Range Of Motion

during these movements, the angles of those joints, as well as the muscles involved during the

We need to know the normal range of movement of the muscles and joints so when moving, handling and positioning a person we know the limits of each limb. We need to take into consideration other factors that may inhibit a person’s movements as:

In order to test the passive sufficiency of a bi-articular structure, such as a muscle, both joints which that structure crosses must first be identified. Additionally, the movements of those two joints which will constrain that structure must be identified. Next, one joint must be selected, and placed into the position that may constrain the structure. At the same time, the other joint must be placed in the position which will NOT put further strain on that structure. The selected joint must then be measured for its range of motion. Next, the same must be done with the selected joint, but in contrast, the other joint must be placed in the position which WILL further constrain the bi-articular structure. Once that has been done, the selected joint’s range of motion must be measured once more.

A bed mobility assessment was completed upon arrival of a new patient. She was asked to turn over on each of her sides as far as she could and lift her hips off the bed while lying down and pushing off with her feet. A graphesthesia assessment was given to a patient with a CVA who showed decreased sensation as evidenced by not differentiating the letter, number, or shape drawn on her hand. Range of motion assessments were also completed for many of the

a. In order to test the passive sufficiency of a bi-articular structure, such as a muscle, both joints which that structure crosses must first be identified. Additionally, the movements of those two joints which will constrain that structure must be identified. Next, one joint must be selected, and placed into the position that may constrain the structure. At the same time, the other joint must be placed in the position which will not put further strain on that structure. The selected joint must then be measured for its range of motion. Next, the same must be done with the selected joint, but in contrast, the other joint must be placed in the position which WILL further constrain the bi-articular structure. Once that has been done, the selected joint’s range of motion must be measured once more.

Keeping a patient motivated, active, and engaged in the process is always important “it’s our foundation of Occupational Therapy Practice”. I would be extremely pleased to see my patients happy, smiling and slowly improving over time. I want to be there for them and help them as much as I know I can. I want to be a person who changes a life. My goal is to see my patients being able to regain abilities once again, for them not to give up and for them to show me that in the end it was worth it and I made someone regain

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

Some assessment tests that can be done to determine areas of occupational dysfunction important to the person are the Canadian Occupational Performance (COPM) interview, the Robinson Bashall Functional Assessment, the Stanford Health Assessment Questionnaire, the Assessment of Motor and Process Skills (AMPS), manual muscle tests, the goniometer, and the dynamometer and pinch meter (Hammond, pp 257). The Robinson Bashall Functional Assessment, as well as the Stanford Health Assessment Questionnaire, is a functional assessment that allows the therapist to get a better understanding of the practical capabilities of patients that are suffering from RA. The Assessment of Motor and Process Skills allows an accurate estimate of ability to do IADLs based on performance of three tasks.

The standard scope of practice of a Doctor of Physical Therapy consists of providing exercises and services that “prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions” as well as creating goals that will guide my patient to better mobility (The Physical Therapy, 2015). Physical therapy is a dynamic form of health care that focuses on rehabilitation, risk-prevention exercises, and performance

Monitor and record the client’s ability to tolerate activity and use all four extremities; note pulse rate, blood pressure, dyspnea, and skin color before and after activity

Physical therapists develop specific programs for each patient's needs. They may apply therapeutic exercise, ultrasound, massage, and applications of heat and cold to alleviate pain and restore normal function to the body. The physical therapist is able to evaluate a patient's joint motion, muscle strength, endurance, functional abflity, muscle tone, reflexes, and stability of walking. The physical therapist also assesses the need and use of braces and artificial limbs, function of the heart and lungs, integrity of sensation and perception, and performance of activities required in daily living. ("A Future" 18). Another important part of the job of a physical therapist is to maintain careful documentation. The documentation is mainly used to keep a record of rehab used, to reflect back on improvement, and to provide legal records.

Occupational Therapy is a growing field; one that is constantly changing as technology becomes more advanced. There are different techniques and methods used in this field, as well as the field of physical therapy, in order assist in client advancement and growth. The traditional method being discussed is Proprioceptive Neuromuscular Facilitation also known as PNF and the contemporary technique is Kinesio Taping. These techniques and methods came about for the same purpose, and that is to ultimately help both the Practitioners and of course clients they work with.

In the patient’s charts is what type of injury that they are suffering from, what medication they are on, and the treatment plan occurring during physical therapy. It is important to review a patient’s chart to see how the patient is doing at each of their physical therapy sessions, also if a patient’s medication changes, it is important for the physical therapist to know.

For shoulder flexion 61% of the variance could be accounted for by the sit-and-reach. A correlation was also found between the modified sit-and-reach test and both the shoulder extension and hip flexion tests. For shoulder extension 33% of the variance was accounted for by the modified sit-and-reach and for hip flexion 22% of the variance was accounted for by the modified sit-and-reach.

Anatomical and tracking markers are used in infra-red light motion analysis to measure 3D displacement of tracking markers attached to Abnormal loading of the knee can cause knee joint injuries or disease. Tracking markers are placed on each thigh and shank laterally by adhesive coban tape to reflect infra-red light for tracking. Infra-red light is emitted by 9 cameras which are also responsible for detection of the reflected infra-red light. Anatomical markers are used as reference point for anatomical calibration by using a marked pointer. Anatomical markers are typically placed at the medial and lateral epicondyle gap. 3 bony landmarks can be marked to establish a segmental body axis system. Coordinates of the 3 segmental bony landmarks to tracking marker axis systems within the global coordinate system can then be related together. By assuming rigid body, fixed bony axis systems are then developed in relation to the tracking marker axis systems. Finally, during the walking trial, position of tracking markers relative to the global coordinate system can be measured.