Day 1

Range of Motion (ROM)

When caring for patients, you will want to check the status of their range of motion, or ROM. The ROM is defined as the movement available at a joint. It is a fundamental component in all physical activities and beyond integral to general health. ROM can be altered because of injury, disease, or even due to normal aging processes. It can be easy for any of these factors to increase risk for many complications like joint stiffness, limited mobility, and low self-esteem. To ensure safety and promote optimal recovery from a variety of conditions, including sports-related injuries, here are some tips for caring for patients with range of motion (ROM)​ issues.

Shoulder Range of Motion

Shoulder Range of Motion is defined as the amount of movement you can place through your shoulder joints. This movement can be measured in a number of different ways and to varying degrees. The measurements are then used to gauge how well your muscles are functioning, if there are changes to your muscles, and/or any damage to your rotator cuff or shoulder joint.   

As a healthcare provider or someone that regularly interacts with patients, you can feel overwhelmed with the amount of knowledge you’re required to have. In today’s fast paced environment, where speed is favored over professionalism in many cases, it’s often difficult to get through the mountain of information you’re expected to have. But one area that is often overlooked and is incredibly important to understand is shoulder range of motion. without making them worry.

Perform SLOWLY!

Upper Range of Motion (Range Of Motion)

– Ask resident about comfort or needs during care or before care completed?
– Support extremity to protect the working joint throughout each ROM exercises
– Ask resident to report discomfort during ROM or ask
– Always explain to the patient what you are about to do and enlist his cooperation.
– To avoid strain, remember to maintain your own proper body mechanics as you carry out the exercises for the patient.

Perform – SLOWLY – ASK –
1) Let me know if I am hurting you, for each are you work.
2) How does that feel?
3) You are doing great.

Perform – 3 Times on each area you work.
 Up/Down or Back/Forward

Exercise only correct joints and only correct side when performing ROM
One Side Only- Right or Left Side of Patient according to form.



Elbow Wrist Range of Motion

Caring for patients with Elbow Wrist Range of Motion issues can be challenging. Here’s what to do and what you should avoid doing.

The CNA is asked to provide range of motion exercise to a resident who is not able to help with the exercises. The resident needs his/her shoulder flexed and extended, and abducted and adducted. For testing purposes, the resident needs three repetitions of both exercises. The instructions provided at the test site will indicate whether the exercise is to the left or right side. The role of the resident is played by a person, although in special situations a mannequin may be used. DO NOT DO EXTRA, ONLY what is ask