Class Author

Debra Collins
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As CEO and President of LTCS Books, Inc., Debra maintains a knowledge base and writes weekly articles on long term care and home health care federal regulatory changes.


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Range of Motion Exercises

Federal regulations state that a resident's or client’s abilities in activities of daily living must not diminish while under a facility or agency’s care unless circumstances of the individual's clinical condition demonstrate that deterioration was unavoidable. This inservice instructs nursing assistants, CNA's, and home health aides on consequences of limited Range of Motion and how to safely perform Range of Motion exercises. General principles and safety precautions of Range of Motion exercises are explained. Detailed instructions and examples are given for each exercise.


On completion of this course, participants will be able to: 

  1. Define Range of Motion.
  2. Explain how to check and follow orders for Range of Motion exercises.
  3. Describe the consequences of losing normal Range of Motion.
  4. List the benefits of increased Range of Motion
  5. Differentiate between the main kinds of Range of Motion exercises. 
  6. Explain safety precautions for performing Range of Motion exercises.
  7. Describe Range of Motion exercises for the neck, shoulders, elbows, wrists, hands, fingers, hips, legs, knees, feet, ankles, and toes.


Part 1
Introduction to Range of Motion

  • Federal regulations on maintaining mobility
  • Range of Motion defined
  • Physician’s orders
  • Physical Therapy and Restorative Nursing
  • Nursing Assistant assignment and daily care

Part 2
General Principles of Range of Motion
  • Degrees and types of movement limitation
  • Consequences of losing normal Range of Motion
  • Benefits of Range of Motion exercises
  • Active and Passive Range of Motion
  • General instructions and safety precautions
Part 3
Neck Exercise Description and Practice
  • Neck flexion forward and backward
  • Neck flexion side to side
  • Neck rotation
Part 4
Shoulder and Elbow Exercise Description and Practice
  • Shoulder flexion and extension up and down
  • Shoulder flexion and extension to side
  • Elbow flexion and extension to side
Part 5
Wrist Exercise Description and Practice
  • Wrist flexion, extension, and rotation
Part 6
Hand and Finger Exercise Description and Practice
  • Finger flexion and extension
  • Thumb rotation
Part 7
Hip, Leg, and Knee Exercise Description and Practice
  • Hip and knee flexion and extension
  • Leg extension
  • Hip abduction
Part 8
Foot, Ankle, and Toe Exercise Description and Practice
  • Foot flexion and extension
  • Ankle rotation
  • Toe flexion and extension

Course Snapshot

Cost: $ 10.00
Contact Hours: 1


Upon successful completion the Home Health Aid or Nurse Assistant will receive a Certificate of Completion for 1 inservice contact hour(s).
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