Why should a CNA avoid pulling on a resident's joints during range-of-motion exercises?

Why should a CNA avoid pulling on a resident's joints during range-of-motion exercises?

• A. ROM should be performed quickly to minimize waiting time.
• B. Pulling on a resident’s joints during ROM can cause pain and injury; instead support the limb and move slowly.
• C. ROM should be performed only by the therapist.
• D. Discomfort during ROM means stop immediately.

Answer: (B)

Range-of-motion exercises must be gentle and controlled to protect the joints and surrounding tissues. Pulling on a resident’s joints can cause pain and injury because ligaments, tendons, and cartilage are delicate, especially in older adults who may have stiffness or arthritis. Forceful pulling can stretch or tear tissues, cause muscle strains, or even lead to a joint dislocation. The correct technique is to support the limb above and below the joint and move it slowly through the available range, without forcing it, so mobility is maintained while minimizing risk. Stop if the resident reports pain, and remember ROM should be performed as part of routine care, not rushed, and not by forcing movements.

Range-of-motion exercises must be gentle and controlled to protect the joints and surrounding tissues. Pulling on a resident’s joints can cause pain and injury because ligaments, tendons, and cartilage are delicate, especially in older adults who may have stiffness or arthritis. Forceful pulling can stretch or tear tissues, cause muscle strains, or even lead to a joint dislocation. The correct technique is to support the limb above and below the joint and move it slowly through the available range, without forcing it, so mobility is maintained while minimizing risk. Stop if the resident reports pain, and remember ROM should be performed as part of routine care, not rushed, and not by forcing movements.