ACTIVE & PASSIVE ROM

A. Understanding
Is a joint movement exercise that allows the contraction and movement of the
muscle, where the client moves each of the joints according to normal movement
either actively or passively.
B. Purpose
1. Increase or maintain muscle flexibility and strength.
2. Maintain heart and respiratory function
3. Prevent contractures and stiffness in the joints
C. Type of ROM
1. Passive ROM
The nurse performs the client joint movement according to the normal range
of motion (the passive client). Muscle strength 50%
2. Active ROM
Nurses provide motivation, and guide the client in performing joint movement
independently in accordance with the range of motion of the normal joint
(active client). Muscle strength 75%

1. Passive Passive Membership Exercise

a. The movement bends and straightens the shoulder joints:
- The helper hand holds the elbow, the other hand stuns the arm.
- Align the elbow up and lower the legan with the elbow fixed straight
b. The movement bends and straightens the elbow:
- Hold the upper arm with one hand, the other hand bend and straighten
the elbow
c. Movement of the wrist:
- Hold the forearm with one hand, the other hand hold the patient's palm
- Turn the patient's wrist outward (supine) and inwards (face down)
d. The movement bends and straightens the wrist:
- Hold the forearm with one hand, the other hand holding the patient's
wrist
- Bend the wrist up and down
 e. Movement of the thumb:
- Hand palm and fourth finger with one hand, other hand rotate thumb
hand
f. The movement bends and straightens the fingers
- Hold the wrist with one hand, the other hand bend and straighten the
fingers
2. Passive exercises of the lower limbs
a. The movement bends and straightens the groin
- Hold the knee with one hand, the other hand holding the legs
- Raise and lower the leg with a straight knee
3. Active exercises of upper and lower limbs
a. Exercise I
- Raise a contracting hand using a healthy hand upward
- Put both hands on the head
- Return the hand to its original position
b. Exercise II
- Raise a hand that contractures through the chest toward a healthy hand
- Revert to the original position
c. Exercise III
- Raise a weak hand using a healthy hand upward
- Revert to the original position
d. Exercise IV
- Bend the elbows that contractures use a healthy hand
- Align your elbows and then lift the ketas
- Put back the contractor's hands in the bed.
e. Exercise V
- Hold the wrist that contractures using a healthy hand lift up the chest
- Turn the hand armor inward and outward
f. Exercise VI
- Bend the radius of the contracture with a healthy hand then straighten
- Turn a weak thumb using a healthy hand
g. Exercise VII
- Put a leg under the contracture
- Lower the legs healthy so that the healthy legs under the ankular contract
 ankaktur
- Lift both legs up with the help of a healthy foot, then lower slowly.
h. Exercise VIII
- Raise the legs that contractures using a healthy foot up about 3 cm
- Swing both legs as far as possible towards one side then to the other side
- Go back to the original position and reset it once more
i. Exercise IX
- Instruct the patient to bend his knee, help hold on the contracting knee
with the hand One
- With the other hand the helper holds the patient's pingang
- Advise the patient to hold his butt
- Go back to the original position and repeat once more

Advisor Clinical Teacher Advisor Clinical Instructure

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