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Limited Active Movement


Assessing Active Movement

  • Active movement is an indicator of the patient's ability to move the joint. It may be limited due to weakness, pain, mechanical stiffness or poor compliance.
    • How to Assess

    • Ask the patient to move the joint themselves. Assess the neutral position and the range of motion, and ask whether range of motion is limited by pain, weakness or stiffness.
    • Causes of Limited Active Movement

    • Reduced range of motion - trauma, arthropathy, soft tissue pathology, compartment syndrome, muscle tightness, prolonged immobilisation
    • Upper motor neuron lesion - stroke, tumour, trauma, hypoxia, demyelination, deposition, inflammation
    • Lower motor neuron lesion - trauma, compression, demyelination, diabetes
    • Neuromuscular disorder
    • Myopathy
    • Poor compliance
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