PASSSIVE
MOVEMENT
PASSIVE MOVEMENTS
The movement , which is performed with the
help of the external force whenever the
muscles fail to perform the movement by its
own.
TYPES OF PASSIVE MOVEMENTS
• Relaxed passive movement.
• Passive manual mobilization.
RELAXED PASSIVE MOVEMENT
Is the smooth, rhythmical and accurate
anatomical movement performed by the
therapist with in the pain-limited range.
PRINCIPLES
• RELAXATION
Patient has to be in relaxed manner before
starting the treatment procedure.
• FIXATION
The proximal joints to the joint to be moved
should be fixed.
• TRACTION
The long axis traction given to increase the
space between the articular surfaces.
• RANGE
The movement performed within the pain-
limited range.
• SPEED AND DURATION
Speed should be rhythmical , smooth and
same speed should be maintained
throughout the movement.
• SEQUENCE
While treating the flaccid conditions the
movements should be proximal to distal. In
spastic condition the movement has to be
performed from distal to proximal.
INDICATIONS
• The patients who cannot perform
active movements.
• The patients who cannot perform full
range of movements.
• Unconscious patients.
• For relaxation
CONTRAINDICATIONS
• Recent fractures.
• Recent dislocations.
• DVT.
• Early burns.
• Patients with POP plaster cast.
• Recently injuries and inflammation.
EFFECTS AND USES
• Maintains the muscle properties.
• Increase the ROM.
• Increases the venous and lymphatic
drainage.
• Breaks the adhesion formations in
the joints.
• Prevents the DVT.
• Induces the relaxation.
PROCEDURE OF RELAXED
PASSIVE MOVEMENT
UPPER LIMB
.SHOULDER FLEXION
• SHOULDER EXTENSION
• MEDIAL AND LATERAL ROTATION
OF SHOULDER
• SHOULDER ABDUCTION
ELBOW JOINT
.FLEXION AND EXTENSION
• SUPINATION AND PRONATION OF
FOREARM
• FLEXION , EXTENSION , ULNAR AND
RADIAL DEVIATION OF THE WRIST
• FLEXION , EXTENSION , ABDUCTION ,
ADDUCTION AND OPPOSITION
MOVEMENT OF THE THUMB
• FLEXION , EXTENSION , ABDUCTION
AND ADDUCTION OF MCP JOINT
• FLEXION AND EXTENSION OF
INTERPHALANGEAL JOINT
LOWER LIMB
.FLEXION OF HIP JOINT
• HIP EXTENSION
• ABDUCTION AND ADDUCTION OF
HIP
• MEDIAL AND LATERAL ROTATION
OF HIP
• ANKLE PLANTAR AND
DORSIFLEXION
• INVERSION AND EVERSION OF
MIDTARSAL JOINT
• FLEXION AND EXTENSION OF
METATARSOPHALANGEAL JOINT
• NECK
• LUMBAR FLEXION
• LUMBAR EXTENSION
• LUMBAR ROTATION
