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+--- Thread: range of motion in painful joint ?? - emapepe (/showthread.php?tid=288681)
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range of motion in painful joint ?? - emapepe - ArchivalUser - 04-01-2008
if we start moving the arm and the sp c/o pain do we have to stop and go for reflexe and sensation and pulses check or do we have to try to move it in another position??
0 - ArchivalUser - 04-01-2008
i think the best will be show the concern first then talk about importance of doing the tests and all
and proceed
plz correct me if i am wrong
0 - ArchivalUser - 04-01-2008
first ask the patient to do active ROM, if the ROM
then move on to
MOTOR
REFLEX
SENSORY
PULSES
0 - ArchivalUser - 04-01-2008
i need to correct the above
if the ROM
0 - ArchivalUser - 04-01-2008
whats happening?? words don't get published after ROM......
IWILL TRY ONCE AGAIN
if the ROM is less than normal for that joint then progress to do passive ROM
0 - ArchivalUser - 04-01-2008
do not forget to explore the NOT PAINFUL one first to do a comparative analysiss of the join
Make the pt move the joint in a mirror sequence: Yo tell the patient to mimic whhat u are doping and to tell u if he has pain....then you do flexion, extension, suppination, pronation, abducion, aduction.
Then you ask permision to move pasively and explain that u are going to do nice and soft
Complete with sensory, relfexes, pulses
If arm or leg is painful YOU HAVE TO touch Neri and Vallix points in spine
0 - ArchivalUser - 04-01-2008
what is neri and vallix points in spine???
0 - ArchivalUser - 04-01-2008
elbamaritza
thanks for the great explanation!!
what is Neri and Vallix points in spine? why touch them?
0 - ArchivalUser - 04-01-2008
Vertebral painful point
1. Pressure spinous ap.
2. pressure the interspinous spaces
3. pressure over transverse ap.
You touch with your tumb making light pressure over the medial aspect of the spina and go sliding down, the you do the same maneuver laterally
In case of arm involvment do it in cervical region
In case of leg involvemtn do it in lumbo-sacral region
0 - ArchivalUser - 04-01-2008
let me summarize if I understand we ask the sp to do active ROM if it s painful sould we do the passive ROM or not ???or we do not ??
thanks