Scribd
Upload
88 views19 pages

Self Assisted Techniques ROM Lec 5

The document discusses various techniques for self-assisted range of motion (ROM) exercises including using the uninvolved extremity to move the involved parts, finger flexion/extension, hip abduction with external rotation, wand exercises, wall climbing, overhead pulleys, and continuous passive motion. Continuous passive motion refers to passive motion performed by a mechanical device and provides benefits like preventing adhesions and contractures.

Uploaded by

Hareem Fatima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
88 views19 pages

Self Assisted Techniques ROM Lec 5

The document discusses various techniques for self-assisted range of motion (ROM) exercises including using the uninvolved extremity to move the involved parts, finger flexion/extension, hip abduction with external rotation, wand exercises, wall climbing, overhead pulleys, and continuous passive motion. Continuous passive motion refers to passive motion performed by a mechanical device and provides benefits like preventing adhesions and contractures.

Uploaded by

Hareem Fatima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 19

Self assisted

Techniques ROM
DR FAIQA YAWER PT
Patient involvement in self-care should begin as soon as the
individual is able to understand and learn what to do. Even
with weakness or paralysis, the patient can learn how to
move
the involved part and be instructed in the importance of
movement within safe parameters
Self-Assistance

With cases of unilateral weakness or


paralysis or during early
stages of recovery after trauma or surgery,
the patient can be
taught to use the uninvolved extremity.
 Finger flexion and extension. The patient uses
the uninvolved
 thumb to extend the involved fingers and cups the
 normal fingers over the dorsum of the involved
fingers to
 flex them
Hip and Knee
 Combined hip abduction with external rotation. The
 patient is sitting on the floor or on a bed with the back
 supported and the involved hip and knee flexed with the
 foot resting on the surface. The knee is moved outward
 (toward the table/bed) and back inward, with assistance
 from the upper extremity
Wand (T-Bar) Exercises

 When a patient has voluntary muscle control in an


involved
 upperextremity but needs guidance or motivation to
complete
 the ROM in the shoulder or elbow.
Wall Climbing

 Wall climbing (or use of a device such as a finger ladder)


 can provide the patient with objective reinforcement and,
 therefore,
motivation for performing shoulder ROM.
markings may also be used to provide visual feedback for
 the height reached.
Overhead Pulleys

 If properly taught, pulley systems can be effectively used to


 assist an involved extremity in performing ROM. The pulley
 has been demonstrated to utilize significantly more muscle
 activity than therapist-assisted ROM and continuous passive
 motion machines
Continuous Passive Motion

Continuous passive motion (CPM) refers to


passive motion
performed by a mechanical device that moves
a joint slowly
and continuously through a controlled ROM.\
Benefits of CPM

 Prevents development of adhesions and contractures and thus joint


stiffness
 ■ Provides a stimulating effect on the healing of tendons and ligaments
 ■ Enhances healing of incisions over the moving joint
 ■ Increases synovial fluid lubrication of the joint and thus increases the
rate of intra-articular cartilage healing and regeneration
 ■ Prevents the degrading effects of immobilization
 ■ Provides a quicker return of ROM
 ■ Decreases postoperative pain

You might also like