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ROM

ROM, MMT

Body Assessing
POSTURE alignment of the body relative disposition of joints in any motion the placement of one joint effects another when in correct posture you put minimal stress on joints
Plumb line lateral aspect EAM--> acromion process greater trochanter--->lat epicondial of femur--->lat maleolus bodies of lumb--->Posterior to hip ant to knee--->ant to lat maleolus lat epicondyle of knee and of knee
Anterior plumb line nose sternum belly button pubic symphysis right between legs
Sitting posture neutral to slight anterior pelvic tilt hamstring tight=post pelvic tilt
ROM degree of mvmnt in joint
ROM limitation tight tissue shortend muscles burn scar and swelling AROM- muscle weakness
PROM affected by CVA (spastic) tight ligament, burn scar(joint contracture and abnormqal bone mvmnt) hand trauma dislocation of joint/ disaligned surface foreign bodies in the joint( calcification)
Why measure ROM may effect occupations choose modalities how much range to compensate for assistive devices baseline ( see if pt is progressing)(effectiveness of treatment
Asessment of ROM screening- for adequate rom for occup performance AROM ( for muscle strength) measure PROM (for joint deficits) look for symmetrt/compen./quality/post/color/facial expressions can always observe coordination and pain if there is a limitation in AROM do PROM
End feel soft ( knee/ elbow flex) hard ( elbow ext) bone to bone firm ( hip exten/ shoulder mvmnt)- joint capsule or ligament
Abnormal pathology swelling soft instead of hard spacticity firm- when occurse sonner than expect (full rom not reached) bone protrusion- hard instead of soft or firm empty- no end feel because of pain ( prevents full rom)
Precautions for ROM never do with our written orders don't do it on a dislocated joint don't do it on a non healed fracture don't do immediately post op of tissue around joint myositis ossifications ( disease calcified)osteoperosis- (easily fracture) inflamation- (joint is unstable) hypermobility/ subluxation( partial dislocation)/ and if person is taking pain meds
MMT muscles strength ability to move against gravity with resistance (to maintain posture/ perform movement)
Causes of muscle strangth limitations direct disease (MD, myas grav) an injury to muscle itself lmn issues ( perph nerve injury, periph neurophathy( disease processin pns distalmuscles not recieve sensation),guillian barre, spinal chord injury effects nerev roots even through cns injury) indirect/misuse imobilization (amputations, arthritis, fracture)
Why do we do MMT need to assess individuals meaningful occupations and decide if deficit interferes with performance
DO not perform MMT on disorders related to tone CNS- message from brain arent being transmitted so they willnot be able to control and isolate movmnt
Types of muscle contractions Isometric ( no joint motionocurse and muscle length stays the same) Isotonic (joint movement and change in length of muscle)
ISOTONIC movement concentric ( muscle gets shorter) eccentric (muscle is lengthend)
When do we test strength? when we do a quick ROM asessment - they have grade of 3 bec no resistance applied 1/2 of AROM againts gravity w/ no resistance is 2+ add resistance/ you can test strength with their available ROM
Endurance When testing strength we are NOT testing endurance measure of fatige measure of muscle strength over time if you are weak coordination and endurance will be effected (effects functional ability)
Functional Muscle test getting an estimate of person's strength tx planning and progress eval asess external rotators/ not supraspinatus saves time/ position change/ energy not precise mmt but can be used as screening toolIn spinal chord injury we use MMT ( need to know specifics)
Contraindications for FMT/mmt post op/ after surgery broken bones pain mobility issue ( weight bearing?) osteoperosis and pain medication high BP- no isometric contraction
Created by: natkat
 

 



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