1. Lesson Objectives
You will be able to identify and assess the purpose of Range of Motion (ROM) exercises.
Know difference between Passive and Active ROM
Perform ROM exercises

2. Course Standard: 7.0 The student will demonstrate the modalities and skills in a clinical/classroom setting related to Rehabilitative therapy careers
Course competency: 7.1 Range of Motion

3. Range of Motion ROM
Range of motion is the measurement of the achievable distance between the flexed position and the extended position of a particular joint or muscle group

4. Physical therapy/Nursing can help to improve joint function by focusing on range-of-motion exercises.
Purpose of ROM:
Stimulate Circulation to decrease chance of blood clots or decubitus ulcers
Encourage flexiblity and mobility of joints.
Prevent contractures (permanent contraction of the muscle).
Prevent mineral loss
Prevent other problems such as poor appetite, constipation, urinary infections, respiratory problems and pneumonia

5. Types of ROM
Active = Individual performs all movements without assistance
Active Assisted ROM = Individual receives assistance from therapist to aid in movement
Passive = Movements/Exercises are performed by therapist or nurse

6. Terms Flexion = Decreasing an angle as in bending a joint
Extension= (straightening) increases angle
Abduction= moves away from midline
Adduction=moves toward midline
Rotation= turns bone on axis
Supination= turns palms upward
Pronation= turns palms downward
Dorsiflexion= bends foot upward
Plantar flexion= bends foot downward
Ulnar deviation= turn wrist toward little finger
Radial deviation= turn wrist toward thumb side
Medial= closest to midline
Lateral=outside

7. Reporting and Documenting
Must document the following:
Date
Time
What was performed on patient and how they tolerated it.
Signature and title

8. Example of Charting
10/15/ Passive ROM performed on all joints, no c/o pain noted. ROM tolerated well. Resting comfortably with call bell in reach I Seeyou, RN