Transcript Musculoskeletal System and Range of Motion Exercises

Components
 Skeletal Muscles
 Bones
 Joints
 Tendons
 Ligaments
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Begin Tx early
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Prevent further
disability
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Stress what the
resident can do
Treat the whole
person
Activity
strengthens;
inactivity weakens
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Don’t rush the
resident
Give verbal cues
Use hand over hand
if resident doesn’t
respond to cues
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Use adaptive
devices
Task analysis –
assess ADL (OT)
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Joints become stiff
and deformities can
develop
Muscles atrophy
and lose strength
Bones lose minerals
General body
circulation is
slowed
Muscle Atrophy
Contractures
Just two of the possible
negative effects
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Exercises carried out by
the patient (active) or
the staff (passive)
Done on a routine basis
To avoid complications
Purposeful actions
causing muscles to
contract and relax
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Active ROM – the patient is able to do most of
the exercises independently. The NA may
provide assistance with balance, safety, or
encouragement.
Passive ROM – the patient is unable to do
most of the exercises independently. The NA
moves the patients joints through the various
joint movements.
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Never exercise a joint to
the point of pain
Perform each exercise 3 to
5 times
Stop if pt c/o pain or
discomfort
Support each joint
1.
2.
3.
4.
5.
6.
Abduction/Adduction
Flexion/Extension
Circumduction
Rotation
Dorsiflexion
Eversion/Inversion
7. Opposition
8. Palmar flexion
9. Plantar flexion
10. Pronation/Supination
11. Radial deviation
12. Ulnar deviation