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What is the difference between active, passive, and active-assistive range-of-motion exercises?

Active range-of-motion exercises are done by the person alone. Passive range-of-motion exercises are done by you, the nursing assistant, moving the person's joints through their range of motion. Active-assistive range-of-motion exercises are done by the person with some help from you.

According to the textbook, the three types differ by who performs the movement. In active ROM exercises, the person performs the joint movements independently. In passive ROM exercises, you move the person's joints through their full range of motion because the person cannot do so alone. In active-assistive ROM exercises, the person does the exercises but needs some help from you to complete the movement.

Key points

  • Active ROM: the person moves the joints alone.
  • Passive ROM: the nursing assistant moves the joints through their range of motion.
  • Active-assistive ROM: the person does the exercises with some help.
  • ROM exercises should never force a joint beyond its present range or to the point of pain.
Source:Mosby‘s Textbook for Long-Term Care Nursing Assistants· Exercise and activity· p. 1267–1285
Cover of Mosby‘s Textbook for Long-Term Care Nursing Assistants

Mosby‘s Textbook for Long-Term Care Nursing Assistants

Clare Kostelnick

EIGHTH EDITION

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