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PT Stretching & ROM
Physical Therapy Stretching & ROM
| Question | Answer |
|---|---|
| What is ROM used for? | examination and/or initiation of movement |
| What dose ROM affect? | joints/surfaces, capsules, ligaments, fascia, vessels & nerves |
| What is Stretching used for? | intervention to increase mobility or soft tissues |
| What is stretching directed to? | a specific tissue |
| What are some determinants of stretching? | alignment, stabilization, intensity, duration, speed, frequency & mode |
| What are some contraindications for stretching? | bony block, recent fracture, inflammatory process, pain, hematoma, hypermobility, stability, function |
| What are some precautions for stretching? | do not stretch past normal ROM, co-morbidities, protect, avoid vigorous stretching, edematous tissue & overstretching weak muscles & progress dosage |
| UE Passive ROM & Stretching for Shoulder: | flexion, extension, ab/adduction, external & internal rotation & horiztonal abduction |
| UE Passive ROM & Stretching for Elbow: | flexion & extension |
| UE Passive ROM & Stretching for Forearm: | pronation & supination |
| UE Passive ROM & Stretching for Hand & Wrist: | wrist fexion & extension, radial & ulnar deviation, MCP, PIP, DIP |
| LE Passive ROM & Stretching for HIP: | flexion w/knee flext/ext, extension, extension w/knee flextion, abduction & adduction, external & internal rotation |
| LE Passive ROM & Stretching for Knee: | flexion & extension |
| LE Passive ROM & Stretching for Ankle: | dorsiflextion & plantarflexion, inversion & eversion |
| LE Passive ROM & Stretching for Toes: | flexion & extension |
| UE: Self ROM for Shoulder: | wand, table (ER, abd), doorway (ER), corner, upper trap (seated) |
| UE: Self ROM for Elbow: | wall & table (flex, ext) |
| UE: Self ROM for Hand: | table w/overpressure (fd) |
| LE: Self ROM for Hip & Knee: | Thomas test, lunge, glut mas, adductors, quads, hamstrings, IT band, knee flexors & extensors |
| What does GTO (Golgi Tendon Reflexes) do? | tells muscle to relax (inhibitory fiber) |
| What does Muscle Spindle do? | contracts muscle (in muscle belly) |
| What are GTO & Muscle Spindles? | Neurophysiologic sensory receptors |
| What is PNF? | Proprioceptive Neuromuscular Re-education |
| What happens when PNF contracts? | patient actively contracts against manually applied resistance for 10 seconds |
| What happens when PNF relaxes? | patient relaxes while the therapist passively moves the limb to new limits of motion |
| What happens when PNF holds? | patient isometrically contracts against the force applied by therapist 10 seconds |
| What is contract antagonist? | against isotonic manual resistance |
| What is autogenic inhibition? | relaxation of antagonist during contractions |
| What is PNF slow reversal? | against isometric manual resistance (hold for 30 seconds)& reflex antagonist relaxes during contraction of agonist |
Created by:
jklincoln
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