Watch for compensatory movements, trust your first impressions.
The more often the client does a particular movement, the smoother it might be and the more they might be able move. So the things you see them do the first time round might not be seen again in consecutive movements.
Before commencement tell the client
- What you expect them to do
- To conduct all moves slowly TIP
- To STOP at the first sign of restriction
- Not to work into pain, as the muscles are likely to contract in protection if there is pain; pain also serves as a warning sign for potential tissue damage.
- To inform you of the location of restriction / discomfort / pain (“Point with finger to where it is sore please!”)
- Demonstrate/explain how the client has to safely perform all AROM bilaterally
- Ensure the client performs all AROM bilaterally as directed
- Ascertain where there is pain/discomfort and the type of pain
- Do not leave client in an uncomfortable position
- Ensure the client remains fully draped (where applicable)
- Summarise and verbally inform the client of your findings
- Record ALL information