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  #1  
Old 01-10-2013
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Hammer and Otoscope range of motion in shoulder joint

when examining the range of motion for the shoulder should we do active and passive or just passive?
and do we also check for range of motion in wrist and elbow?
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Old 01-11-2013
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When assessing patients, active movements are performed first to determine if an injury is present and to see how the patient reacts then Passive range of motion is performed second.
Active range of motion is checking muscles and joints, whereas passive tends to evaluate ligaments and joint capsules.
Of course it depends on the case too so may be the sp will be in pain and refuse to move his joint then politly ask him if it si ok to do it for him ( passive movement ) , start very gently and if he feels pain stop it and say sorry .
In PN write ROM can not be assessed due to pain.

Bottom line : the rule is to test active movement then passive movement.

And yes you should check elbow and wrist movement but in a quick way to save time.
The rule here is always check the joint above and below the affected joint and dont forget periph pulses and neuro exam as reflexes and sensation.

Hope this would help
G L
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Thank you so much for your response its too professional thanks again !!!
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Old 01-11-2013
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yup
active then passive always
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Old 01-16-2013
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By stretching the joints we can figure out are the joints flexible or not. To get better flexibility we can do range of motion exercises like running, swimming and walking. These are good to keep the joint movements.
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Old 01-16-2013
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Quote:
Originally Posted by ziad View Post
When assessing patients, active movements are performed first to determine if an injury is present and to see how the patient reacts then Passive range of motion is performed second.
Active range of motion is checking muscles and joints, whereas passive tends to evaluate ligaments and joint capsules.
Of course it depends on the case too so may be the sp will be in pain and refuse to move his joint then politly ask him if it si ok to do it for him ( passive movement ) , start very gently and if he feels pain stop it and say sorry .
In PN write ROM can not be assessed due to pain.

Bottom line : the rule is to test active movement then passive movement.

And yes you should check elbow and wrist movement but in a quick way to save time.
The rule here is always check the joint above and below the affected joint and dont forget periph pulses and neuro exam as reflexes and sensation.

Hope this would help
G L
This is great; just do that very fast.
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ziad (01-16-2013)



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