Deck 9: Maintaining Capacity for Mobility Through Range of Motion

Question 1

The development of hypertonia that results in atypical and dysfunctional movement is a contraindication to active range of motion.

Answer 1

True

Question 2

Passive range of motion exercise tends to yield slightly less range of motion than active range of motion activity.
Short Answer

Answer 2

False

Question 3

Therapist safety is an important element of all interventions. When working with a patient, which of the following actions will result in optimal body mechanics?

A) Positioning the patient on the opposite side of the bed to allow you room to work.
B) Using a narrow base of support to reduce your energy expenditure.
C) Using trunk flexion to help you move the patient's limbs freely.
D) When you move the patient, facing in the direction of the movement and maintaining good trunk control.

Answer 3

D

Question 4

You are working in a long-term acute care facility, and you have received orders from the physician to do passive range of motion exercises with Mrs. Covey, a patient who is recovering from shoulder surgery. You complete your evaluation and begin to do the prescribed motions with her shoulder. She immediately tightens up when you start the motion and reports a sharp pain over her middle deltoid. You should

A) advise her that discomfort is to be expected and proceed with the exercises as ordered.
B) advise her to relax to the extent possible and continue with the motions in a reduced, pain-free range.
C) do the exercises as ordered, but with fewer repetitions than you had originally planned.
D) immediately discontinue the exercises and contact the physician for additional instructions.

Question 5

You are a home health therapist who primarily treats pediatric patients. Your next patient is a 2-year-old boy with spastic diplegia (cerebral palsy). His mother is very involved in his care and eager to learn what she needs to do to facilitate his mobility. You are planning to educate her today on the optimum way to stretch his lower extremities. Which of the following activities would you suggest?

A) Slow movement held for 5 to 20 seconds at the end range performed twice a week
B) Slow movement held for 20 to 60 seconds at the end range performed every other day
C) Slow movement held for 20 to 60 seconds at the end range performed once a day
D) Slow movement held for 20 to 60 seconds at the end range performed three times a day

Question 6

Arthrokinematics is best defined as

A) the combination of straight and diagonal plane motions of a joint.
B) the internal joint motions that allow movement of one bone in relation to another.
C) the movement of a long bone around a joint axis.
D) the movement of one bone in relation to another bone.

Question 7

Awareness of joint position is called

A) kinesthesia.
B) nociception.
C) proprioception.
D) synesthesia.

Question 8

A joint capsular pattern

A) affects only the joints of the upper extremities.
B) is an indicator of a specific pathology.
C) is a typical pattern of range of motion limitation.
D) is the result of joint hypermobility.

Question 9

When is progression from passive range of motion therapy to active assistive range of motion indicated in the management of patients?

Question 10

Define range of motion. Be complete in your answer.

Question 11

Pressure exerted on the veins by contraction of surrounding muscles helps push blood through the tissues. This mechanism is called

A) arterial perfusion.
B) skeletal muscle pump.
C) vascular compression.
D) venous stasis.

Question 12

Internal and external rotation at the hip is movement in the ___________plane.

A) axial
B) coronal
C) sagittal
D) transverse

Question 13

To accurately assess capsular and ligamentous flexibility of two-joint muscles, it is necessary to lengthen the muscles simultaneously over both of the joints involved.

Question 14

Spasticity is

A) a form of hypotonicity.
B) common in conditions such as stroke.
C) generally elicited with slow movements.
D) typically evident in only one muscle group.

Question 15

Your patient is a 17-year-old boy who is in the intensive care unit after a severe motorcycle crash. You have orders to begin passive range of motion exercises with him, and you want to teach his family, who are with the patient most of the time, how to perform them. What information regarding passive range of motion for the patient is important to share with the family?

A) Passive range of motion exercises will help maintain the patient's strength.
B) Passive range of motion activity will help maintain the patient's range of motion for functional activities.
C) Passive range of motion exercises will improve the patient's proprioception.
D) Passive range of motion activity will prevent pressure ulcers from developing.

Question 16

Maintaining maximum joint motion has long been considered a critical element of recovery. List at least four effects of passive range of motion exercises.

Question 17

Your patient is a 39-year-old man who just had extensive surgery to repair torn ligaments in his shoulder. The physician has cleared him for passive range of motion exercises. He is in a great deal of pain and is fearful of moving the shoulder. Which of the following instructions would be the best instruction to give the patient during the passive range of motion activities?

A) Instruct him to close his eyes and attend to how the movement feels.
B) Instruct him to close his eyes and focus on a distracting thought.
C) Instruct him to watch the movement and pay attention to how it feels.
D) Instruct him to watch the movement and focus on a distracting thought.

Question 18

Proper support of the joints is essential for safe and effective range of motion. Which of the following statements regarding support is true?

A) During passive range of motion exercise, the segment of the body distal to the joint undergoing range of motion therapy is stabilized.
B) Guarding the patient during range of motion exercises is determined by patient preference.
C) Support surfaces (such as mats, plinths, and chairs) can be used to provide stabilization.
D) Use of a lumbrical grip is typically the least comfortable grip for patients.

Question 19

Ballistic stretching

A) involves a bouncing motion at the end of the range.
B) is most effective with sedentary individuals.
C) is more effective than static stretching.
D) results in long-term range of motion gains.

Question 20

Accessory motion is

A) also called overpressure testing.
B) assessed during active range of motion.
C) also known as joint play.
D) evident throughout the entire range.