Which practice is correct when performing passive ROM to one elbow and wrist?

• A. Move multiple joints at once.
• B. Exercise only correct joints on the correct side, with proper support and smooth, non-forceful movement.
• C. Move the joints quickly with force.
• D. Move the elbow while the wrist is unsupported.

Answer: (B)

Passive range of motion involves moving a joint for someone else, with no muscle effort from the resident. The goal is to keep joints flexible, prevent stiffness, and support circulation, all while avoiding pain or injury. When working the elbow and wrist, use smooth, slow, and gentle movements and guide the joints through their comfortable range. Keep the limb well supported at the joints, maintain proper alignment, and proceed with controlled motions rather than forcing beyond what is comfortable. Focus on the joints that need exercise on the correct side, and avoid moving multiple joints at once or moving quickly or with force, and don’t move the elbow if the wrist isn’t supported. This careful, supported, and unforced approach reduces risk and maintains joint function.