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ROM, MMT

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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   show  
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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   show and of knee  
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Anterior plumb line   show sternum   belly button   pubic symphysis   right between legs    
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Sitting posture   neutral to slight anterior pelvic tilt   show        
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ROM   degree of mvmnt in joint         show  
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ROM limitation   tight tissue   shortend muscles   burn scar and swelling   show    
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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)   show
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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   show
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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   show
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show soft ( knee/ elbow flex)   hard ( elbow ext) bone to bone   firm ( hip exten/ shoulder mvmnt)- joint capsule or ligament        
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Abnormal pathology   swelling soft instead of hard   show bone protrusion- hard instead of soft or firm   empty- no end feel because of pain ( prevents full rom)      
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Precautions for ROM   never do with our written orders   show 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  
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MMT   muscles strength   show        
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show 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)      
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Why do we do MMT   show          
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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         show
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Types of muscle contractions   Isometric ( no joint motionocurse and muscle length stays the same)   Isotonic (joint movement and change in length of muscle)     show    
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show concentric ( muscle gets shorter)   eccentric (muscle is lengthend)          
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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+   show      
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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)   show  
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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)   show  
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Contraindications for FMT/mmt   post op/ after surgery   broken bones   pain   show osteoperosis and pain medication   high BP- no isometric contraction  
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Created by: natkat
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