Lesson Objectives You will be able to identify

Lesson Objectives • You will be able to identify and assess the purpose of Range of Motion (ROM) exercises. • Know difference between Passive and Active ROM • Perform ROM exercises

• Course Standard: 7. 0 The student will demonstrate the modalities and skills in a clinical/classroom setting related to Rehabilitative therapy careers – Course competency: 7. 1 Range of Motion

Range of Motion ROM Range of motion is the measurement of the achievable distance between the flexed position and the extended position of a particular joint or muscle group

Physical therapy/Nursing can help to improve joint function by focusing on range-of-motion exercises. Purpose of ROM: • Stimulate Circulation to decrease chance of blood clots or decubitus ulcers • Encourage flexiblity and mobility of joints. • Prevent contractures (permanent contraction of the muscle). • Prevent mineral loss • Prevent other problems such as poor appetite, constipation, urinary infections, respiratory problems and pneumonia

Types of ROM • Active = Individual performs all movements without assistance – Active Assisted ROM = Individual receives assistance from therapist to aid in movement • Passive = Movements/Exercises are performed by therapist or nurse

Terms • • • • Flexion = Decreasing an angle as in bending a joint Extension= (straightening) increases angle Abduction= moves away from midline Adduction=moves toward midline Rotation= turns bone on axis Supination= turns palms upward Pronation= turns palms downward Dorsiflexion= bends foot upward Plantar flexion= bends foot downward Ulnar deviation= turn wrist toward little finger Radial deviation= turn wrist toward thumb side Medial= closest to midline Lateral=outside

Reporting and Documenting Must document the following: Date Time What was performed on patient and how they tolerated it. • Signature and title • •

Example of Charting 10/15/12 1400 Passive ROM performed on all joints, no c/o pain noted. ROM tolerated well. Resting comfortably with call bell in reach. ------------------------I Seeyou, RN