พิสัยการเคลื่อนไหวของข้อในผู้บาดเจ็บรยางค์: การประเมินและการพยาบาล

Jutamart pandee; Chaninthorn  Kliangda; Tongporn  Wannatoop

Authors

Jutamart pandee Faculty of Medicine Siriraj Hospital, Mahidol University
Chaninthorn Kliangda
Tongporn Wannatoop

Keywords:

range of motion, extremity injury, assessment, factors, nursing practice

Abstract

The range of joint motion is a movement dependent upon well-coordinated activities of the joints, muscles, tendons, and nerves, and central to performance of daily routines, such as sitting, standing, walking, and doing physical exercise. A physical injury can decrease both the perception of joint motion and the angles of joint bending and stretching, resulting in defciency or limitation of joint and other bodily functions, especially in patients with short-term extremity injuries. Such defcient joint motion may also affect extremity injury patients’ long-term, comprehensive restoration of joint and other bodily functions.
This academic article serves two major purposes. First, it explains a method of assessing the range of joint motion by measuring factors that could affect the range of joint motion. Second, it proposes an exercise-integrated nursing-care method that engages extremity injury patients in various forms of physical exercise, namely, passive exercise, active exercise, isometric exercise, and isotonic exercise.
Based on the study, it is recommended that nurses improve the range of joint motion immediately when the patients start receiving treatment. Great care must be taken to monitor the patients’ joint movement and to prevent complications during the period of joint function rehabilitation. Nurses are also advised to regularly assess the range of joint motion and the progress of joint function rehabilitation, in order to ensure that the extremity injury patients perform joint movements continually, appropriately, and effectively, thereby maintaining their muscular strength. An equally important factor contributing to the patients’ rehabilitation is prevention of subsequent defciency of range of joint motion. Such preventive process could restore the patients’ ability to perform daily routines after being discharged.

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