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ROM1

This document discusses range of motion exercises which are planned movements performed to prevent joint stiffness and contractures. There are two types of exercises - active which the patient performs independently and passive which are done by a therapist. Range of motion exercises aim to maintain muscle strength, prevent contractures, improve circulation and flexibility. Examples of different joint movements are provided for shoulders, elbows, wrists, hips, knees, ankles and neck. Contraindications include recent trauma, infections or cardiac issues. Regular range of motion is important for muscle tone, mobility, posture and overall health.

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Nishan Duwal
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13 views

ROM1

This document discusses range of motion exercises which are planned movements performed to prevent joint stiffness and contractures. There are two types of exercises - active which the patient performs independently and passive which are done by a therapist. Range of motion exercises aim to maintain muscle strength, prevent contractures, improve circulation and flexibility. Examples of different joint movements are provided for shoulders, elbows, wrists, hips, knees, ankles and neck. Contraindications include recent trauma, infections or cardiac issues. Regular range of motion is important for muscle tone, mobility, posture and overall health.

Uploaded by

Nishan Duwal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Range of motion exercise

Introduction
Exercise is a type of physical activity defined as planned, structured and repetitive bodily
movement performed to prevent contractures and joint stiffness by moving all of the patient’s
joints through their complete ROM.joint is moved throught its full range of motion according
to capacity.

Purposes

1.To stimulate circulation.

2.To maintain muscle strength.

3.To prevent contractures.

4.To prevent and restore normal movements of joints.

5.To increase the tolerance for more activity.

6. To facilitate activities of daily living and promote the patient's independence

7. To prevent constipation.

8. To reduce stress.

9.To decrease cholesterol level.

10.To increase joint flexibility.

Types

1.Active exercise

➢ Active exercise means the exercise is done by the patient him / her self or without the
assistance of the therapist or nurse.

2.passive exercise

➢ The exercise carried out by a therapist or nurse with or without the patient,s
participation. Done for client who is unable to move independently like paralysis and
coma patient.

Indication

• Venous stasis (leg lifts, walking, swimming, jogging)


• Pulmonary embolism (ambulation)
• Improve cardiopulmonary function(Deep breathing and coughing, walking running)
• Atelectasis (Deep breathing exercise)
• Joint mobility (squats, walking, jogging, stretching)
• Metabolism (Running, Swimming, Walking)
• Sleep disturbance( swimming, cycling, walking, jogging)
Contra-indication

1. Patient with cardiac problem

2. Patient having severe pain

3. Joints with pathological condition (arthritis, facture, dislocation joints)

4. Tight clothes

5. Recent trauma with occult fracture or internal injuries.

6. Recent surgery in the treatment area.

7.Spinal cord injury.

8. Acute inflammation.

Important of exercise

➢ It helps maintain muscle tone and mobility of joint.


➢ It prevents and corrects deformities.
➢ It help manage weight and reduce the risk of heart disease.
➢ It helps in the supply of o2 and nutrient to tissue.
➢ It stimulates circulation of blood and prevent venous stasis and prevent obesity.
➢ It improve digestive and absorption and utilization of food and increase appetite .
➢ prevents constipation.
➢ It improve lungs ventilation, prevent atelectasis.
➢ Improve posture
➢ Its promotes physical and mental well being , give relaxation and sleep , improves
memory power.
➢ Its relieve tension.

Importance point during Range of motion exercise

- Do ROM exercise once or twice a day.

- Do each move a few times and build up to more , up to 12times.

- Move until feel a slight stretch but don,t force a movement.


- Stop any exercise if feel sharp or deep pain

Joint ,Movement possible ,Example

Elbow

➢ Bend elbow so that forearm moves towards shoulder. ➢


Hyperextend elbow as far as possible.

Forearm

➢ From the position turn pronation and supine position. Wrist and hand

➢ Move hand toward inner aspect of forearm ➢ Abduct wrist by banding toward thumb.
➢ Abduct wrist by bending toward fifth finger.
➢ Make fist, extend the fingers.
➢ Spread finger apart, then together.
➢ Move thumb across hand to base of fifth finger.. thumb across hand to base of fifth
finger.

Shoulder

➢ Raise the client,s arm from side to above head.


➢ Abduct and rotate shoulder by raising arm above head with palm up.
➢ Adduct shoulder by moving arm as for as possible.
➢ Rotate shoulder internally and externally by flexing elbow and moving foearm. ➢
Move shoulder in a full circle

Hip and knee

Hip

➢ Move leg forward and up with knee in extension.


➢ Move leg back beside other leg while knee joint remains in extension.
➢ Adduct and abduct leg moving laterally away from body and returning to media
position.
➢ Internally and externally rotate hip by turning hip inward and outward.

Knee

➢ Bring heel back toward back of thigh.


➢ Return heel to floor.

Ankle and foot


➢ Dorsiflex foot by moving it, so that toes point upwards. ➢ Planter flex
by moving foot so that toes point downwards ➢ Turn sole of foot
medially.
➢ Turn sole of foot laterally

Neck

➢ Move the chin to chest.


➢ Tilf the head towards each the shoulder.
➢ Hold three second.
➢ Rotate the head in curcular motion.
➢ Return the head to erect position

References

1.Kozier and Erbs. Fundamental of Nursing.8th edition. Dorling Kindersley Pvt.ltd.(India)


Page no.1107-1121.

2.Pathak s. Devekota P. fundamental of Nursing (2015) Vidyarthi pustak Bhandar Page


no.368.

3. Mandal g. Subedi d.Fundamental nursing .second edition.Makalu publication house


(Kathmandu) page no 482-494.

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