Assessment
PROM
Stretching Basics
Stretching Types
Joint Mobilization
100

This Assessment tool is used by the PTA to measure limited ROM

What is a goniometer?

100

PROM will NOT prevent or improve these three things

What are muscle atrophy, strength and endurance?

100

These are the two viscoelastic properties of muscle

What are elasticity and plasticity?

100

This type of stretching method is the most effective for changing plastic properties of muscle

What is low-load long-duration stretching?

100

Limited joint play indicates this intervention is appropriate

What is joint mobilization?

200

ROM limitations should be reported using objective data rather than this type of information

What is subjective description only?

200

PROM is indicated when a patient can not actively move due to this condition(s)

What is joint instability, post-surgical status, or unhealed fracture?

200

To permanently lengthen muscle, stretching must affect this property

What is plasticity 
200

This type of stretching is held 30-60 seconds and repeated several times

Static

200

Grades i and II mobilizations are primarily used to address this

What is pain and muscle guarding?

300

This professional determines the treatment approach for limited ROM

What is the supervising PT?

300

PROM is considered a skilled service during this phase of care.

What is the acute phase?

300

If a stretch is held too briefly, only this property is affected

What is elasticity

300

This type of stretch uses devices such as a Dyna Splint or serial casting

Mechanical Stretching

300

Grades III and IV mobilizations are used to improve this

What is joint mobility/capsular tightness?

400

ROM findings are typically documented in this format when charted

What is degrees of motion?

400

PROM is defined as movement performed by this source while the patient remains relaxed 

What is an external force?

400

Muscles ability to alter is structural and functional properties with environmental changes such as exercise, inactivity, injury and disease

What is plasticity?

400
This stretching technique uses an isometric contraction of the tight muscle followed by relaxation

HOLD RELAX

400

This grade involves a high-velocity thrust and is NOT performed by the PTA

Grade V

500

When documenting a change in stretching technique utilized during treatment, this should be placed here in the progress note

What is objective section?
500

Two key signs that must be monitored during PROM when precautions exist

What are pain complaints and increased swelling?

500

Increasing tissue temperature improves stretch by allowing elongation without this injury 

What is microscopic tearing?

500

Which PNF technique includes an agonist contraction after the relaxation phase 

What is HOLD RELAX with AC 

500

According to the convex-concave rule, when a convex surface moves on a concave surface, the glide occurs in this direction relative to the roll

What is the opposite direction?