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TherEx Higgins 4

Chapter 4

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
Created by: WalkerChance
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