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Physical Therapy Stretching & ROM

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Question
Answer
What is ROM used for?   examination and/or initiation of movement  
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What dose ROM affect?   joints/surfaces, capsules, ligaments, fascia, vessels & nerves  
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What is Stretching used for?   intervention to increase mobility or soft tissues  
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What is stretching directed to?   a specific tissue  
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What are some determinants of stretching?   alignment, stabilization, intensity, duration, speed, frequency & mode  
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What are some contraindications for stretching?   bony block, recent fracture, inflammatory process, pain, hematoma, hypermobility, stability, function  
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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  
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UE Passive ROM & Stretching for Shoulder:   flexion, extension, ab/adduction, external & internal rotation & horiztonal abduction  
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UE Passive ROM & Stretching for Elbow:   flexion & extension  
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UE Passive ROM & Stretching for Forearm:   pronation & supination  
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UE Passive ROM & Stretching for Hand & Wrist:   wrist fexion & extension, radial & ulnar deviation, MCP, PIP, DIP  
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LE Passive ROM & Stretching for HIP:   flexion w/knee flext/ext, extension, extension w/knee flextion, abduction & adduction, external & internal rotation  
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LE Passive ROM & Stretching for Knee:   flexion & extension  
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LE Passive ROM & Stretching for Ankle:   dorsiflextion & plantarflexion, inversion & eversion  
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LE Passive ROM & Stretching for Toes:   flexion & extension  
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UE: Self ROM for Shoulder:   wand, table (ER, abd), doorway (ER), corner, upper trap (seated)  
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UE: Self ROM for Elbow:   wall & table (flex, ext)  
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UE: Self ROM for Hand:   table w/overpressure (fd)  
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LE: Self ROM for Hip & Knee:   Thomas test, lunge, glut mas, adductors, quads, hamstrings, IT band, knee flexors & extensors  
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What does GTO (Golgi Tendon Reflexes) do?   tells muscle to relax (inhibitory fiber)  
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What does Muscle Spindle do?   contracts muscle (in muscle belly)  
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What are GTO & Muscle Spindles?   Neurophysiologic sensory receptors  
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What is PNF?   Proprioceptive Neuromuscular Re-education  
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What happens when PNF contracts?   patient actively contracts against manually applied resistance for 10 seconds  
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What happens when PNF relaxes?   patient relaxes while the therapist passively moves the limb to new limits of motion  
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What happens when PNF holds?   patient isometrically contracts against the force applied by therapist 10 seconds  
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What is contract antagonist?   against isotonic manual resistance  
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What is autogenic inhibition?   relaxation of antagonist during contractions  
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What is PNF slow reversal?   against isometric manual resistance (hold for 30 seconds)& reflex antagonist relaxes during contraction of agonist  
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Created by: jklincoln
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