Performing Range of Motion

How many times should each movement be performed?

3-5 times or as ordered

Identify 2 ways to provide privacy for the patient while providing ROMs

door should be closed and the unit screened prevent unnecessary exposure

hyperextension

excessive straightening of a body part

adduction

moving a part toward the mid line

abduction

moving the arm out to the side, or moving a part away from the midline

extension

moving the lower arm away from upper arm, or straightening a body part

ulnar deviation

moving toward little finger side of hand

radial deviation

moving toward thumb side of hand

Where should support be provided when ROM's are being performed?

parts above and below the joint

active assistive

patient actively moves joints but receives assistance to complete entire ROM. Pulley is used at times

active

performed by patients who are able to move each joint without assistance. Strengthens muscle, maintain joint function and movement ( helps prevent deformities)

Who performs ROM exercises?

physical therapist, nurse, health care assistant, or authorized person

what should do if a patient complains of pain during ROM's

stop exercise and report this fact to your immediate supervisor

plantar flexion

straightening the foot away from the knee

circumduction

swinging the arm in a circle

Why are range of motion ROM exercises done?

to prevent problems caused by lack of movement and by inactivity

opposition

touching each of the fingers with the tip of the thumb

pronation

turning a body part downward

Inversion

turning a body part inward

Eversion

turning a body part outward

supination

turning palm up

rotation

turning the head from side to side

resistive

administered by a therapist, performed against resistance provided by the therapist. Patient development, increased strength and endurance

passive

another person moves each joint for patient who is not able to exercise, does not strengthen muscles

flexion

bending a body part or bending the fingers to makes a fist

dorsiflexion

bending the top of hand back toward the forearm, or bending the foot toward the knee

identify 6 problems caused by lack of movement and inactivity

contracture muscle and joint function circulatory impairment mineral loss poor appetite, constipation, urinary infections, respiratory problems, and hypo-static pneumonia