Occupational therapy programs tables of content
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- Principles of Range of Motion Exercises
- DO NOT BOUNCE!
- INSERT 29 PAGES OF EXERCISES FROM MASTER MANUAL HERE! PROGRESSIVE RESISTIVE EXERCISE
- PROGRAM: MANUAL MUSCLE TEST PROCEDURES
- DEPARTMENT OF OCCUPATIONAL THERAPY REPORT MANUAL MUSCLE TEST FOR THE UPPER EXTREMITY
To the Patient: Range of motion is the amount of free movement available at any particular joint. When joints are not moved, they become stiff and painful. Repetitive movement through the fullest possible range prevents these problems. You can make sure your joints move freely, even if your arm or hand is weak, by following the exercises in this booklet and repeating them as instructed by your physical therapist. Principles of Range of Motion Exercises Establish a daily routine for performing exercises. Your therapist or physician will advise you as to how many times per day you should exercise and how many repetitions per session. If you have no other guidelines, you should exercise 3 sessions per day; start with 5 repetitions of each movement (holding each position for a count of 5) and work up to 10 repetitions. Move the joint as far as possible without forcing the joint beyond its range. Always stretch gently. Stretches should be long and slow. DO NOT BOUNCE! You should feel a stretch but not pain. Remember to breathe while exercising. Relax between exercises. For your protection, review these exercises with your therapist or physician prior to use. It is imperative that they are performed correctly and under professional supervision. If you exercises produce pain or swelling later in the day, consult your therapist or physician immediately. INSERT 29 PAGES OF EXERCISES FROM MASTER MANUAL HERE! PROGRESSIVE RESISTIVE EXERCISE Originally called Heavy Resistive Exercise. High repetition with maximum exertion to point of fatigue. Use of 10 RM (repetition maximum). Determine the maximum weight the individual could lift 10 times. Revise weekly.
Oxford Technique Reverse the usual 3 bout PRE system. Diminish resistance as muscle fatigue develops. Method: determine 10 RM (repetition maximum). 10 repetitions at 10 RM 10 repetitions at 3/4 10 RM 10 repetitions at ½ 10 RM This sequence attempts to reduce the detrimental effects of fatigue.
Have person hold contraction at end of range for 6 seconds. Progress with unit of standard increment daily until maximum reached or patient plateaus.
If performed repetitively, knows as Brief Repetitive Maximal Isometric Exercise (BRIME). Load Assisting (also form of PRE): An assistive form of exercise. Method:
Determine the 10 RM (repetition Minimum): the amount of weight needed to counterbalance the weight of the extremity so that muscle contraction will move segment through the full range of motion. 10 repetitions 2 x 10 RM 10 repetitions 1 ½ x 10 RM 10 repetitions 10 RM Determine the new 10 RM as resident improves by reducing the weight used for the 10 RM. Gradually reduce the amount of weight needed for assistance and progress to active free then resistive exercises as tolerate. PROGRAM: MANUAL MUSCLE TEST PROCEDURES Fill in all blanks. Fill in blanks describing muscle strength for each muscle group, using the key provided. The form allows for one evaluation and three reassessments. Complete the evaluation and sign and date the document. If a different therapist administers the reassessment, he or she should date the column and sign initials. For visual illustration of manual resistance, refer to Trombly and Scott. Refer to physical therapy notes for lower extremity manual muscle test results.
DEPARTMENT OF OCCUPATIONAL THERAPY REPORT MANUAL MUSCLE TEST FOR THE UPPER EXTREMITY Name:_________________________________________ Diagnosis:_______________________________________ MUSCLE POWER LEFT RIGHT
Key: N (5) Complete ROM, gravity with full resistance. G+ Complete ROM, gravity with full resistance but cannot maintain motion, i.e., “breaks’ G (4) Complete ROM, gravity with moderate resistance.
Complete ROM, gravity with minimal resistance. F+ Slight resistance at end of ROM. F (3) Complete ROM vs. gravity with no resistance.
More than ½ A/ROM against gravity with no resistance, but not a full A/ROM. P+ Less than ½ A/ROM against gravity with no resistance. P(2) Complete ROM with gravity eliminated.
Less than ½ A/ROM with gravity eliminated, but not full A/ROM. T+ Evidence of slight A/ROM with gravity eliminated T (1) Evidence of slight contractility, No joint return. 0 (0) No evidence of contractility MUSCLE POWER LEFT RIGHT
_________________________________________________________________ ___________________________________________________ __ Therapist’s Signature Date
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