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