LESSON PLAN

ON

RANGE OF MOTION EXERCISES

EXTERNAL EXAMINER: INTERNAL EXAMINER

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STUDENT TEACHER OBJECTIVES:

By the end of the session student will be able to

 Develop the skills in introducing the topic from general to specific

 Develop the skills in organizing the content
 Develop the skills in explaining the topic
 Select, prepare and display appropriate A.V. AIDS
 Develop the skills in questioning the group
 Develop the skills in motivating the students for learning

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 OBJECTIVES

General objective: By the end of the presentation students will be able to gain in depth knowledge regarding ROM
exercises.

Specific objectives: students will be able to

 define Rom exercises

 explain purposes of rom exercises
 enlist contraindications of rom exercises
 enlist types of rom exercises
 identify preparation of client
 explain joint movement in rom exercises
 explain nurses responsibities.

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SPECIFIC TIME CONTENT TEACHING EVALUATION
OBJECTIVES LEARNING
ACTIVITY
Introduce the 1min INTRODUCTION:

topic ROM is a basic technique used for the examination of

movement and for initiating movement into a program of
therapeutic intervention. The structure of the joints, as Lecture method
well as the integrity and flexibility of the soft tissues that Black board
pass over the joints, affects the amount of motion that can
occur between any two bones.
DEFINITION: State the
Define range 2 min The movement of a joint to the extent possible definition of
of motions without causing pain called Range of motion. Lecture method range od
- Tailor. OHP motion of
It is exercise in which movement is performed by exercises?
an external force in the available pain free range of
motion. The external force may be from the therapist,
family member, or the patient or equipment.

Explain - Potter&perry
PURPOSES:

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purposes 2min  Promote and maintain joint mobility Explain
 Prevent contractures and shortening of muscles and purposes of
tendons Rom?
 Increase circulation to extremities.
 Facilitate comfort for the patient .
Enlist 1min CONTRAINDICATIONS TO ROM:
contraindicati Any illness/disorder where increased use of energy or
ons increased circulation is hazardous.
Example: Myocardial infarction, swollen, inflamed joints.
3min TYPES OF ROM EXERCISES: PPT
Active ROM exercises: Exercises the client is able to
Enlist types perform independently. Enlist types of
of range of Passive ROM exercise: Exercises performed for the Rom?
motion client by someone else.
exercises Active assisted ROM exercises: Performed by a client
with some assistance. Client can move a limb partially
through its ROM, but needs help completing the ROM.
Explain
GUIDELINES FOR PERFORMING ROM EXERCISES:

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guidelines for 3min  Start with the head and move down, always do
performing bilaterally Do not grasp the joint directly
Rom  Do not grasp fingernail or toenail. Be sure to
exercises support the distal and proximal end of the limbs
 Important joints – thumb, hip, knee, ankle
 Move joint through movement 5 times/session.
 Move to point of resistance not pain
 Allow for rest periods whenever required.
2min PREPARATION OF THE PATIENT:
Know  Explain and steps and advantages of ROM How to
preparation of exercises. Remove all restrictive clothing, linen, prepare client
client splint, and dressings. for Rom

 Drape appropriately exercises?

 Raise the bed to comfortable height.

 Position the patient comfortably
 preferably supine position.

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 5min JOINT MOVEMENTS:

Explain joint Abduction : PPT

movements Moving a body part away from the midline of the body
Adduction :
Moving a body part toward the midline of the body
Extension :
Straightening a body part
Flexion:
bending a body part Explain joint
Rotation: movements of
Turning the joint Rom
Internal rotation: exercises?
Turning the joint inward
External rotation:
Turning the joint outward
Plantar flexion:
Bending the foot down at the ankle
Pronation: Turning the joint downward
Supination :Turning the joint upward
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 Inversion: Turning the sole of the foot towards the
midline
Eversion: Turning the sole of the foot away from the mid
line.
RANGE OF MOTION OF VARIOUS JOINTS:

3min Temporo mandibular: Lecture

Enumerate • Open Flip charts
range of • Close
motions of • Protrusion
various joints • Retraction
• Lateral deviation.
Neck:
• Flexion
• Extension
• Hyperextension
• Lateral flexion
Shoulder:
• Flexion
• Extension
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 • Abduction
• Adduction
• Internal rotation
• External rotation
• Circumduction.
Elbow:
• Flexion
• Extension
• Hyperextension
Forearm:
• Supination

• Pronation

NURSE’S RESPONSIBILITY:

2min • Assess patient’s level of function

• if partially immobile, assist with rom exercises
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 • assess need and implement interventions to prevent Explain nurses
Explain complications responsibities?
nurses • rom needs to be started early to prevent
responsibilitie complications
s SUMMARY:
Till now we have discussed about definition, purpose,
contraindications, types, guidelines, preparation of patient,
Joint movements, various rom joints, nurses
responsibilities’.
BIBLIOGRAPHY:

• Performing Range of Motion Exercises, Skill 11-1

(Perry AG, Potter PA: Clinical nursing skills &
Techniques, edition 7, St. Louis, 2010, Mosby.)
• Taylor text book of Fundamentals of nursing, 8th
edition, published by wolters Kluwer page no: 113

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