WEEK 2 PTA155 Applied Science of Therapeutic Exercise

A two joint muscle limits the ROM of one of the joints when fully lengthened

• Passive insuffuciency

• ok

Contraindication for Stretching

• Hypermobility

• Hypomobility

• Bony block

• Recent fracture and union is incomplete

• Acute inflammation, tissue trauma, or infected tissue

Contraindications for Stretching

• Pain

• Shortened soft tissue is necessary for joint stability

• Be cautious of neural tension

Convex and Concave

• Roll and glide in same direction

• Roll and glide in opposite direction

Cancave and Convex

• Roll and glide in same direction

• Roll in same, glide in opposite direction

ROM activities are done to minimize loss of tissue

______&_______

• extensibility

• contracture formation

No voluntary muscle contraction. Movement of segment is strictly from an outside force through the unrestricted range. EXTERNAL FORCE CAN BE FROM ANOTHER PERSON, MACHINE, GRAVITY, OWN BODY, ETC.

• PROM

• AROM

• AAROM

Indications for PROM

• When tissue is acute and inflamed. AROM may be detrimental to healing. (Typically, 2-6 days post injury/surgery)

• When pt is not able to move segment (Paralyzed, coma, bed rest)

• Post surgical repair and AROM would damage repaired muscle

• When tissue is acute and inflamed. PROM may be detrimental to healing. (Typically, 2-6 days post injury/surgery)

Goals for PROM

• Maintain joint and connective tissue mobility

• Assist circulation

• Improve synovial movement for cartilage health

• Decrease pain

• Increase pain

Match the following

• AROM

• o

• AAROM

• Type of AROM where assistance from an external force is used to move through the unrestricted range because the involved muscles need assistance.

• k

• Movement of segment by active contraction of muscles crossing the joint.