ROM EXERCISE

TYPE OF ROM EXERCISE

 PASSIVE ROM EXERCISE
 ACTIVE ROM EXERCISE
 ACTIVE ASSISTED ROM EXERCISE
INDICATIONS AND GOALS FOR ROM
 PASSIVE ROM EXERCISE
Indication
1. Acute
2. Inflamation Tissue
3. Patient is not able to move active.
Goal
1. Maintenance joint and conectivity tissue
2. Maintenance mechanical elasticity muscle
3. Minimize contracure formation
 ACTIVE AND ACTIVE ASSISTED ROM EXERCISE
Indication
1. Patient is able to contract muscle
2. Weak musculature
3. Aerobic condition program
Goal
1. Maintenance physiological elasticity and
contractility muscle
2. Provide sensory feed back
3. stimuly for bone and joint integrity
LIMITATIONS FOR ROM EXERCISE
 PROM EXC
1. Prevent muscle atrophy
2. Increase strength or endurance
3. Assist circulation to the extent that active.
 AROM EXC
1. For strong muscle, does not maintain or increse
strength.
2. Develop skill or coordination, except in the
movement pattern.
PRECAUTIONS AND CONTRAINDICATIONS
TO ROM EXERCISE
PRINCIPLES AND PROCEDURES
APLYING ROM TECHNIQUE
 Examination, Evaluation and Treatment Planning
 Patient Prevaration
 Application Technique AROM and PROM
ROM TECHNIQUES
Flexion ROM
Extention Shoulder ROM
Abductio, Adduction, Internal
External rotation Shoulder
Horizontal abduction and adduction
Scapula elevation, depresion, protraction,
retraction, upward and downward rotation
Flexion extention Elbow
Pronation Supination forearm
Wrist movement and Arch
MCP joint of Thumb and Extention
finger
Flexion Finger
Combination Flexion Knee and Hip
Hip Extention, abduction and
adduction
Hip Rotation and dorsal plantar flexion
ankle
Invertion evertion Ankle and flexion
extention Toes
Cervical Movement
Lumbar Flexion and Rotation
SELF ASSISTED ROM
CONTINOUS PASSIVE MOVEMENT
Benefit of CPM
 Prevent development of adhesion, contractur and
stiffness joint
 Provide stimulating effect on the healing of tendon
and ligament
 Enhance healing of incision over the moving joint
 Increase synovial fluid lubrication of the joint
 Prevent the degrading effect of immobilization
 Provides a quicker return of ROM
 Decreases post operative pain
General Guidelines for CPM
 The device may be applied after surgery while the
patient is still under anesthesia
 The arc of motion for the joint is determined, often
low arc of 20 to 30 is used initially and progressed 10 to
15 per day tolerated
 Usually 1 cycle/45 sec or 2 min is well tolerated
 Anywhere from continuous for 24 hours to 1 hours
three time a day or 4 – 8 hour per a day.
 PT treatment are ussually during periods when the
patient is not on CPM, including AA ROM and muscle
setting exercise.
 The duration min for CPM is usually less than 1 week
or when a satisfactory ROM is reached.
ROM THROUGH FUNCTIONAL PATTERN