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ROM
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GROUP 2
ALVIS MAYONEF
DINA NOFIA
MAFIED IRWAN
PUTRI SENJAYA SUPA
RESTUTI LOVITA
VINNA AFRI YANNY
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DEFENITIONExercise range of motion (ROM) exercises are
performed to maintain or improve the ability of
moving the level of perfection and complete
normally to increase muscle mass and muscle tone
(Potter & Perry, 2005).Range of motion is a motion under normal
circumstances can be done by the relevant joint
(Suratun, et al, 2008).
Exercise range of motion (ROM) is a standardterm for the stated limits or boundaries of normal
joint movement and as a basis for establishing the
presence of abnormalities or to express abnormal
joint motion limits (Arif, M, 2008).
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Classification of ROM exercises
Nurse active ROM exercises are motivating ,
and guiding clients in implementing joint movement
independently in accordance with the normal rangeof motion . It is to train flexibility and muscle
strength as well as joints by using his muscles are
active . The joints are driven in active ROM in the
joints throughout the body from head to toe by theclient actively
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Basic Principles of Exercise ROM
The ROM must be repeated about 8 times and done at least 2 times a day
ROMs in doing berlahan and carefully so as not exhausting the patient.
When planning an exercise program ROM, note the patient's age,
diagnosis, vital signs and duration of bed rest.
Portion of the body that can do ROM exercises are neck, fingers, arms,
elbows, shoulders, ankles, feet, and ankles.
ROM can be done at all joints or just the parts that are suspected ofexperiencing the disease process.
Doing ROM should be appropriate time. For example, after a bath or
routine maintenance has been done
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Benefits ROM
Improve muscle tone
Improving joint mobilization
Improving tolerance to exercise muscles
Increasing muscle mass
Reducing bone loss
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Indications ROM
Stroke or decreased level of consciousness
Muscle weakness
Phase physical rehabilitation
Clients with prolonged bed rest
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Contra Indications
thrombus / embolism and inflammation in blood vessels
joint or bone disorders
Clients immobilization phase for the case of illness (heart)
The new Trauma with kemunginan no hidden fractures or
internal injuries
Severe pain
stiff joints or can not move
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Type ROM
1. Neck , spine , serfikal
Flexion
Extensions
Hiperektensi
Lateral Flexion
Rotation
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2. Shoulder
Flaxion
Extansion
Hiperekstensi
Abduction
Adduction
Rotation in
External rotation
Sirkumduksi
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3. Elbow
Flaxion
Extensions
4. Forearm
Suoination
Pronation
r s
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. r s
Flexion
Extensions
Hyperextension
Abdiction
Adduction
6. Fingers
Flexion
Extensions
Hyperextension
Abdiction
7. Thump
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Flexion
Extensions
Hyperextension
Abdiction
Adduction
8. Hips
Flaxion
Extansion
Hiperekstensi
Abduction
Adduction
Rotation in
External rotation
Sirkumduksi
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9. Kness
Flaxtion
Extention
10. Eyes feat
Dorsiflaxion
Plantar
11. Foot
Inversion
eversion
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12. Toes
Flaxion
Ekstention
Abduction
adduction
N i Di i
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Nursing Diagnosis
1) Impaired physical mobility bd musculoskeletal
damage.
2) inability bd immobilizing activity.
3) inability activity bd weakness
I t ti
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Intervention
1 . Place the patient in the supine position . Both layhands on the knees straight .
2 . Grasp the limb joints , the joints move slowly
proceed further .
3 . Move every joint on a regular basis ,continuously and slowly .
4 . Avoid excessive movement of joints during ROM
exercises .
5 . Avoid strong pressure during strong movements.
6 . Stop movement when there are complaints
nyerui of patients .
7 . Move gently until relaxation occurs gradually .
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Thanks for All