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Range of Motion
Terms in this set (52)
A joint possessing a fluid-filled cavity separating bones.
Soft end feel
When joint movement is limited by soft tissues running into each other.
Example: Bending the knee until the gastrocnemius and the hamstrings make contact
Passive range of motion evaluates the health and elasticity of passive tissues such as:
HINT:Connective tissue that attaches bone to bone.
The skeletal movement created by a certain muscle.
When the normal amount of play possible in the joint capsule space is diminished, this is known as:
Agonist; the muscle mainly responsible for a given movement
Injury, pathology, or significant tension of soft tissue that prevents a joint from achieving its normal ROM creates what type of end feel?
Abnormal end feel
Pivot joints allow for what type of motion?
What type of tissue offers resistance to movement in a hard end feel?
The muscle mainly responsible for a given movement; the prime mover.
Freedom of movement
The fluidity or rigidity of movement in a client's body; first evaluated during the initial interview.
What should a therapist always do before asking a client to perform active-assisted range of motion?
Demonstrate the movement themselves
Restrictions in soft tissue such as ligaments, tendons, and muscles are known as:
What does an active range of motion assessment evaluate?
The client's broad functional capacity, including willingness to move
Quality of movement
Characteristics of joint movement (e.g., does the movement feel jumpy, jarring, smooth; is there crepitus in the joint, etc.)
Thin connective tissue lining of the fibrous capsule in diarthrotic joints and bursae
For relaxation and release of muscle guarding, what type of range of motion is most helpful?
HINT: Performed without assistance from the client, this technique involves the practitioner supporting the client's weight and moving a given joint in a number of different directions
Joint movement performed by the practitioner while the client remains relaxed is called:
The main function or action of a muscle.
Resisted range of motion
Range of motion exercise in which the client resists the practitioner's attempt to gently move a body part.
To assess the functional capacity of muscles and tendons and muscular strength, the practitioner would use this.
When the client performs a movement and the practitioner provides gentle pressure opposing the action of that movement.
The muscle that is isolated in a certain action or movement (e.g., the biceps is the target muscle of flexion at the elbow)
The feeling of limitation to a joint movement; can be hard, firm, or soft depending on what is causing the limitation.
Evaluating a client's broad functional capacity is best done through this type of range of motion assessment:
Which range of motion technique is always tested before the other techniques are used?
Range of motion that is actively performed by the client with no assistance from the massage practitioner.
When the client uses her own energy to demonstrate how much of a full range can be performed without restriction, this is known as:
Active range of motion
What does the abbreviation ROM stand for?
range of motion
Hard end feel
The restricted motion felt in a joint upon approaching an anatomic or physiological barrier (e.g., bone-to-bone contact).
When the shape of the bones stops a movement, as when a person extends his elbow all the way.
Empty end feel" is another term for:
Abnormal end feel
Passive range of motion
Range of motion that is performed by the massage practitioner with no effort by the client.
To assess inert tissues throughout the movement, and contractile tissue at end feel with a slight overpressure, the practitioner would use this.
The closed sac formed by the joint capsule, which contains the synovial fluid
How does passive contraction affect the positioning of the origin and insertion of a muscle?
It brings them closer together.
The resistance sensation as a joint reaches the end of its range of motion is referred to as:
The end feel
A practitioner asks a client to abduct his arm while she provides pressure in the opposite direction. This technique is known as:
HINT: To rebuild strength and re-educate muscle fibers after an injury, which type of ROM is most helpful?
Active-resisted range of motion
Fixation describes the lack or decrease of this in the joint capsule space:
When a therapist feels the client's tissues "push back" when performing passive range of motion, this is known as the:
When movement of a joint is limited by the resistance of soft tissue being stretched taut.
What type of end feel is caused by muscular or fascial restriction?
When soft tissue structures reach their maximum ability to lengthen without injury, the resulting sensation is called:
Firm end feel
Restrictions that are caused by the shape or function of structures that make up the joint itself are called ____ restrictions.
Any condition that imposes a restriction on the function of the anatomical structure.
What is the purpose of a range of motion assessment?
To evaluate the client's ability to move and to identify any pathological restrictions present in a particular joint.
Finding the angle at which the joint moves with the least resistance is known as:
Direction of ease
The difference between the amount of movement a client can create in a joint and the extra amount of movement a therapist can create is a measure of:
When performing a range of motion assessment, the first joint the practitioner should check is:
The closest joint to the area of primary concern.
Range of Motion Assessment
Assessing the range of motion in a given joint, including degrees of movement possible, the quality of end feel, and subjective information offered by the client.
Restricted range of motion
Diminished range of motion in a joint or diminished extensibility in muscle tissue or fascia that limits joint movement.
A place where two or more bones are joined together for the purpose of allowing body parts to move. Also called an articulation.
Fluid within the synovial cavity that lubricates the joint.
What does a passive range of motion assessment evaluate?
The quality of the movement and contractile tissue.
If a client experiences significant pain and is not able to complete an active motion, the practitioner should:
Gently conclude the range of motion assessment for that area.
A muscle that acts in opposition to the agonist/prime mover.
What does a resisted range of motion assessment evaluate?
The strength of muscles and strength loss due to motor nerve compression
Range of Motion (ROM)
The amount of movement possible within a joint; measured in degrees.
The amount of movement possible within a joint, depending on structure and condition.
Which type of ROM tests the quality of inert tissues such as joint capsules, ligaments, and cartilage?
Passive range of motion
When the legs are stiffly straightened so as to "lock" the joints of the knee, this is known as:
Pathological restrictions that limit and decrease a joint's range of motion because of pain or structural dysfunction include:
Inflammation and fluid accumulation from an injury such as a sprain or strain, adhesions in muscle or fascia, sustained muscular contractions, weakened muscles, degeneration of joint cartilage, tendinitis in a tendon that crosses a joint, and inflammation of a bursa.
Joint play can be assessed during what type of range of motion?
Muscles that assist the prime mover to perform a certain action
A fibrous connective tissue sleeve that surrounds the articular cavity of a freely movable joint, is attached to the bones, completely encloses the joint, and is composed of an outer fibrous membrane and an inner synovial membrane
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