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Range of Motion, Body Mechanics, Transfers & Positioning

Range of Motion, Body Mechanics, Transfers & Positioning. ROM is the extent of movement that a joint is normally capable of. Range of Motion. Hip ROM. Hip ROM includes flexion, extension and lateral & external rotation Adduction & Abduction. Hip ROM 1. Hip ROM 2. Hip ROM 4. Hip ROM 4.

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Range of Motion, Body Mechanics, Transfers & Positioning

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  1. Range of Motion, Body Mechanics, Transfers & Positioning

  2. ROM is the extent of movement that a joint is normally capable of. Range of Motion

  3. Hip ROM Hip ROM includes flexion, extension and lateral & external rotation Adduction & Abduction

  4. Hip ROM 1

  5. Hip ROM 2

  6. Hip ROM 4

  7. Hip ROM 4

  8. Yes, Elephants Dance

  9. Hand Movements (ROM) ROM in wrist includes flexion, extension, radial & ulner deviation ROM in hands include abduction, adduction, flexion, extension, opposition and circumduction of the thumb.

  10. Rotation

  11. Pronation and Supination Quick Quiz: Which is pronation?

  12. Extension

  13. Flexion

  14. Size, shape, color & symmetry of opposite joints. Note masses, deformities or muscle atrophy. Assessing Joint Mobility

  15. Assessing Joint Mobility The ROM is appropriate to each joint and equal to its opposite joint.

  16. Limitations

  17. Limited ROM in Neck of Sable

  18. Walking Sables

  19. Aardvark Neck LimitationNote Adaptation to ADL’s (such as they are….)

  20. ROM of Motion changes with age

  21. Swelling, tenderness & pain are among factors that limit ROM.

  22. Body Movement Movement, as in the case of these dancers, involves voluntary and involuntary movement.

  23. Body Movement Disruption of voluntary/involuntary movement may result in tremors and seizures.

  24. Asymmetrical Movement This type of movement may be a CNS disorder but is most often a CVA. Examples include drooping on one side of the body and a foot-dragging gait.

  25. ROM and ADL’s

  26. Counter indication of ROM • Dislocated or unhealed fracture (fx). • Immediately after surgery (sx) on tendons, ligaments, muscles, joint capsules or skin.

  27. Precautions with ROM • Infection or inflammation around a joint. • Pain medication • Osteoporosis • Arthritis

  28. Age and sex affect ROM

  29. The effect of ROM on ADL’s Movement in bed i.e. sitting in bed, rising from bed and turning over.

  30. Transfers:Seat-to-Seat, Toilet to Bed, etc.

  31. Locomotion:walking on level ground or gentle slope

  32. Dressing What affects would not being able to dress yourself have on you? On your client?

  33. Personal Hygiene

  34. Eating

  35. Body Alignment

  36. Keep Your Back Straight

  37. Correct Lifting

  38. The Correct Way to Lift

  39. When turning, rotate your whole body, not just your back.

  40. When sitting keep your back straight.

  41. Balance: Keep Your Feet 12” apart

  42. Coordinated Body Movement

  43. Factors That Affect Body Alignment and Mobility Developmental---Age of Client Physical Health—Chornic or Acute Disease Musculoskeletal: Congenital or acquired abnormalities Nervous System: CVA Cardiovascular: orthostatic hypotension, increased cardiac workload, thrombosis

  44. Factors Affecting (con’t) Pulmonary: Atelectasis, Pneumonia Metabolic: Immobility Affects Normal Metabolic Functioning Integumentary: Impaired Skin Integrity Urinary: Urinary stasis, renal calculi, UTI Mental Health: Physical Processes Slow With Depression All of These Effect….

  45. LIFESTYLE

  46. Normal Body Alignment… • While Standing • While Sitting • While Lying In Bed

  47. Clients in Bed Evaluate Comfort After Positioning for Alignment Reposition q2h Use Repositioning for effective ROM Use Supportive Devises for Positioning

  48. Positioning Clients

  49. Close to High Fowler’s Semi-Fowler’s Fowler’s Positions

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