize segment above and below and immobilized region
  6. Precautions / Contraindications
    • When motion is distruptive to the healing preocess - should be pain-free and should not increase inflammtion
    • When pt respone or the condition is life threatening
  7. What does the PTA need to do to apply ROM
    • Adequately suppor and stabilize
    • Move the segment throught its painfree ROM just to the point of reistance, then return to starting posistion
    • Motion should be SLOW, smootha nd rhythmical
    • DO NOT force motion, the goals is not to stretch
  8. Options for ROM
    • straight plane (anatomical planes)
    • Diagonal patterns
    • Functional patterns
    • Fuange of muslce elongations for 2 jointed muscles
  9. What is the difference between ROM ex and flexibiltiy Ex?
    ROM is intended to provide motion not strectching
  10. AAROM equipment
    • Wand or T-bar
    • Finger ladder, wall climbing, ball rolling
    • Overhead pulleys
    • skate board/ powder board
    • Recirocal exercise unit
  11. CPM machine
    • Passive motion taht is performed by a mechanical device taht moves a joint slowly and continuously through a pre-set controlled ROM
    • Very usefull for total joint surgery
    • Needs to be carefully monitored for alignment
    • can increase pain and inflammation if not used properly
    • need to work with nursing staff to optimize the benefits
  12. What to include in documentation of ROM exercise
    • What type of ROM
    • What position
    • What type of assistance provided if any
    • Left right or bilateral
    • number of reps
    • diagonals, straight plane, functional movement or range or muscle elongation
    • Quality of movement (if apporpriate)
Card Set:
2011-09-14 18:21:06
Med Cond fall 2011

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