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Exercise & range of motion exercise

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By
Mr. M. Shivanandha Reddy

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EXERCISE - Definition
Exercise is physical activity for
conditioning the body, improving health,
and maintaining fitness.

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Benefits of Physical Exercise
1. Improved cardiopulmonary function
2. Reduced blood pressure
3. Increased muscle tone and ...

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Exercise & range of motion exercise

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this topic deals with the exercise, various types of exercise, advantages of exercise and how to perform range of motion exercises.

this topic deals with the exercise, various types of exercise, advantages of exercise and how to perform range of motion exercises.

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Exercise & range of motion exercise

  1. 1. By Mr. M. Shivanandha Reddy
  2. 2. EXERCISE - Definition Exercise is physical activity for conditioning the body, improving health, and maintaining fitness.
  3. 3. Benefits of Physical Exercise 1. Improved cardiopulmonary function 2. Reduced blood pressure 3. Increased muscle tone and strength 4. Greater physical endurance 5. Increased weight loss 6. Reduced blood glucose level
  4. 4. Benefits of Physical Exercise 7. Decreased low-density blood lipids 8. Improved physical appearance 9. Increased bone density 10.Regularity of bowel elimination 11. Promotion of sleep 12.Reduced tension and depression
  5. 5. CLASSIFICATION OF EXERCISE EXERCISE BASED ON MUSCLE CONTRACTION ISOTONIC ISOMETRIC ISOKINETIC BASED ON SOURCE OF ENERGY ACTIVE PASSIVE
  6. 6. BASED ON MUSCLE CONTRACTION Isotonic exercise : cause muscle contraction and active movement. Example: walking, aerobics, moving arms & Legs. Isometric exercise: tightening or tensing of muscles without shortening (there is no movement). This increases muscle tension but do not change the length of muscle fibers. Example: contraction of gluteal muscles.
  7. 7. BASED ON MUSCLE CONTRACTION Isokinetic Exercise: Involves muscle contractions with resistance. Resistance is provided by an external source Example: movement of leg against resistance.
  8. 8. BASED ON SOURCE OF ENERGY • Active exercise is therapeutic activity that the client performs independently. • Passive exercise is therapeutic activity that the client performs with assistance and is provided when a client cannot move one or more parts of the body.
  9. 9. Range Of Motion Exercises Definition: The movement of a joint to the extent possible without causing pain Purposes: • Promote and maintain joint mobility • Prevent contractures and shortening of muscles and tendons • Increase circulation to extremities. • Facilitate comfort for the patient
  10. 10. Contraindications To ROM • Any illness/disorder where increased use of energy or increased circulation is hazardous. • Example: Myocardial infarction. swollen, inflamed joints
  11. 11. Types Of ROM Exercises • Active ROM exercises – Exercises the client is able to perform independently. • Passive ROM exercises – Exercises performed for the client by someone else. • Active assisted ROM exercises – Performed by a client with some assistance. Client can move a limb partially through its ROM, but needs help completing the ROM.
  12. 12. Guidelines For Performing ROM Exercises Start with the head and move down, always do bilaterally Do not grasp the joint directly Do not grasp fingernail or toenail. Be sure to support the distal and proximal end of the limbs Important joints – thumb, hip, knee, ankle Move joint through movement 5 times/session
  13. 13. Guidelines For Performing ROM Exercises Return body part to normal anatomical position Move each joint through full range of motion Move to point of resistance not pain Allow for rest periods whenever required Avoid friction LIFT body part don’t drag Note drastic change in vital signs, extreme fatigue.
  14. 14. Guidelines For Performing ROM Exercises  Should not disrupt the healing process  Warm water relaxes the muscles and joints, bathing is an ideal time to perform ROM
  15. 15. Patient Preparation Explain and steps and advantages of ROM exercises. Remove all restrictive clothing, linen, splint, and dressings. Drape appropriately Raise the bed to comfortable height. Position the patient comfortably- preferably supine position.
  16. 16. • ABDUCTION - MOVING A BODY PART AWAY FROM THE MIDLINE OF THE BODY • ADDUCTION - MOVING A BODY PART TOWARD THE MIDLINE OF THE BODY • EXTENSION - STRAIGHTENING A BODY PART • FLEXION - BENDING A BODY PART • ROTATION - TURNING THE JOINT • INTERNAL ROTATION - TURNING THE JOINT INWARD
  17. 17. • EXTERNAL ROTATION - TURNING THE JOINT OUTWARD • PLANTAR FLEXION - BENDING THE FOOT DOWN AT THE ANKLE • PRONATION - TURNING THE JOINT DOWNWARD • SUPINATION - TURNING THE JOINT UPWARD • INVERSION- TURNING THE SOLE OF THE FOOT TOWARDS THE MIDLINE • EVERSION- TURNING THE SOLE OF THE FOOT AWAY FROM THE MID LINE
  18. 18. Range Of Motion Of Various Joints JOINT MOVEMENTS POSSIBLE EXAMPLE Temporo mandibular Open Close Protrusion Retraction Lateral deviation Opening mouth Closing mouth Bringing lower jaw forward Taking lower jaw inside Moving jaw to a side
  19. 19. Range Of Motion Of Various Joints JOINT MOVEMENTS POSSIBLE EXAMPLE Neck Flexion Extension Hyperextension Lateral flexion Look @ the toes Look straight ahead Look up @ ceiling look straight ahead, tilt head to shoulder
  20. 20. Joint Movements possible Example Shoulder Flexion Extension Abduction Adduction Internal rotation External rotation Circumduction Raise arm forward & overhead Return arm to side of body Raise arm to side to position above head with palm away from head Return arm & bring across chest Elbow flexed, rotate the shoulder by moving arm til thumb is turned inward & toward the back (fingers to the floor) Elbow flexed, move arm until thumb is lateral to head. (Fingers point up) Move arm in full circle
  21. 21. Range Of Motion Of Various Joints Joint Movements possible Example Elbow Flexion Extension Hyperextension Bend elbow Straighten elbow Bend lower arm back as far as possible
  22. 22. Range Of Motion Of Various Joints Joint Movements possible Example Forearm Supination Pronation Turn lower hand so palm is up Turn lower hand so palm is down
  23. 23. Joint Movements possible Example Wrist Flexion Extension Hyperextension Abduction Adduction Bend wrist forward Straighten wrist (fingers, wrist & arm in same plane) Bring dorsal surface of hand as far back as possible Bring wrist medially towards the thumb Bend wrist laterally towards 5th finger
  24. 24. Joint Movements possible Example Fingers & Thumb Flexion Extension Hyperextension Abduction Adduction Circumduction Opposition Bend fingers & thumb into palm make a fist Straighten fingers & thumb Bend fingers as far back as possible Spread fingers apart / extend thumb laterally Bring fingers together/ thumb back to hand Move finger/thumb in circular motion Touch thumb to each finger of same hand
  25. 25. Range Of Motion Of Various Joints Joint Movements possible Example Hip Flexion Extension Hyperextension Abduction Adduction Move leg forward Move leg back beside other leg Move leg backwards Move leg laterally away from body Move leg back to medial position & beyond if possible
  26. 26. Range Of Motion Of Various Joints Joint Movements possible Example Knee Flexion Extension Bring heel toward back of thigh Return leg to floor
  27. 27. Range Of Motion Of Various Joints Joint Movements possible Example Ankle Dorsiflexion Plantar flexion Move foot so toes are pointed upward Move foot so toes are pointed downward
  28. 28. Range Of Motion Of Various Joints Joint Movements possible Example Foot Inversion – Eversion – Flexion – Extension – Abduction – Adduction – Turn sole of foot medially Turn sole of foot laterally Curl toes downward Straighten toes Spread toes apart Bring toes together
  29. 29. Range Of Motion Of Various Joints Joint Movements possible Example Spine Flexion Extension – Hyperextension – Lateral flexion – Rotation – When standing – bend forward from the waist Straighten up Bend backward Bend to the side Twist from the waist
  30. 30. • Thank you

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