PCS 6 ROM

Question 1

contracture

Answer 1

condition of shortening and hardening of muscles, tendons or other tissue oftend leading to deformity and rigity of joints
-hardening/shortening of tissues

Question 2

Adhesion

Answer 2

fibrous band of scar tissue that binds together anatomic structures that are normally seperate
-scar tissue that brings to structures together

Question 3

thrombophlebitis

Answer 3

inflammation of a vein associated with the formation of thrombus

Question 4

thrombus

Answer 4

an combo of blood factors, with entrapment of cellular elements that commonly leads to a clot and obstruction of blood vessels

Question 5

Volar

Answer 5

pertaining to the palm

Question 6

PROM

Answer 6

moving joint/body segment with a external force within normal ROM without active/voluntary contraction by pt.
-moving that area without them doing it
(no increase in joint range, we are not doing stretching)

Question 7

The external force used in PROM

Answer 7

manually, mechanically/weights/pulleys/CPM/, GRAVITY

Question 8

AROM

Answer 8

moving that area by pt active voluntary muscle contraction within normal ROM
-strength may be increased here, but not looking to increase ROM

Question 9

Indications for PROM

Answer 9

unable to perform any active exercise, paralysis, comatose, pain occurs with active, recovering from surgery, surgical procedure prohibits, avoiding exercise to an unhealed fracture

Question 10

Reason for PROM

Answer 10

to counteract the negative aspect of immobilization, check joint range and flexibility, sensory stimulation and awareness, reduce stress on cardiopulmonary system

Question 11

Contraindications for PROM

Answer 11

if PROM increases/intensifies symtoms

Question 12

Benefits of PROM

Answer 12

preserves maintains ROM, minimizes contracture formation/adhesion formation, maintains mechanical elasticity of muscle/local circulation, promotes local circulation/awareness of joint motion, evaluates joint integrity and motion, enhances cartilage nutrition and stimulates movement of synovial fluid, stops or reduces pain

Question 13

Indicators for AROM

Answer 13

pt able to voluntarily contract, control and coordinate muscle moves with or without assistance.

Question 14

Contraindicators for AROM

Answer 14

cardioP issues, unhealed and unprotected fracture site/recent surgical site, or sever soft tissue trauma, if AROM increases issues

Question 15

Benefits for AROM

Answer 15

helps with physiological elasticity, strength, contractile endurance of muscle
local circulation/awareness of joint motion and sensory awareness
cardoP functions especially with aerobic exercise, less risk with thrombus in lower extremities when ankle flexion-extension moves are used
muscle-tendon integrity
muscle strength

Question 16

Pre-cervical PROM

Answer 16

perform the vertebral artery occlusion test

Question 17

vertebral artery occlusion test

Answer 17

evaluates ability of the vertebral artery to maintain adequate blood flow to the brain
dizziness, lightheadedness, visual problems=something wrong
Further treatment should be stopped or cautiously monitored, and PT told

Question 18

Vertebral artery occlusion steps.

Answer 18

supine and passively do:
full head/neck extension
full head/neck rotation to left and right in neutral
full head/neck rotation to left and right in exten.
simulated mobilization movements and unilateral posteroanterior oscillation of c1-c2 facet joints with head rotated left and right (prone lying)
Each position-10-15 secs or until symtoms appear

Question 19

Isometrics does and doesnt

Answer 19

does help maintain muscle tone, or when resistance is applied increase strength, avoid pain associated with joint motion, stability or trunk or extremities
Doesnt help cardioV or joint or muscle flexibility or maintain coordinated movement