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TherEx Higgins 4
Chapter 4
Question | Answer |
---|---|
Assessment order of ROM | Active, Passive, against resistance |
Active Range of Motion (AROM) | the movement of a body part through an arc of motion with active muscular contraction. |
Active assistive range of motion (AAROM) | the movement of a body part through an arc of motion with a combination of active muscular contraction and external force |
Passive range of motion (PROM) | the movement of a part of the body through an arc of motion by an external force |
Resisted Range of motion (RROM) | the movement of a body part with active muscular contraction against a graded resistance |
Painful arc | pain that occurs at a certain point in the ROM of a joint. It disappears when motion is past point |
Inert Tissue | tissue that does not contract. Ex: bone, ligament, cartilage |
Contractile tissue | structures that are involved in a muscle contraction |
End Feel | the quality of resistance at the end of the motion |
Assessment of AROM | Assessed 1st compared to uninjured limb. pain location and arcs are noted |
AROM restrictions | Soft tissue restriction/muscle tightness, muscle imbalances, contracture of soft tissue joint capsule or articular structures, neural tension, postural imbalances, joint dysfunction |
Assessment of PROM | patient must be in a good position, soft tissues around joint should be in a relaxed position. used for regain, increase, or maintain ROM when muscle contraction is contradicted. |
Endfeels | the palpitation or tension of the joint at the end of ROM |
Normal Endfeels | Capsular/ligamentous (firm), Bony, muscle stretch, soft tissue approximation |
Capsular/ligamentous (firm) endfeel | firm end point with slight give: Stretching leather belt |
Bony endfeel | Abrupt hard end feel; bone contracting bone is restricting ROM. pushing tow hard objects together |
Muscle stretch endfeel | Stretchy or rubbery end feel. Muscle tightness is restricting joint ROM: Stretching a heavy exercise band. |
Soft tissue approximation endfeel | mushy end feel. Muscle and fat are pushing against each other, restricting ROM: Pushing firm pillows together |
Abnormal Endfeels | Muscular spasm, Loose, springy, empty |
Muscular spasm | "muscle guarding," tight restrictive feeling often from pain experienced at a point in the painful range |
Loose endfeel | Range of motion beyond normal limits |
Springy endfeel | a stop and rebound at some point in th reange of motion |
Empty endfeel | no end feel is apparent |
Evaluation of ROM | evaluated withe goniometer, bubble goniometer, inclinometer, or tape measure before exercise and after treatment |
Resisted ROM | used to determine general muscle weakness or pain in the muscle performing motion: resistance applied mid ROM |
Muscular lesions: Strong and painless | normal/no injury |
Muscular lesions: Strong and painful | 1st or 2nd degree muscular strain |
Muscular lesion: Weak and painless | 3rd degree strain/complete rupture on muscle or tendon |
Muscular lesion: weak and painful | major injury to muscle/tendon or both |