Range of Motion
Generally speaking, range of motion refers to the distance and direction a joint can move to its full potential. Each specific joint has a normal range of motion that is expressed in degrees after being measured with a goniometer (i.e., an instrument that measures angles from axis of the joint).
Rationale: A joint that has not been moved sufficiently can begin to stiffen within 24 hours and will eventually become inflexible. These exercises maintain joint and extremity mobility until the client can move joints independently. In doing ROM, the exercises can prevent join stiffening and rehabilitation may shorten.
TYPES OF RANGE OF MOTION
Instruct the client to perform movements involving nonfunctioning joints. The client should be participated actively and independently.
It is participation of both client and nurse. In active-assistive ROM, the nurse should encourage the client to carry as much of each movement as possible, within the limitation of strength and mobility. Support or complete the desired movement.
It is performed by the nurse or other health care giver on a client’s immobilized joints. You must be a keen observer and with good assessment skills. The nurse must assess and determine which parts or joints must be exercised and with what frequency.
- Continuous Passive Motion
The continuous passive motion device can be used in this kind of ROM. The CPM device provides a sling support for thigh and calf, with a hinged connection at the knee.
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