1. Early Therapy Stages Therapy & Exercise 7/11/2016 1

2. Objectives 1. Identify and utilize rehabilitation terms appropriately 2. Review and identify pain control methods used during rehabilitation program 3. Explain and demonstrate the various types of ROM methods used during rehabilitation 7/11/2016 Property of AZ CTE Curriculum Consortium2

3. Bellwork Form pairs and discuss: O How do you greet a potential patient? O What type of information should you attain from a potential patient? O What courtesies do you show to a potential patient? O What do you do upon completion of your meeting? 7/11/2016 Property of AZ CTE Curriculum Consortium3

4. Terminology O AROM (active range of motion)- patient performs motion by his/herself O PROM( passive range of motion)- clinician moves patient through range of motion O AAROM- (active assisted range of motion)- combination of passive and active; patient performs what he/she can and clinician assists with rest of movement 7/11/2016 Property of AZ CTE Curriculum Consortium4

5. Terminology O Subjective measurement- an approximation, guess O Objective measurement- factual, exact measure O Goniometer- tool used by clinicians to measure a patient’s ROM; similar to a protractor in math 7/11/2016 Property of CTE Joint Venture5

6. Pain Control 7/11/2016 Property of AZ CTE Curriculum Consortium6 O Pain control is usually a component of modality usage O Psychological Techniques O Relaxation O Meditation O Visualization O Medications

7. Active Range of Motion O May be done in conjunction with modality usage O Alphabet with toes/foot in cold whirlpool O Initially pain free ROM indicated 7/11/2016 Property of CTE Joint Venture7

8. Passive ROM indications O When patient cannot move on his/her own O Maintain flexibility O Increase blood flow O Adhesions or scar tissue do not allow full ROM O Machine or therapist can provide ROM O CPM- continuous passive movement used with ACL or knee replacement surgery 7/11/2016 Property of CTE Joint Venture8

9. Active Assisted ROM O Increase flexibility O Assist weak musculature O Perform a specific ROM pattern O Use gravity to increase ROM O Pendulums O Wall slides O Bicycle O Dowel 7/11/2016 Property of CTE Joint Venture9 http://calder.med.miami.edu/pointis/upper.html

10. Measuring ROM O Determines normal vs. abnormal ROM O Goal setting O Can be completed both subjectively and objectively 7/11/2016 Property of CTE Joint Venture http://www.idass.com/acatalog/Goniometer_360_degree_558.html 10

11. Goniometer O Maintain consistency! O Note position of patient during testing O Use same landmarks on lateral side of joint each time tested O Start at 0 degrees (anatomical position) then move through ROM to gain measurement O Compare bilaterally 7/11/2016 Property of CTE Joint Venture11

12. Remember! If a therapy session results in increased pain or a return of inflammation, the clinician may be progressing too aggressively. Feedback from patient determines speed of progression. 7/11/2016 Property of CTE Joint Venture12

13. 13Snapshot Write a “snapshot” of today’s learning in 25 words or less.