Professional Project: Jessica Mevius, OT Graduate Student
For the aging population, one of the most important occupations is maintaining independence through mobility for as long as possible.
Functional Active Range of Motion Scan
The Functional Active Range of Motion (AROM) Scan is a quick and easy way to screen your client for any deficits in AROM through observing them perform a series of demonstrated movements. Limitations in ROM can hinder occupational function. In driving, normal AROM is important in order to operate a vehicle safely. If your client cannot turn his/her head fully to check blind spots for cars when changing lanes, this common driving task can become most dangerous.31
How to Perform
There are some variations in how this can be accomplished - most OTs are familiar with this screening. Here’s the Functional AROM Scan that I have become familiar with for assessment:31
- Patient should be seated.
- Patient should perform the movements bilaterally.
- Perform the movements first and have your patient copy you.
These are the directions that I give:
We will begin with your head.
- Look down to your chest and then up to the ceiling.
- Look to your left and then to your right.
- Tilt one ear to one side and now to the other.
- Reach your arms over head; try to reach the ceiling.
- Stretch your arms out to your sides, now down, and then back up again.
- Place your hands on the back of your head.
- Place your hands behind the small of your back like you are tucking in your shirt.
- Bend your elbows like this. Now turn your palms down toward the floor and then turn them back up.
- Put your hands on your shoulders.
- As you keep your elbows bent, now at the wrist bend your hands down and then lift your wrists up like you are waving at someone.
- Make a fist & open with your fingers straight-out.
- Touch each finger to your thumb and then reverse the order.
Who is originally responsible for this Tool?
The version of the assessment presented here is an adaptation of the one provided by Nancy A. Flinn, Catherine A. Trombly Latham, and Carolyn Robinson Podolski in Occupational Therapy for Physical Dysfunction.