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Passive ROM and Classification

Passive ROM involves moving a body part using an external force and is classified into relaxed passive movement and passive manual mobilization techniques. Relaxed passive movement is performed smoothly by a physiotherapist within a joint's pain limit, while passive manual mobilization techniques include mobilizing, manipulating, or stretching joints and can provide pain relief and increased mobility.

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89 views5 pages

Passive ROM and Classification

Passive ROM involves moving a body part using an external force and is classified into relaxed passive movement and passive manual mobilization techniques. Relaxed passive movement is performed smoothly by a physiotherapist within a joint's pain limit, while passive manual mobilization techniques include mobilizing, manipulating, or stretching joints and can provide pain relief and increased mobility.

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Passive ROM And It’s Classification

 The movement, which is performed with the help of


external force, such as, The physiotherapist, sound
limb of patient or mechanical devices whenever the
muscle fails to perform the movement by it's own.
 Ex: Ankle Rotation where the physiotherapist take the
patient’s ankle with one hand and slowly rotates the
patient’s foot inward and outward.
EFFECTS & USES:
 Maintain joint and connective tissue mobility
 Maintain mechanical elasticity of muscle
 To assist circulation
 To assist healing process
 To induce muscle relaxation
 Reduce pain
CLASSIFICATION:
Passive movement is classified into two types:
1. Relaxed Passive Movement (including Accessory
Movement)
2. Passive Manual Mobilization Techniques
 Mobilization of Joints
 Manipulation of Joints (by physiotherapist or by
surgeon)
 Controlled sustained stretching of tighten
structures

Relaxed Passive Movement:


 performed accurately and smoothly by the
Physiotherapist.
 Performed in same range and direction as Active
movement.
 Knowledge of joint anatomy is required.
 Therapist should consider patients' ease.
 Movement should be within the pain limit.
 Ex: Shoulder Flexion

2
Accessory Movement:
 Movement within the joint
 Present in normal joint movement but limited
or absent in abnormal joint condition.
 Consist of gliding or rotational movements.
 Can't be performed alone voluntarily but can be
performed passively.

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 Ex: Motion such as upward rotation of scapula
and rotation of the clavicle, which occurs with
the shoulder flexion.

Passive Manual Mobilization Technique


1.Mobilization of joints:
 A manual therapy technique comprising a
continuum of skilled passive movement to the
joint complex that are applied at varying
speeds and amplitudes.
 Done gently and strongly.
 Grading according to the part of available
range in which performed.
2.Manipulation of joints:
 By Physiotherapist: Quick but small thrust to a
joint to provide immediate pain relief and
improved mobility.
 By Surgeon: under anesthesia- increase range.
Must be maintained by physiotherapist

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3. Controlled sustained stretching of tighten
structures:
 Increase range is motion
 Strength adhesion
 Lengthening is muscle due to inhibition of the
tendon protective reflex.

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