OTS 362 Rybski Chapter 3

face validity

"It seems like I am getting what I'm supposed to be getting."

hard normal end feel

Abrupt hard sensation at the extreme end of the range of motion such as when a bone contacts another bone EX: Elbow Extension

active range of motion

Arc of motion through which a joint passes when moved by a muscle acting on a joint

passive range of motion

Arc of motion through which a joint passes when moved by an outside force

vascular self repair

Bones are highly ____________ and can _________ __ _________

yes

Can normal end feels be classified as abnormal if they do not match up with the joint the way they are supposed to?

self ROM

Home exercise/self-assisted stretches and range of motion

unhealed fracture or dislocation interferes with healing

List some contraindications for ROM

genetics gymnasts guitar player

List some factors which could cause someone to vary in flexibility

joint disease fatigue tone excessive fat scarring

List some issues of health status which could cause decreased motion

inflammation newly healed pain bleeding

List some precautions for ROM

baseline tracks progress effectiveness of therapy

List some reasons ROM is important

AROM screen

Looks for gross abnormalities and may indicate need for further assessment

cartilage

Nonvascular structure that is strong and flexible acting as a shock absorber for joints but subject to wear and tear over time

muscle tendon ligament

Pain with AROM is likely to be due to a _________, _________, or ____________ problem

cartilage or inflammation

Pain with PROM during compression

ligament

Pain with PROM during distraction

tight joint structure

Pain with PROM in all directions

longus

Palmaris _________ is frequently absent in Caucasians

soft normal end feel

Soft tissue compression at the end of range of motion EX: Knee Flexion

hyaline cartilage

The most common type of cartilaginous tissue which provides slightly flexible support found in the hands, feet, nose, and more

fibro cartilage

Type of cartilage which has tensile strength and the ability to withstand high pressure due to a great density of fibrous collagen fibers EX: Meniscus , wrist, knees

client preparation

What is an important first step in ROM measurement?

contraindication is an absolute do not do while a precaution is just a warning

What is the difference between a contraindication and a precaution?

180 degree system

What is the most common system used in clinical practice for ROM ? EX: body in anatomical position with neutral zero starting point

from the beginning

When do you start thinking about the discharge of a client?

more

Women generally have _________ flexible joints than men

bone

_________ shape determines stability and movement of the joint

stabilize support

_____________ proximally and __________ distally

spasm

abnormal end feel in which there is a vibration or twinge at the end of the ROM

springy block

abnormal end feel when a joint rebounds at the end of motion may mean torn cartilage

capsular end feel

abnormal end feel which occurs early in the range of motion and may be a sign of pain or edema

functional ROM

amount of motion necessary to perform essential ADL's without adaptations or equipment

ectopic ossification

contraindication of ROM - bony deposit in connective tissue

myositis ossificans

contraindication of ROM - bony deposit in muscle

tendons

dense connective tissue which attaches skeletal muscles to bones

ligaments

dense connective tissue which connects bones to bones or two or more cartilages or structures together

adipose tissue

fibrous tissue dominated by fat cells

dense connective tissue

fibrous tissue made up of thick close fibers either parallel or latticed

hypermobility

greater motion

hypomobility

less motion

borg scale

measurement of pain in which client rates their pain 0-10

mcgill pain questionnaire

measurement of pain which combines several methods such as adjectives to describe pain, columns to describe qualities of pain, and intensity of pain

distal

movable arm aligned with _______ body part

myofascial unit

muscles and fascia

firm normal end feel

occurs when there is tension in the way of the joint but slight give in the structures comparable to pulling on a rubber band or strip of leather

proximal

stationary arm aligned with ________ body part

goniometer

the _____________ is considered the gold standard by which other tools of joint measurement are compared

range of motion

the amount of movement that occurs at a point and can be defined as the measurement of motion available at a joint

joint play

the give or distensibility of the joint capsule and soft tissues that can only be obtained passively

total active range of motion (TAM)

total active motion is computed from AROM from MCP, PIP, and DIP

total passive range of motion (TPM)

total passive motion is computed from PROM from MP, PIP, and DIP

validity

truly represent the client's level of functioning

fascia

type of loose connective tissue

functional motion test

use observation to determine decreased motion or use of compensatory motions when achieving tasks; provides information about patients patterns of movement and client's willingness to move

reliability

yield similar results through time and between testers