When testing ROM, how important is measuring degrees vs. indicating pain and mild, moderate or severe restrictions?
A.- ROM is not as important as ADL’s for overall medical necessity, but proves the need for active rehabilitation. ROM is best used when paired with a functional deficit. If the functional deficit is not related to pain, degrees of improvement of ROM would correlate the findings to the functional deficit improvement. (example – can’t turn head to drive, but no pain upon restriction). If the functional deficit is related to pain, improvement of restriction due to pain during ROM would correlate the findings to the functional deficit improvement. (example – can’t turn head to drive, but has pain upon restriction). This is an important distinction because the painful ROM is going to be a complicating factor that allows for both passive modalities and active rehabilitation at the same time until the painful ROM is at MMI.
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