PASSIVE MOVEMENT

-Passive movement is the anatomical position which performed by the therapist for the patient.

GOALS FOR PASSIVE MOVEMENT:

-Maintain joint and connective tissue mobility.

-Minimize the effect of the formation of the contractures.

-Maintain mechanical elasticity of muscle.

-Assist circulation and vascular dynamics.

-Enhance synovial movement for cartilage nutrition and diffusion of material.

-Decrease or inhibit pain.

-Assist with the healing process after injury or surgery.

-Help maintain the patient awareness of movement.

OTHER USES FOR PASSIVE MOVEMENT:

-Passive movement is used to determine limitations of motion.

-To determine joint stability.

-To determine muscle and other soft tissue elasticity.

-When a therapist is teaching an active exercise, passive movement is used to demonstrate the desired motion.

-When a therapist is preparing a patient for stretching, passive movement is often used preceding the passive stretching techniques.

ADVANTAGE OF PASSIVE MOVEMENT:

-To examining inert structures.

-To determine limitations of motion.

-To determine joint stability, muscle, and soft tissue elasticity.

-To demonstrate the desired motion.

DISADVANTAGE OF PASSIVE MOVEMENT:

-Does not prevent muscle atrophy.

-Does not increase strength or endurance.

-Does not assist circulation to the extent that active, voluntary muscle contraction does.

INDICATION OF PASSIVE MOVEMENT:

-Poor muscle contraction.

-Paralyze or stroke.

-Post operation patient i.e shoulder arthroscopy , total knee replacement.

-High pain score (VAS).

-Patient with poor cognitive.

CONTRAINDICATION OF PASSIVE MOVEMENT:

-Patient with venous stasis and thrombus formation.

-Interruption of healing process.

-Infection or fever.

-Joint inflammation.

-Joint effusion.

PROCEDURE FOR APPLYING PASSIVE MOVEMENT:

*Examination

- Examine and evaluate patient impairments and level of function, determined any precaution and prognosis, and plan the intervention.

-Ability of the patient to participate.

-Decide best pattern can be meets the goals of :

-Anatomical planes of motion.

-Muscle range of elongation.

-Combined pattern.

-Functional pattern.

*Patient preparation

-Communicate with the patient.

-Free the region from restrictive clothing, linen, splints, and dressings.

-Position the patient in comfortable position with proper body alignment.

-Proper body mechanics for the therapist.

*Application passive movement

-Forced of movement is external ( manually by therapist or devices)

-No active resistance or assistance is given by patient muscle.

-Motion is carried out within the free Range Of Motion without forced motion or pain.

EXERCISE OF PASSIVE MOVEMENT: