ROM is the extent of movement that a joint is normally capable of. Range of Motion
Hip ROM Hip ROM includes flexion, extension and lateral & external rotation Adduction & Abduction
Hand Movements (ROM) ROM in wrist includes flexion, extension, radial & ulner deviation ROM in hands include abduction, adduction, flexion, extension, opposition and circumduction of the thumb.
Pronation and Supination Quick Quiz: Which is pronation?
Size, shape, color & symmetry of opposite joints. Note masses, deformities or muscle atrophy. Assessing Joint Mobility
Assessing Joint Mobility The ROM is appropriate to each joint and equal to its opposite joint.
Body Movement Movement, as in the case of these dancers, involves voluntary and involuntary movement.
Body Movement Disruption of voluntary/involuntary movement may result in tremors and seizures.
Asymmetrical Movement This type of movement may be a CNS disorder but is most often a CVA. Examples include drooping on one side of the body and a foot-dragging gait.
Counter indication of ROM • Dislocated or unhealed fracture (fx). • Immediately after surgery (sx) on tendons, ligaments, muscles, joint capsules or skin.
Precautions with ROM • Infection or inflammation around a joint. • Pain medication • Osteoporosis • Arthritis
The effect of ROM on ADL’s Movement in bed i.e. sitting in bed, rising from bed and turning over.
Dressing What affects would not being able to dress yourself have on you? On your client?
Factors That Affect Body Alignment and Mobility Developmental---Age of Client Physical Health—Chornic or Acute Disease Musculoskeletal: Congenital or acquired abnormalities Nervous System: CVA Cardiovascular: orthostatic hypotension, increased cardiac workload, thrombosis
Factors Affecting (con’t) Pulmonary: Atelectasis, Pneumonia Metabolic: Immobility Affects Normal Metabolic Functioning Integumentary: Impaired Skin Integrity Urinary: Urinary stasis, renal calculi, UTI Mental Health: Physical Processes Slow With Depression All of These Effect….
Normal Body Alignment… • While Standing • While Sitting • While Lying In Bed
Clients in Bed Evaluate Comfort After Positioning for Alignment Reposition q2h Use Repositioning for effective ROM Use Supportive Devises for Positioning
Close to High Fowler’s Semi-Fowler’s Fowler’s Positions