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

Which range of motion technique is used when a patient's strength has decreased due to injury or pathology?

1. AF-ROM

2. PF-ROM

3. AA-ROM

4. AR-ROM

The correct answer is: AA-ROM

The range of motion technique most appropriate for a patient whose strength has decreased due to injury or pathology is Active Assistive Range of Motion (AA-ROM). This technique involves the therapist providing assistance to the patient in moving a joint through its range while the patient actively participates to the extent of their ability. In situations where a patient's strength is compromised, they may not be able to achieve full motion on their own. AA-ROM is beneficial because it encourages engagement and use of the affected muscles while simultaneously ensuring that the joint moves through its range to maintain or improve mobility. This collaborative approach helps to prevent stiffness, improve circulation, and enhance the patient's sense of independence, which is vital for rehabilitation. The other options refer to different techniques: Active Free Range of Motion (AF-ROM) involves the patient moving the joint without assistance, which isn't suitable for those with weakness. Passive Range of Motion (PF-ROM) is done entirely by the therapist and is often utilized when a patient cannot perform any movements themselves. Active Range of Motion (AR-ROM) requires the patient to move the joint independently but does not provide the necessary support for someone who has decreased strength resulting from injury or pathology.