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Range of Motion Exercise(ROM)

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Presentation on theme: "Range of Motion Exercise(ROM)"— Presentation transcript:

1 Range of Motion Exercise(ROM)

2 Type of ROM Exercises

3 Passive ROM(PROM) is movement of a segment within the unrestricted ROM that is produced entirely by an external force is little to or no voluntary muscle contraction

4 Active ROM(AROM) Is movement of a segment within the unrestricted ROM that is produced by active contraction of the muscles crossing that joint

5 Active-Assistance ROM(AAROM)
is a type of AROM in which assistance is produced manually or mechanically by an outside force because the prime mover muscles need assistance to complete the motion

6 Indications and Goals For ROM

7 Passive ROM(PROM) Primary goal for ROM is to decrease the complication with immobilization Cartilage degeneration adhesion and contracture formation sluggish circulation

8 Goal for PROM Maintain joint and connective tissue mobility
Minimize the effects of the formation of contracture Maintain mechanical elasticity of muscle Assist circulation and vascular dynamics Enhance synovial movement for cartilage nutrition and diffusion of materials in the joint

9 Decrease or inhibit pain
Assist with the healing process after injury or surgery Help maintain the patient’s awareness of movement

10 Active and Active assistive ROM
A patient is able to contract the muscles actively and move a segment with or without assistance, AROM is used A patient has weak musculature and is unable to move a joint through the desired range, A- AROM is used to provide enough assistance to the muscles in a carefully controlled manner (progessively strengthened)

11 Goal for AROM Maintain physiological elasticity and contractility of the participating muscles Provide sensory feedback from the contracting muscles Provide a stimulus for bone and joint tissue integrity

12 Increase circulation and prevent thrombus formation
Develop coordination and motor skills for functional activities

13 Limitations of ROM Exercises

14 Limitations of PROM Does not ; Prevent muscle atrophy
Increase strength or endurance Assist circulation to the extent that active, voluntary muscle contraction does

15 Limitations of AROM For strong muscles, does not ;
maintain or increase strength develop skill or coordination except in the movement patterns used





20 Principles and procedures for
Applying ROM Techniques

21 Examination, Evaluation and Treatment Planning
Examine and evaluate the patient’s impairment and level of function, determine any precautions and prognosis, and plan the intervention Determine the ability of the patients ; PROM, A-AROM or AROM Determine the amount of motion

22 Decide pattern can best the goal
- Anatomic plane of motion ; frontal, sagittal, transverse - muscle range of elongation - combined patterns ; diagonal motion - functional pattern ; ADL

23 Monitor the patient’s general condition and responses during and after the examination and intervention : change in vital sign, warmth and color of the segment, ROM, Pain, quality of movement Document and communicate Re-evaluate and modify

24 Patient preparation Communicate with the patient : descirbe the plan and method Free the region from restrictive clothing etc Position the patient in a comfortable Position yourself so proper body mechanics can be used

25 Application of techniques
To control movement, grasp the extremity around the joint Support areas of poor structural integrity : hyper-mobile joint, recent fracture site or paralyzed limb Move the segment through its complete pain free range to the point of tissue resitance Perform the motions smoothly and rhythmically, with 5 to 10 repetitions

26 Shoulder : Flexion and extension

27 Shoulder : hyper-extension

28 Shoulder : abduction and adduction

29 Shoulder : medial and lateral rotation

30 Shoulder : horizontal abduction and adduction

31 Scapular : elevation, depression,
protraction, retraction, upward, downward rotation


33 Elbow : flexion and extension

34 Triceps Brachii muscle

35 Forearm : pronation and supination

36 Forearm : supination

37 Hand : cupping and flattening the
arch of the hand at the Carpometacarpal


39 Elongation of extrinsic muscle of the wrist and hand : flexor and extensor digitorum muscles


41 Combined Hip and Knee : flexion and extension


43 Hip : hyperextension

44 Elongation of the two joint Hamstring muscle group


46 Hip : abduction and adduction

47 Hip : internal and external rotation

48 Ankle : dorsiflexion

49 Ankle : inversion and eversion

50 Joint of toes : flexion and extension abduction and adduction


52 Good luck on your finals!
Thank You! Good luck on your finals!

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