Assisting with Passive Range of Motion-Lower Extremities for ARC Testing

Equipment: Bath blanket or sheet

Procedure:

1.) Knock on door and listen for residents response.

2.) Address resident by name and introduce self.

3.) Wash hands.

4.) Explain procedure to resident speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

5.) Provide for residents privacy during procedure with curtain, screen, or door.

6.) Adjust bed to safe working height (such that residents feet touch the floor when sitting on edge of bed);lock wheels.

7.) Instruct client to inform CNA if experiencing pain during exercise.

8.) Support residents leg at knee and ankle while performing PROM for knee.

9.) Bend the knee to the point of resistance and then return leg to residents normal position (extension/flexion) (REPEAT AT LEAST 3 TIMES)

10.) Support foot and ankle close to the bed while performing PROM for ankle.

11.) Push/pull foot toward head (dorsiflexion), and push/pull foot down, toes point down (plantar flexion) (REPEAT AT LEAST 3 TIMES)

12.) While supporting the limb, move joints gently, slowly, and smoothly through the range of motion to the point of resistance, discontinuing exercise if pain occurs.

13.) Place signaling device within residents reach.

14.) Leave bed in lowest position.  Remove privacy measures.

15.) Wash hands.

16.) Report any changes in resident to nurse.  Document procedure according to facility guidelines.