AROM/PROM

Question 1

What are the 4 patterns associated with AROM/PROM?

Answer 1

ROM, WNL, pain free (normal)
Pain and limitation in all directions
Pain and limitation (or hypermobility) in some directions
Limited ROM and pain free

Question 2

Contractile tissue

Answer 2

Pain w/ AROM in same direction

Pain w/ A/PROM in opposite direction

Question 3

Noncontractile tissue

Answer 3

No pain w/ AROM in same direction

Pain w/ A/PROM in opposite direction

Question 4

Strong and painless muscle contraction

Answer 4

No lesion of motor unit or nervous tissue supplying it

Question 5

Strong and painful muscle contraction

Answer 5

Local lesion (minor tweak) of muscle or tendon (strain)

Question 6

Weak and painless muscle contraction

Answer 6

Rupture of muscle or its tendon or involvement of peripheral n. or n. root supplying it - neurological involvement or tendon rupture should be suspected first

Question 7

Weak and painful muscle contraction

Answer 7

Severe lesion around involved joint (i.e. fx) - weakness can be result of muscles around the joint secondary to pain (or severe strain)