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1

Kuramoto, Alice. "Passive Range of Motion." Journal of Continuing Education in Nursing 29, no. 6 (November 1998): 283. http://dx.doi.org/10.3928/0022-0124-19981101-03.

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&NA;. "Performing passive range-of-motion exercises." Nursing 36, no. 3 (March 2006): 50–51. http://dx.doi.org/10.1097/00152193-200603000-00040.

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3

Cornwall, MW, and TG McPoil. "Effect of ankle dorsiflexion range of motion on rearfoot motion during walking." Journal of the American Podiatric Medical Association 89, no. 6 (June 1, 1999): 272–77. http://dx.doi.org/10.7547/87507315-89-6-272.

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The purpose of this study was to investigate whether the amount of ankle passive dorsiflexion range of motion influences the pattern of frontal plane rearfoot motion during walking. Three-dimensional motion of the rearfoot was measured in two groups of subjects, those with ankle passive dorsiflexion range of motion less than or equal to 10 degrees, and those with ankle passive dorsiflexion range of motion greater than 15 degrees, while they walked along a 6.1-m walkway. The results indicated that the only statistically significant differences between the two groups were in the time to reinversion of the rearfoot and the time to heel-off. Slight-to-moderate limitation of ankle passive dorsiflexion range of motion significantly alters the timing, but not the magnitude, of frontal plane rearfoot motion during walking.
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4

Kato, E., T. Kurihara, H. Kanehisa, T. Fukunaga, and Y. Kawakami. "Combined Effects of Stretching and Resistance Training on Ankle Joint Flexibility." Physiology Journal 2013 (December 18, 2013): 1–8. http://dx.doi.org/10.1155/2013/171809.

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The purpose of the present study was to clarify the combined effects of stretching and resistance training on the active and passive dorsiflexion range of motion of ankle joint. Sixteen young adult men were randomly assigned to a training (n=8) or a control (n=8) group. The training group trained one leg for the combined program of static calf stretching and dorsiflexors resistance training program (STR+TR) and the other leg for static stretching program only (STR). The training group executed stretching of both legs every day and resistance training every other day for six weeks. After the training program, in STR+TR side, both active and passive dorsiflexion range of motions significantly (P<0.05) increased and also isometric maximal voluntary dorsiflexion torque increased, while in STR side, only passive dorsiflexion range of motion increased. In passive dorsiflexion range of motion, increased dorsiflexion ROM was accompanied by increased tendon elongation not muscle elongation. In conclusion, the combined program of stretching for calf muscles and resistance training for dorsiflexors increases active as well as passive dorsiflexion range of motion, while static calf stretching program is effective only for the increase in passive dorsiflexion range of motion.
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Whitting, J. W., J. R. Steele, D. E. McGhee, and B. J. Munro. "Passive dorsiflexion stiffness is poorly correlated with passive dorsiflexion range of motion." Journal of Science and Medicine in Sport 16, no. 2 (March 2013): 157–61. http://dx.doi.org/10.1016/j.jsams.2012.05.016.

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6

Jiang, B., K. P. Fishkin, S. Roy, and M. Philipose. "Unobtrusive Long-Range Detection of Passive RFID Tag Motion." IEEE Transactions on Instrumentation and Measurement 55, no. 1 (February 2006): 187–96. http://dx.doi.org/10.1109/tim.2005.861489.

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7

Flowers, Kenneth R., and Paul LaStayo. "Effect of Total End Range Time on Improving Passive Range of Motion." Journal of Hand Therapy 7, no. 3 (July 1994): 150–57. http://dx.doi.org/10.1016/s0894-1130(12)80056-1.

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Flowers, Kenneth R., and Paul C. LaStayo. "Effect of Total End Range Time on Improving Passive Range of Motion." Journal of Hand Therapy 25, no. 1 (January 2012): 48–55. http://dx.doi.org/10.1016/j.jht.2011.12.003.

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9

Fukaya, Taizan, Masatoshi Nakamura, Shigeru Sato, Ryosuke Kiyono, Kaoru Yahata, Kazuki Inaba, Satoru Nishishita, and Hideaki Onishi. "The Relationship between Stretching Intensity and Changes in Passive Properties of Gastrocnemius Muscle-Tendon Unit after Static Stretching." Sports 8, no. 11 (October 23, 2020): 140. http://dx.doi.org/10.3390/sports8110140.

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This study aimed to investigate the relationship between relative or absolute intensity and changes in range of motion and passive stiffness after static stretching. A total of 65 healthy young adults voluntarily participated in this study and performed static stretching of the plantar flexor-muscle for 120 s. Dorsiflexion range of motion and passive torque during passive dorsiflexion before and after stretching were assessed. We measured the passive torque at a given angle when the minimum angle was recorded before and after stretching. The angle during stretching was defined as the absolute intensity. Dorsiflexion range of motion before stretching was defined as 100%, and the ratio (%) of the angle during stretching was defined as the relative intensity. A significant correlation was found between absolute intensity and change in passive torque at a given angle (r = −0.342), but relative intensity and range of motion (r = 0.444) and passive torque at dorsiflexion range of motion (r = 0.259). A higher absolute intensity of stretching might be effective in changing the passive properties of the muscle-tendon unit. In contrast, a higher relative intensity might be effective in changing the range of motion, which could be contributed by stretch tolerance.
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Connor, JC, DM Berk, and MW Hotz. "Effects of continuous passive motion following Austin bunionectomy. A prospective review." Journal of the American Podiatric Medical Association 85, no. 12 (December 1, 1995): 744–48. http://dx.doi.org/10.7547/87507315-85-12-744.

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Thirty-nine patients suffering from hallux valgus deformity were randomized into one of two treatment groups following a corrective Austin procedure. One group received physical therapy only (n = 18), and the other group received physical therapy and continuous passive motion (n = 21). Continuous passive motion was initiated immediately after surgery and patients were instructed to use continuous passive motion for 8 hr a day for 24 days. On the 7th, 14th, 21st, 28th, 60th, and 90th days, range of motion, return to conventional shoes, use of oral analgesics, and complication rate were measured. The group using continuous passive motion had greater range of motion at each postoperative visit compared with the group who used physical therapy only (P &lt; 0.05). The group who used physical therapy only took longer to return to conventional shoes and to cease oral medication than the group who used continuous passive motion (P &lt; 0.01). The use of continuous passive motion as an adjunct to physical therapy following an Austin procedure expedites the rehabilitation time and increases the rate of return to functional range of motion.
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Turner, D. E., P. S. Helliwell, A. K. Burton, and J. Woodburn. "The relationship between passive range of motion and range of motion during gait and plantar pressure measurements." Diabetic Medicine 24, no. 11 (October 18, 2007): 1240–46. http://dx.doi.org/10.1111/j.1464-5491.2007.02233.x.

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Hogg, Jennifer A., Randy J. Schmitz, Anh-Dung Nguyen, and Sandra J. Shultz. "Passive Hip Range-of-Motion Values Across Sex and Sport." Journal of Athletic Training 53, no. 6 (June 1, 2018): 560–67. http://dx.doi.org/10.4085/1062-6050-426-16.

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Context: Greater passive hip range of motion (ROM) has been associated with greater dynamic knee valgus and thus the potential for increased risk of anterior cruciate ligament injuries. Normative data for passive hip ROM by sex are lacking. Objective: To establish and compare passive hip ROM values by sex and sport and to quantify side-to-side differences in internal-rotation ROM (ROMIR), external-rotation ROM (ROMER), and total ROM (ROMTOT). Design: Cross-sectional study. Setting: Station-based, preparticipation screening. Patients or Other Participants: A total of 339 National Collegiate Athletic Association Division I athletes, consisting of 168 women (age = 19.2 ± 1.2 years, height = 169.0 ± 7.2 cm, mass = 65.3 ± 10.2 kg) and 171 men (age = 19.4 ± 1.3 years, height = 200.0 ± 8.6 cm, mass = 78.4 ± 12.0 kg) in 6 sports screened over 3 years: soccer (58 women, 67 men), tennis (20 women, 22 men), basketball (28 women, 22 men), softball or baseball (38 women, 31 men), cross-country (18 women, 19 men), and golf (6 women, 10 men). Main Outcome Measure(s): Passive hip ROM was measured with the athlete lying prone with the hip abducted to 20° to 30° and knee flexed to 90°. The leg was passively internally and externally rotated until the point of sacral movement. Three measures were averaged for each direction and leg and used for analysis. We compared ROMIR, ROMER, ROMTOT (ROMTOT = ROMIR + ROMER), and relative ROM (ROMREL = ROMIR − ROMER) between sexes and among sports using separate 2 × 6 repeated-measures analyses of variance. Results: Women had greater ROMIR (38.1° ± 8.2° versus 28.6° ± 8.4°; F1,327 = 91.74, P &lt; .001), ROMTOT (72.1° ± 10.6° versus 64.4° ± 10.1°; F1,327 = 33.47, P &lt; .001), and ROMREL (1.5° ± 16.0° versus −7.6° ± 16.5°; F1,327 = 37.05, P &lt; .001) than men but similar ROMER (34.0° ± 12.2° versus 35.8° ± 11.5°; F1,327 = 1.65, P = .20) to men. Cross-country athletes exhibited greater ROMIR (37.0° ± 9.3° versus 30.9° ± 9.4° to 33.3° ± 9.5°; P = .001) and ROMREL (5.9° ± 18.3° versus −9.6° ± 16.9° to −2.7° ± 17.3°; P = .001) and less ROMER (25.7° ± 7.5° versus 35.0° ± 13.0° to 40.2° ± 12.0°; P &lt; .001) than basketball, soccer, softball or baseball, and tennis athletes. They also displayed less ROMTOT (62.7° ± 8.1° versus 70.0° ± 9.1° to 72.9° ± 11.9°; P &lt; .001) than basketball, softball or baseball, and tennis athletes. Conclusions: Women had greater ROMIR than men, resulting in greater ROMTOT and ROMREL. Researchers should examine the extent to which this greater bias toward ROMIR may explain women's greater tendency for dynamic knee valgus. With the exception of cross-country, ROM values were similar across sports. The clinical implications of these aberrant cross-country values require further study.
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Cartlidge, Helen. "How to perform effleurage and passive range of motion exercises." Veterinary Nurse 5, no. 7 (September 22, 2014): 400–403. http://dx.doi.org/10.12968/vetn.2014.5.7.400.

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14

Zaffagnini, S., S. Martelli, and F. Acquaroli. "Computer investigation of ACL orientation during passive range of motion." Computers in Biology and Medicine 34, no. 2 (March 2004): 153–63. http://dx.doi.org/10.1016/s0010-4825(03)00041-6.

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15

Nicholson, HL, PG Osmotherly, BA Smith, and CM McGowan. "Determinants of passive hip range of motion in adult Greyhounds." Australian Veterinary Journal 85, no. 6 (June 2007): 217–21. http://dx.doi.org/10.1111/j.1751-0813.2007.00145.x.

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16

Youberg, Linda Dowdy, Mark W. Cornwall, Thomas G. McPoil, and Patrick R. Hannon. "The Amount of Rearfoot Motion Used During the Stance Phase of Walking." Journal of the American Podiatric Medical Association 95, no. 4 (July 1, 2005): 376–82. http://dx.doi.org/10.7547/0950376.

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The purpose of this study was to determine the proportion of available passive frontal plane rearfoot motion that is used during the stance phase of walking. Data were collected from 40 healthy, asymptomatic volunteer subjects (20 men and 20 women) aged 23 to 44 years. Passive inversion and eversion motion was measured in a nonweightbearing position by manually moving the calcaneus. Dynamic rearfoot motion was referenced to a vertical calcaneus and tibia and was measured using a three-dimensional electromagnetic motion-analysis system. The results indicated that individuals used 68.1% of their available passive eversion range of motion and 13.2% of their available passive inversion range of motion during walking. The clinical implication of individuals’ regularly operating at or near the end point of their available rearfoot eversion range of motion is discussed. (J Am Podiatr Med Assoc 95(4): 376–382, 2005)
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17

Bohannon, Richard W., David Tiberio, and Gregory Waters. "Motion Measured from Forefoot and Hindfoot Landmarks During Passive Ankle Dorsiflexion Range of Motion." Journal of Orthopaedic & Sports Physical Therapy 13, no. 1 (January 1991): 20–22. http://dx.doi.org/10.2519/jospt.1991.13.1.20.

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18

Maheshwari, Nandan, Keith Gunura, and Fumiya Iida. "Trajectory Control Based on Discrete Full-Range Dynamics." Journal of Robotics and Mechatronics 24, no. 4 (August 20, 2012): 612–19. http://dx.doi.org/10.20965/jrm.2012.p0612.

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There has been an increasing interest in the use of mechanical dynamics, (e.g., passive, elastic, and viscous dynamics) for energy efficient and agile control of robotic systems. Despite the impressive demonstrations of behavioural performance, the mechanical dynamics of this class of robotic systems is still very limited as compared to those of biological systems. For example, passive dynamic walkers are not capable of generating joint torques to compensate for disturbances from complex environments. In order to tackle such a discrepancy between biological and artificial systems, we present the concept and design of an adaptive clutch mechanism that discretely covers the full-range of dynamics. As a result, the system is capable of a large variety of joint operations, including dynamic switching among passive, actuated and rigid modes. The main innovation of this paper is the framework and algorithm developed for controlling the trajectory of such joint. We present different control strategies that exploit passive dynamics. Simulation results demonstrate a significant improvement in motion control with respect to the speed of motion and energy efficiency. The actuator is implemented in a simple pendulum platform to quantitatively evaluate this novel approach.
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Nakamura, Masatoshi, Shigeru Sato, Ryosuke Kiyono, Kaoru Yahata, Riku Yoshida, Taizan Fukaya, Satoru Nishishita, and Andreas Konrad. "Association between the Range of Motion and Passive Property of the Gastrocnemius Muscle–Tendon Unit in Older Population." Healthcare 9, no. 3 (March 12, 2021): 314. http://dx.doi.org/10.3390/healthcare9030314.

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Range of motion has been widely known to decrease with age; however, factors associated with its decrease in the elderly population and especially its gender difference have been unclear. Therefore, this study aimed to investigate the factors associated with ankle dorsiflexion range of motion in the older population. Both male (n = 17, mean ± SD; 70.5 ± 4.2 years; 165.4 ± 5.3 cm; 63.8 ± 7.7 kg) and female (n = 25, 74.0 ± 4.0 years; 151.2 ± 4.9 cm; 50.1 ± 5.6 kg) community-dwelling older adults participated in this study. The ankle dorsiflexion and passive torque of both legs were measured using a dynamometer, and shear elastic modulus of the medial gastrocnemius muscle at 0° ankle angle was measured using ultrasonic shear wave elastography. In this study, we defined the passive torque at dorsiflexion range of motion (DF ROM) as the index of stretch tolerance, and shear elastic modulus as the index of passive muscle stiffness. The partial correlation coefficient adjusted by age, height, weight, and side (dominant or nondominant side) was used to analyze the relationship between DF ROM and passive torque at DF ROM or shear elastic modulus of MG in each male and female participant, respectively. Our results revealed that dorsiflexion range of motion was significantly associated with passive torque at dorsiflexion range of motion in both male (r = 0.455, p = 0.012) and female (r = 0.486, p < 0.01), but not with shear elastic modulus in both male (r = −0.123, p = 0.519) and female (r = 0.019, p = 0.898). Our results suggested that the ankle dorsiflexion range of motion could be related to the stretch tolerance, but not to passive muscle stiffness in community-dwelling elderly population regardless of gender.
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Ogg, Robert J., Fred H. Laningham, Dave Clarke, Stephanie Einhaus, Ping Zou, Michael E. Tobias, and Frederick A. Boop. "Passive range of motion functional magnetic resonance imaging localizing sensorimotor cortex in sedated children." Journal of Neurosurgery: Pediatrics 4, no. 4 (October 2009): 317–22. http://dx.doi.org/10.3171/2009.4.peds08402.

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Object In this study, the authors examined whether passive range of motion (ROM) under conscious sedation could be used to localize sensorimotor cortex using functional MR (fMR) imaging in children as part of their presurgical evaluation. Methods After obtaining institutional review board approval (for retrospective analysis of imaging data acquired for clinical purposes) and informed consent, 16 children underwent fMR imaging. All 16 had lesions; masses were found in 9 patients and cortical dysplasia was found in 4; the lesions in 3 patients were not diagnosed. Passive ROM was performed during blood oxygen level–dependent MR imaging sequences. Three of the patients also performed active motor tasks during the fMR imaging study. All patients were evaluated using passive ROM of the hand and/or foot; 3 patients were evaluated for passive touch of the face. In 9 cases, intraoperative electrocorticography (ECoG) was used. Five of the patients underwent intraoperative ECoG to evaluate for seizure activity. Four patients had intraoperative ECoG for motor mapping. Five of the patients had subdural grids placed for extraoperative monitoring. Results In 3 cases, the active and passive ROMs colocalized. In 4 patients ECoG was used to identify motor cortex, and in all 4 motor ECoG yielded results consistent with the passive ROM localization. Thirteen of 16 children have undergone resection based on passive ROM fMR imaging findings with no unanticipated deficits. Conclusions These preliminary data suggest that passive ROM fMR imaging can accurately detect functional hand, leg, and face regions of the sensorimotor cortex in the sedated child. This extends current extraoperative mapping capabilities to patients unable or unwilling to cooperate for active motor tasks.
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Diong, Joanna, Simon C. Gandevia, David Nguyen, Yanni Foo, Cecilia Kastre, Katarina Andersson, Jane E. Butler, and Martin E. Héroux. "Small amounts of involuntary muscle activity reduce passive joint range of motion." Journal of Applied Physiology 127, no. 1 (July 1, 2019): 229–34. http://dx.doi.org/10.1152/japplphysiol.00168.2019.

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When assessing passive joint range of motion in neurological conditions, concomitant involuntary muscle activity is generally regarded small enough to ignore. This assumption is untested. If false, many clinical and laboratory studies that rely on these assessments may be in error. We determined to what extent small amounts of involuntary muscle activity limit passive range of motion in 30 able-bodied adults. Subjects were seated with the knee flexed 90° and the ankle in neutral, and predicted maximal plantarflexion torque was determined using twitch interpolation. Next, with the knee flexed 90° or fully extended, the soleus muscle was continuously electrically stimulated to generate 1, 2.5, 5, 7.5, and 10% of predicted maximal torque, in random order, while the ankle was passively dorsiflexed to a torque of 9 N·m by a blinded investigator. A trial without stimulation was also performed. Ankle dorsiflexion torque-angle curves were obtained at each percent of predicted maximal torque. On average (mean, 95% confidence interval), each 1% increase in plantarflexion torque decreases ankle range of motion by 2.4° (2.0 to 2.7°; knee flexed 90°) and 2.3° (2.0 to 2.5°; knee fully extended). Thus 5% of involuntary plantarflexion torque, the amount usually considered small enough to ignore, decreases dorsiflexion range of motion by ~12°. Our results indicate that even small amounts of involuntary muscle activity will bias measures of passive range and hinder the differential diagnosis and treatment of neural and nonneural mechanisms of contracture. NEW & NOTEWORTHY The soleus muscle in able-bodied adults was tetanically stimulated while the ankle was passively dorsiflexed. Each 1% increase in involuntary plantarflexion torque at the ankle decreases the range of passive movement into dorsiflexion by >2°. Thus the range of ankle dorsiflexion decreases by ~12° when involuntary plantarflexion torque is 5% of maximum, a torque that is usually ignored. Thus very small amounts of involuntary muscle activity substantially limit passive joint range of motion.
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Chadayammuri, Vivek, Tigran Garabekyan, Asheesh Bedi, Cecilia Pascual-Garrido, Jason Rhodes, John O’Hara, and Omer Mei-Dan. "Passive Hip Range of Motion Predicts Femoral Torsion and Acetabular Version." Journal of Bone and Joint Surgery 98, no. 2 (January 2016): 127–34. http://dx.doi.org/10.2106/jbjs.o.00334.

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23

Denard, Patrick J., and Alexandre Lädermann. "Immediate versus delayed passive range of motion following total shoulder arthroplasty." Journal of Shoulder and Elbow Surgery 25, no. 12 (December 2016): 1918–24. http://dx.doi.org/10.1016/j.jse.2016.07.032.

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Denard, Patrick J., and Alexandre Lädermann. "Immediate vs. delayed passive range of motion following total shoulder arthroplasty." Journal of Shoulder and Elbow Surgery 25, no. 10 (October 2016): e320. http://dx.doi.org/10.1016/j.jse.2016.07.042.

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Conte, Ana Lúcia F., Amélia P. Marques, Raquel A. Casarotto, and Silvia M. Amado-João. "Handedness Influences Passive Shoulder Range of Motion in Nonathlete Adult Women." Journal of Manipulative and Physiological Therapeutics 32, no. 2 (February 2009): 149–53. http://dx.doi.org/10.1016/j.jmpt.2008.12.006.

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Kluczynski, Melissa A., Samir Nayyar, John M. Marzo, and Leslie J. Bisson. "Early Versus Delayed Passive Range of Motion After Rotator Cuff Repair." American Journal of Sports Medicine 43, no. 8 (October 8, 2014): 2057–63. http://dx.doi.org/10.1177/0363546514552802.

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Soldado, Francisco, Pierluigi Di-Felice-Ardente, Sergi Barrera-Ochoa, Paula Diaz-Gallardo, Josep M. Bergua-Domingo, and Jorge Knörr. "Passive range of glenohumeral motion in children with a Sprengel’s deformity." JSES International 4, no. 3 (September 2020): 495–98. http://dx.doi.org/10.1016/j.jseint.2020.04.018.

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Whatman, Chris, Alice Knappstein, and Patria Hume. "Acute changes in passive stiffness and range of motion post-stretching." Physical Therapy in Sport 7, no. 4 (November 2006): 195–200. http://dx.doi.org/10.1016/j.ptsp.2006.07.002.

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Grider‐Potter, Neysa, Thierra K. Nalley, Nathan E. Thompson, Ryosuke Goto, and Yoshihiko Nakano. "Influences of passive intervertebral range of motion on cervical vertebral form." American Journal of Physical Anthropology 172, no. 2 (March 18, 2020): 300–313. http://dx.doi.org/10.1002/ajpa.24044.

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Schindler-Ivens, Sheila, Davalyn Desimone, Sarah Grubich, Carolyn Kelley, Namita Sanghvi, and David A. Brown. "Lower Extremity Passive Range of Motion in Community-Ambulating Stroke Survivors." Journal of Neurologic Physical Therapy 32, no. 1 (March 2008): 21–31. http://dx.doi.org/10.1097/npt.0b013e31816594ea.

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McIntosh, Lynette, Kryss McKenna, and Louise Gustafsson. "Active and Passive Shoulder Range of Motion in Healthy Older People." British Journal of Occupational Therapy 66, no. 7 (July 2003): 318–24. http://dx.doi.org/10.1177/030802260306600706.

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Jeong, Yihun, Suyeon Heo, Giwhyun Lee, and Woojin Park. "Pre-obesity and obesity impacts on passive joint range of motion." Ergonomics 61, no. 9 (June 19, 2018): 1223–31. http://dx.doi.org/10.1080/00140139.2018.1478455.

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TOYODA, Daisuke, Kazuo KUROSAWA, Daiki FUKUDA, and Tomohiro MIZUNO. "Position-related Differences in the Passive Shoulder Rotation Range of Motion." Rigakuryoho Kagaku 36, no. 3 (2021): 403–8. http://dx.doi.org/10.1589/rika.36.403.

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Frame, K., H. M. Burbidge, K. Thompson, E. C. Firth, and W. J. Bruce. "A comparison of the effects of joint immobilisation, twice-daily passive motion, and voluntary motion on articular cartilage healing in sheep." Veterinary and Comparative Orthopaedics and Traumatology 15, no. 01 (2002): 23–29. http://dx.doi.org/10.1055/s-0038-1632709.

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SummaryIn this study, articulated transarticular external skeletal fixators were used to examine the effects of joint immobilisation, twice-daily passive range-of-motion exercises, and voluntary motion on articular cartilage healing and other joint parameters. Abaxial articular cartilage lesions demonstrated superior cartilage healing to axial lesions. Twice-daily passive range of motion exercises failed to improve the quality of articular cartilage repair when compared with joint immobilisation. Voluntary motion resulted in superior articular cartilage repair tissue with maintenance of near normal cartilage architecture, proteoglycan staining, synovial fluid cell counts and specific gravity, and joint range-of-motion.
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Cuff, DJ, DR Pupello, and J. P. Iannotti. "A Delayed Physical Therapy Protocol That Limited Passive Range of Motion Was Similar to a Protocol with Early Passive Range of Motion After Rotator Cuff Repair." Journal of Bone and Joint Surgery-American Volume 94, no. 22 (November 2012): 2094. http://dx.doi.org/10.2106/jbjs.9422.ebo365.

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SOPER, C. "Reliable passive ankle range of motion measures correlate to ankle motion achieved during ergometer rowing." Physical Therapy in Sport 5, no. 2 (May 2004): 75–83. http://dx.doi.org/10.1016/s1466-853x(03)00144-5.

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Trehan, Samir, Schneider Rancy, Parker Johnsen, Howard Hillstrom, Steve Lee, and Scott Wolfe. "At Home Photography-Based Method for Measuring Wrist Range of Motion." Journal of Wrist Surgery 06, no. 04 (March 14, 2017): 280–84. http://dx.doi.org/10.1055/s-0037-1599830.

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Purpose To determine the reliability of wrist range of motion (WROM) measurements based on digital photographs taken by patients at home compared with traditional measurements done in the office with a goniometer. Methods Sixty-nine postoperative patients were enrolled in this study at least 3 months postoperatively. Active and passive wrist flexion/extension and radial/ulnar deviation were recorded by one of the two attending surgeons with a 1-degree resolution goniometer at the last postoperative office visit. Patients were provided an illustrated instruction sheet detailing how to take digital photographic images at home in six wrist positions (active and passive flexion/extension, and radial/ulnar deviation). Wrist position was measured from digital images by both the attending surgeons in a randomized, blinded fashion on two separate occasions greater than 2 weeks apart using the same goniometer. Reliability analysis was performed using the intraclass correlation coefficient to assess agreement between clinical and photography-based goniometry, as well as intra- and interobserver agreement. Results Out of 69 enrolled patients, 30 (43%) patients sent digital images. Of the 180 digital photographs, only 9 (5%) were missing or deemed inadequate for WROM measurements. Agreement between clinical and photography-based measurements was “almost perfect” for passive wrist flexion/extension and “substantial” for active wrist flexion/extension and radial/ulnar deviation. Inter- and intraobserver agreement for the attending surgeons was “almost perfect” for all measurements. Discussion This study validates a photography-based goniometry protocol allowing accurate and reliable WROM measurements without direct physician contact. Passive WROM was more accurately measured from photographs than active WROM. This study builds on previous photography-based goniometry literature by validating a protocol in which patients or their families take and submit their own photographs. Clinical Relevance Patient-performed photography-based goniometry represents an alternative to traditional clinical goniometry that could enable longer-term follow-up, overcome travel-related impediments to office visits, improve convenience, and reduce costs for patients.
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Mohr, Andrew R., Blaine C. Long, and Carla L. Goad. "Effect of Foam Rolling and Static Stretching on Passive Hip-Flexion Range of Motion." Journal of Sport Rehabilitation 23, no. 4 (November 2014): 296–99. http://dx.doi.org/10.1123/jsr.2013-0025.

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Context:Many athletes report that foam rollers help release tension in their muscles, thus resulting in greater range of motion (ROM) when used before stretching. To date, no investigators have examined foam rollers and static stretching.Objective:To determine if foam rolling before static stretching produces a significant change in passive hip-flexion ROM.Design:Controlled laboratory study.Setting:Research laboratory.Participants:40 subjects with less than 90° of passive hip-flexion ROM and no lower-extremity injury in the 6 mo before data collection.Interventions:During each of 6 sessions, subjects' passive hip-flexion ROM was measured before and immediately after static stretching, foam rolling and static stretching, foam rolling, or nothing (control). To minimize accessory movement of the hip and contralateral leg, subjects lay supine with a strap placed across their hip and another strap located over the uninvolved leg just superior to the patella. A bubble inclinometer was then aligned on the thigh of the involved leg, with which subjects then performed hip flexion.Main Outcome Measure:Change in passive hip-flexion ROM from the preintervention measure on day 1 to the postintervention measure on day 6.Results:There was a significant change in passive hip-flexion ROM regardless of treatment (F3,17 = 8.06, P = .001). Subjects receiving foam roll and static stretch had a greater change in passive hip-flexion ROM compared with the static-stretch (P = .04), foam-rolling (P = .006), and control (P = .001) groups.Conclusions:Our results support the use of a foam roller in combination with a static-stretching protocol. If time allows and maximal gains in hip-flexion ROM are desired, foam rolling the hamstrings muscle group before static stretching would be appropriate in noninjured subjects who have less than 90° of hamstring ROM.
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39

Lambert, Linda M., Felicia L. Trachtenberg, Victoria L. Pemberton, Janine Wood, Shelley Andreas, Robin Schlosser, Teresa Barnard, et al. "Passive range of motion exercise to enhance growth in infants following the Norwood procedure: a safety and feasibility trial." Cardiology in the Young 27, no. 7 (March 23, 2017): 1361–68. http://dx.doi.org/10.1017/s1047951117000427.

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AbstractObjectiveThe aim of this study was to evaluate the safety and feasibility of a passive range of motion exercise programme for infants with CHD.Study designThis non-randomised pilot study enrolled 20 neonates following Stage I palliation for single-ventricle physiology. Trained physical therapists administered standardised 15–20-minute passive range of motion protocol, for up to 21 days or until hospital discharge. Safety assessments included vital signs measured before, during, and after the exercise as well as adverse events recorded through the pre-Stage II follow-up. Feasibility was determined by the percent of days that >75% of the passive range of motion protocol was completed.ResultsA total of 20 infants were enrolled (70% males) for the present study. The median age at enrolment was 8 days (with a range from 5 to 23), with a median start of intervention at postoperative day 4 (with a range from 2 to 12). The median hospital length of stay following surgery was 15 days (with a range from 9 to 131), with an average of 13.4 (with a range from 3 to 21) in-hospital days per patient. Completion of >75% of the protocol was achieved on 88% of eligible days. Of 11 adverse events reported in six patients, 10 were expected with one determined to be possibly related to the study intervention. There were no clinically significant changes in vital signs. At pre-Stage II follow-up, weight-for-age z-score (−0.84±1.20) and length-for-age z-score (−0.83±1.31) were higher compared with historical controls from two earlier trials.ConclusionA passive range of motion exercise programme is safe and feasible in infants with single-ventricle physiology. Larger studies are needed to determine the optimal duration of passive range of motion and its effect on somatic growth.
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Bashardoust Tajali, Siamak, Joy C. MacDermid, Ruby Grewal, and Chris Young. "Reliability and Validity of Electro-Goniometric Range of Motion Measurements in Patients with Hand and Wrist Limitations." Open Orthopaedics Journal 10, no. 1 (June 15, 2016): 190–205. http://dx.doi.org/10.2174/1874325001610010190.

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Study Design: Cross-sectional reliability and validity study. Purpose: 1. To determine intrarater, interrater and inter instrument reliabilities and validity of two digital electro goniometry to measure active wrist/finger range of motions (ROMs) in patients with limited motion. 2. To determine intrarater and interrater reliabilities of digital goniometry to measure torques of PIP passive flexion of the index finger in patients with limited motion. Methods: The study was designed in a randomized block plan on 44 patients (24 women, 20 men) with limited wrist or hand motions. Two experienced raters measured active wrist ROMs, and active and passive index PIP flexion using two digital goniometers. All measures were repeated by one rater 2-5 days after the initial measurements. The reliability measures were analyzed using Intraclass Correlation Coefficients (ICCs) and the construct validity was determined by correlation coefficients analysis between sub measures of scores; patient rated pain and function (PRWE) and quick Disabilities of the Arm, Shoulder and Hand (quick DASH) scores. Results: The intrarater, interrater and inter instrument reliabilities were high in most ROM measures (range 0.64-0.97) for both types of electro-goniometers. The 95% limit of agreements and Bland and Altman plots did not show progressive changes. There was a significant difference in force application between the raters when performing passive ROM measures for PIP index, but the same rater produced consistent force. Most of the NK and J-Tech ROM measures were moderately correlated with the patient rated pain and function scores (range 0.32-0.63).
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SILFVERSKIÖLD, K. L., and E. J. MAY. "Early Active Mobilization after Tendon Transfers Using Mesh Reinforced Suture Techniques." Journal of Hand Surgery 20, no. 3 (June 1995): 291–300. http://dx.doi.org/10.1016/s0266-7681(05)80081-6.

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23 tendon transfers in the hand and forearm were performed using a polyester mesh sleeve to reinforce conventional suture techniques. All transfers were mobilized with active flexion and extension within 3 days of operation. Excluding one rupture (due to extreme unintentional loading) and depending on the type of transfer used, a mean of between 69% and 78% of the final active range of motion was obtained 1 month post-operatively. With the exception of transfers for wrist extension, the mean final active range of motion amounted to between 91% and 100% of the available passive range of motion and between 75% and 100% of the corresponding “normal” active range of motion in the opposite hand. The mean final active range of motion after reconstructions for wrist extension amounted to 85% of the passive range of motion and to at least 80% of the maximum range of motion potentially available with the transfers used. The results indicate that early active mobilization after tendon transfers may offer significant advantages in terms of quicker and simpler rehabilitation as well as improved results.
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Winters, Michael V., Charles G. Blake, Jennifer S. Trost, Toni B. Marcello-Brinker, Lynne Lowe, Matthew B. Garber, and Robert S. Wainner. "Passive Versus Active Stretching of Hip Flexor Muscles in Subjects With Limited Hip Extension: A Randomized Clinical Trial." Physical Therapy 84, no. 9 (September 1, 2004): 800–807. http://dx.doi.org/10.1093/ptj/84.9.800.

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AbstractBackground and Purpose. Active stretching is purported to stretch the shortened muscle and simultaneously strengthen the antagonist muscle. The purpose of this study was to determine whether active and passive stretching results in a difference between groups at improving hip extension range of motion in patients with hip flexor muscle tightness. Subjects and Methods. Thirty-three patients with low back pain and lower-extremity injuries who showed decreased range of motion, presumably due to hip flexor muscle tightness, completed the study. The subjects, who had a mean age of 23.6 years (SD=5.3, range=18–25), were randomly assigned to either an active home stretching group or a passive home stretching group. Hip extension range of motion was measured with the subjects in the modified Thomas test position at baseline and 3 and 6 weeks after the start of the study. Results. Range of motion in both groups improved over time, but there were no differences between groups. Discussion and Conclusion. The results indicate that passive and active stretching are equally effective for increasing range of motion, presumably due to increased flexibility of tight hip flexor muscles. Whether the 2 methods equally improve flexibility of other muscle groups or whether active stretching improves the function of the antagonist muscles is not known. Active and passive stretching both appeared to increase the flexibility of tight hip flexor muscles in patients with musculoskeletal impairments.
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Chen, Lan-Hui, Chung-Hwan Chen, Sung-Yen Lin, Song-Hsiung Chien, Jiing Yuan Su, Chao-Yung Huang, Hui-Yu Wang, et al. "Aggressive continuous passive motion exercise does not improve knee range of motion after total knee arthroplasty." Journal of Clinical Nursing 22, no. 3-4 (October 1, 2012): 389–94. http://dx.doi.org/10.1111/j.1365-2702.2012.04106.x.

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Lenssen, A. F., A. J. A. Köke, R. A. De Bie, and R. G. T. Geesink. "Continuous Passive Motion Following Primary Total Knee Arthroplasty:short- and Long-term Effects on Range of Motion." Physical Therapy Reviews 8, no. 3 (September 2003): 113–21. http://dx.doi.org/10.1179/108331903225003028.

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45

Kim, Yoon Hyuk, Kyungsoo Kim, Won Man Park, and Kyoung Ho Yoon. "Reduction of knee range of motion during continuous passive motion due to misaligned hip joint centre." Computer Methods in Biomechanics and Biomedical Engineering 15, no. 8 (August 2012): 801–6. http://dx.doi.org/10.1080/10255842.2011.561792.

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46

Tabor, Danielle. "An Empirical Study Using Range of Motion and Pain Score as Determinants for Continuous Passive Motion." Orthopaedic Nursing 32, no. 5 (2013): 261–65. http://dx.doi.org/10.1097/nor.0b013e3182a3016a.

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47

Vastamäki, H., and M. Vastamäki. "Postoperative stiff shoulder after open rotator cuff repair: a 3- to 20-year follow-up study." Scandinavian Journal of Surgery 103, no. 4 (April 2, 2014): 263–70. http://dx.doi.org/10.1177/1457496913514383.

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Background and Aims: Stiffness after a rotator cuff tear is common. So is stiffness after an arthroscopic rotator cuff repair. In the literature, however, postoperative restriction of passive range of motion after open rotator cuff repair in shoulders with free passive range of motion at surgery has seldom been recognized. We hypothesize that this postoperative stiffness is more frequent than recognized and slows the primary postoperative healing after a rotator cuff reconstruction. We wondered how common is postoperative restriction of both active and passive range of motion after open rotator cuff repair in shoulders with free passive preoperative range of motion, how it recovers, and whether this condition influences short- and long-term results of surgery. We also explored factors predicting postoperative shoulder stiffness. Material and Methods: We retrospectively identified 103 postoperative stiff shoulders among 416 consecutive open rotator cuff repairs, evaluating incidence and duration of stiffness, short-term clinical results and long-term range of motion, pain relief, shoulder strength, and functional results 3–20 (mean 8.7) years after surgery in 56 patients. Results: The incidence of postoperative shoulder stiffness was 20%. It delayed primary postoperative healing by 3–6 months and resolved during a mean 6.3 months postoperatively. External rotation resolved first, corresponding to that of the controls at 3 months; flexion and abduction took less than 1 year after surgery. The mean summarized range of motion (flexion + abduction + external rotation) increased as high as 93% of the controls’ range of motion by 6 months and 100% by 1 year. Flexion, abduction, and internal rotation improved to the level of the contralateral shoulders as did pain, strength, and function. Age at surgery and condition of the biceps tendon were related to postoperative stiffness. Conclusions: Postoperative stiff shoulder after open rotator cuff repair is a common complication resolving in 6–12 months with good long-term results.
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CITTEUR, J. M. E., M. J. P. F. RITT, and K. E. BOS. "Carpal Boss: Destabilization of the third Carpometacarpal Joint after a Wedge Excision." Journal of Hand Surgery 23, no. 1 (February 1998): 76–78. http://dx.doi.org/10.1016/s0266-7681(98)80225-8.

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In a standard carpal boss procedure, the dorsal ligament of the involved carpometacarpal joint is cut in the process of performing a wedge excision. We studied the effect of such a dorsal ligament sectioning on the joint between the capitate and middle metacarpal bone in ten fresh-frozen wrist specimens. The passive range of motion of this joint was measured with the joint loaded into flexion and extension and in the unloaded neutral position. After the dorsal ligament of the carpometacarpal joint was cut, simulating a dorsal wedge excision, the passive range of motion was measured again. Analysis indicated that this simulated wedge excision approximately doubled the passive range of motion of the carpometacarpal joint. This study shows that such a procedure disturbs the normal anatomy and creates instability of the involved joint.
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Morris, Steve, Amis Freiberg, and Leonard Harris. "Early Experience with Hand Continuous Passive Motion." Canadian Journal of Plastic Surgery 1, no. 1 (March 1993): 19–23. http://dx.doi.org/10.1177/229255039300100105.

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S Morris, a Freiberg, L Harris. Early experience with hand continuous passive motion. Can J Plast Surg 1993; 1 (1): 19-23. Clinical experience with continuous passive motion (CPM) has increased in recent years. However, little information is available in the literature of objective evaluation of the results obtained using this treatment modality. The purpose of this study was to review both the indications for hand CPM at the Toronto Western Hospital. Toronto. Ontario, and the course and the outcome of the patients treated. Between 1984 and 1989 the Mobilimb H1 CPM was used on 43 patients for a mean period of 39±6 days (mean total hours of CPM 741+84 h). Indications for hand CPM included hand trauma, capsulectomy and tenolysis and other hand conditions. Mean follow-up was 32+3 months. Overall, hand CPM was well tolerated and highly effective in relieving hand pain and increasing active and passive range of motion. Compliance was excellent.
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Rahayu, Endah Sri, and Nuraini Nuraini. "Effects of Passive Range Of Motion (ROM) Exercise On Increases Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at RSUD Kota Tangerang." Jurnal Ilmiah Keperawatan Indonesia [JIKI] 3, no. 2 (June 19, 2020): 41. http://dx.doi.org/10.31000/jiki.v3i1.2073.

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Stroke is one of the serious health problems in modern life today. According to the World Health Organization (WHO) explained that stroke is the leading cause of death globally. An estimated 17.7 million people die of strokes in 2015 representing 31% of all global deaths. This study aims to determine the effect of Passive Range of Motion (ROM) Exercise on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at Rsud Kota Tangerang. Quasi-experimental research design with a sample of 14 people. Univariate and bivariate data analysis using the Wilcoxon test. Samples are measured using Observation Sheets before and after Range Of Motion (ROM) Exercises. This Range Of Motion exercise is carried out for 1 week in 7 days, done 2 times in the morning and afternoon for 15 minutes. Based on the Paired Test, it was found that there was an effect of Passive Range Of Motion (ROM) Exercise on increasing muscle strength in non-hemorrhagic stroke patients with p-value = 0,01 <α 0,05. This proves that passive ROM has an effect on increasing the muscle strength of the respondent. Hospitals should set standard operating procedures for special handling using Passive ROM so that the results obtained can be maximal and uniform for all the problems of the word muscle strength.Keywords: Non-hemorrhagic; stroke; Passive ROM; Muscle Strength
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