9.10 Skills Checklist: Range of Motion (ROM) for the Hip and Knee
Note: Includes abduction/adduction of the hip and flexion/extension of the hip and knee movements.
1. Gather Supplies: None
2. Routine Pre-Procedure Steps:
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- Knock on the client’s door.
- Perform hand hygiene.
- Introduce yourself and identify the resident.
- Maintain respectful, courteous, and professional communication at all times.
- Provide for privacy.
- Explain the procedure to the client.
3. Procedure Steps:
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- Raise the bed height if needed.
- Position the resident in the supine position (with the bed flat).
- Place one of your hands under the resident’s knee with your palm facing up.
- Place your other hand under the resident’s ankle with your palm facing up.
- Watch for any objective signs of pain during movement.
Abduction/Adduction for Hip:
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- Keeping the resident’s leg straight, gently move their entire leg away from their body (i.e., abduction).
- Move their leg gently and stop if there is any resistance.
- Ask the resident if they are experiencing any pain during movement.
- Stop the ROM movement if the resident reports pain or displays objective signs of pain.
- Keeping the resident’s leg straight, move their entire leg toward their body (i.e., adduction).
- Complete abduction and adduction movements of the hip according to the order in their restorative care plan.
- Continue to correctly support joints by keeping one of your hands under the resident’s knee and the other hand under the resident’s ankle.
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Flexion/Extension of Knee and Hip:
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- Bend the resident’s knee and hip up toward the resident’s trunk (i.e., flexion of hip and knee at the same time).
- Move the resident’s leg gently and stop if there is any resistance.
- Ask the resident if they are experiencing any pain during movement.
- Stop the ROM movement if the resident reports pain or displays objective signs of pain.
- Straighten their knee and hip (i.e., extension of knee and hip at the same time).
- Complete flexion and extension movements of the knee and hip according to the order in the restorative care plan.
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4. Post-Procedure Steps:
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- Perform hand hygiene.
- Check on resident comfort and ask if anything else is needed.
- Ensure the bed is low and locked. Check the brakes.
- Place the call light or signaling device within reach of the resident.
- Open the door and privacy curtain.
- Perform hand hygiene.
- Document and report ROM performed and any skin issues, pain with movement, or other changes noted with the resident.
View a YouTube video[1] of an instructor demonstration of range of motion exercises for the hip and knee:
- Chippewa Valley Technical College. (2022, December 3). Range of Motion Exercises for the Hip and Knee. [Video]. YouTube. Video licensed under CC BY 4.0. https://youtu.be/ynmFa68Rv7w ↵