College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What does AROM being weak and pain-free usually indicate?

1. A local tendon lesion

2. A muscle rupture or nerve integrity issue

3. A dislocation or fracture

4. Healthy muscle tone

The correct answer is: A muscle rupture or nerve integrity issue

When AROM (Active Range of Motion) is weak and pain-free, this scenario typically indicates a potential underlying issue with muscle integrity, such as a muscle rupture or nerve integrity problem. This means that the muscle may not be able to generate the requisite force to perform the movement effectively. However, the absence of pain suggests that there isn't acute inflammation or irritation, which often accompanies injuries to muscles or tendons that are still intact. Weakness in the absence of pain raises suspicion for neurological issues, such as nerve damage or entrapment, which can lead to a drop in muscle strength. Additionally, if a muscle has been fully ruptured and is no longer functional, the individual may demonstrate weakness in the affected muscle group while not experiencing pain if the acute phase of injury has passed or if the pain was overshadowed by a more severe issue. This specific indicator guides practitioners in determining the appropriate next steps for assessment and intervention, leading to a more accurate diagnosis and treatment plan.