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

What type of range of motion test is used for both inert/non-contractile and contractile structures?

1. AA-ROM

2. PF-ROM

3. AR-ROM

4. AF-ROM

The correct answer is: AF-ROM

The correct choice refers to an Active Free Range of Motion test. This type of assessment is designed to evaluate the range of motion produced by the patient themselves without any assistance or resistance from the examiner. By observing the patient actively moving through their range of motion, the therapist can assess both inert (non-contractile) structures, such as ligaments and joint capsules, as well as contractile structures, such as muscles and tendons. Active Free Range of Motion tests are integral in differentiating between possible issues related to contractile versus non-contractile tissues. If a patient experiences pain during this test, it can help indicate where the dysfunction might lie—whether it's stemming from a muscle that is being actively used or from a joint or ligament that provides stability. This approach differs from other range of motion tests, which may focus exclusively on either contractile or inert structures. Hence, the utility of the Active Free Range of Motion test makes it an essential tool in the examination of musculoskeletal conditions, providing vital information for accurate diagnosis and treatment planning.