Range of

Motion
GROUP 8 :

1. M . WA H I D I C S A N N U D I N C H A N I A G O A D L A O

2. PA N J I H E R I G U N AWA N

3. R I C K Y S A P U T R A

4. WA K A T I F A S A B A R U
Definition
Range of motion exercises are exercises aidmed at maintaining the flexibility and
mobility of joints (Tseng, et al. 2007)
 Purpose ROM
•Maintaining joint flexibility and mobility •Maximizing internal functions

•Restoring motor control •Pain reduction/retard

•Increasing intergritas of joints and soft tissues •Preventing neuromuscular increasing bad system

•Helps the circulation and synovial nutrients •Reducing symptoms of depression and anxiety

•Reducing the devlopment of counter-actions •Increasing self-respect

primarily to extremis
•It enhances body image and gives pleasure
Function ROM
•Moving the joint as optimal and as wide as possible accordingly one’s ability and
does not inflict pain on such a person.
•Causing increased blood flow into the capsule of joints.
•The emphasis on cartilage causes water to rush out of the synovial matrix.
Type of ROM
1. ROM active, the movements generated by the muscle contractions
alone/conducted by the client himself.
2. ROM active with active-assited, pratice by the client independently and
accompanied by the nurse (in achieving the desired ROM a movement).
3. ROM passive, client who are losing or confined in motion can do this type to
avoid joint counter measures.
Indication ROM
PROM

•In areas that have acute tissue inflamation that if active movement occurs hampering the healing.

•Patients who are not allowed to move active on all sides. Let’s say coma bedrest total.

AROM

•When the patient is able to perform active muscle contractions and move up the vertebra with help or
not.

•When the patient has muscle weakness and is unable to move the joints fully, used AROM.
Contrast ROM
•ROM practice should not be given where motion can interfere with the healing process of injury.

•ROM must not be done when the patient responds or his condition is dangerous (life threatening).

•The PROM takes great care in the huge joints, while AROM in joints and feet to minimize venous
stasis and platelet formation.

•In the circumstances follwing miokard infrak, coronary artery surgery, etc. The AROM of the upper
extremities can still be given in strict surveilance.
Movement ROM
• Flexion, which is a joint flexion movement

• Ektention, which was a movement to straighten the joints

• Abstention, which is a movement away from the axis of the body

• Addeduction, which is a movement approaching the axis of the body

• Rotation, which is the spiraling or moving of a section around the body’s axioms

• Pronation, which is a downward spiral

• Supination, which is the upward rotation of the hands

• Inversion, which an internal movement

• Eversion, which an outward movement

Procedure ROM (Basic principles)
•For active ROM training, client are encouraged to perform the movements they’ve been taught, avoid
feelings of discomfort when training is made, the movement is done systematically in the same order
at each stage, each movement is made three times at a frequency twice daily.

•Make sure the client knows why the ROM exercise is taking place.

•Joints should not be moved beyond their range of free motion, the joint is motion to the spot and halted
at the point of pain.
•Choose a time when the patient is comfortable and pain free to increase patient collaboration.
Procedure ROM (Basic principles)
•Position the patient in a normal upright posture.

•Exercise movements should be gentle. Exercises applied to joints proportionally to avoid muscle
tension and injury and fatique.
•The given position allows for free movement of the joints

•Emphasize to the trainees that an adequal joint movement is a movement up to having a prisoner
instead of pain.
•Not doing exercises on aching joints.
Procedure ROM (Basic principles)
•Observe non verbal response the trainees.

•The exercise must stop immediately and give the trainees a chance to rest, when there is a muscle
spasm manifested by sudden and continuous muscle contractions.
Procedure ROM (Intensity of
exercise)
•The recommended doses and intensity of ROM training show considerable variety of results. There is
no specific theoretical mention of the dose and intensity of the ROM exercise, but from various
literature and research outcames on the benefits of ROM practice can be referred to in implementing
ROM exercise as one of the interventions.
•Smeltzer & bare (2008) mentioning that we can do 4 or 5 times a day, with 10 minutes for each
rehearsal, while Perry & Poter (2006) it encourages performing ROM training at least 2 times a day.
•Tseng, et al. (2007) his research suggests that the dose of exercise used is twice a day, 6 days a week
for 4 weeks with a intensity of 5 movements for each joint. The assessment suggest that the
respondents in the study who conducted the exercise had an improvement in the function of the
activity, pain perception, range of joints and symptoms of depression.
THANK YOU