# PWR-025 — Active range of motion: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 19 min reading and worksheet pass Difficulty: Introductory Equipment: Basic stationery or digital tools — The four fictional configuration cards in the fixture table; no goniometer, exercise band or physical demonstration is required.; Classification sheet with fields: joint and direction; ACTIVE, ACTIVE_ASSISTED, PASSIVE or UNKNOWN; posture; support; recorded observation; task outcome; comfort; unknowns; responsible next action.; Boundary card: diagram/no-attempt route; no stretching time, repetitions, weekly frequency, target angle, loading or progression.; Optional blank stick-figure outline for drawing arrows. Drawing an arrow does not instruct or request movement. Space: Desk / seated Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G2; Focused research depth Automated method-quality band: Established Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context This supplement is a no-movement route. It provides fictional diagrams in table form and already-recorded observations, so the learner does not need to stretch, load, bounce, hold, push or test pain. The task is to distinguish movement produced by the person from range created by outside assistance, then keep angle, support, comfort and meaningful function separate. No normative target is supplied, and more range is not assumed to be better. New pain, injury concern, unexplained limitation or rehabilitation decisions require an appropriately qualified clinician who knows the person’s context. Target outcome: Define active range of motion without inheriting mythology or broader claims. Explain what the current evidence supports and what it does not establish. Use the declared measurement boundary and recognise misleading proxies. Complete only the separately governed capability practice inside its declared limits. Make a retention, transfer, maintenance, provider or stop decision without overclaiming. ### Authority and setup conditions - Use only the bounded configuration. Use a diagram, imagined example, or an ordinary movement already known to be comfortable and permitted. Do not add force, load, stretching or a new range challenge. - Stop if the frame is being converted into stretching, loading, pain-testing or a self-assessment of injury. - Stop if comparison with a normative body ideal creates pain, distress or pressure to attempt movement. ### Required or supplied materials - The four fictional configuration cards in the fixture table; no goniometer, exercise band or physical demonstration is required. - Classification sheet with fields: joint and direction; ACTIVE, ACTIVE_ASSISTED, PASSIVE or UNKNOWN; posture; support; recorded observation; task outcome; comfort; unknowns; responsible next action. - Boundary card: diagram/no-attempt route; no stretching time, repetitions, weekly frequency, target angle, loading or progression. - Optional blank stick-figure outline for drawing arrows. Drawing an arrow does not instruct or request movement. ### Supplied fixture Fictional active, active-assisted, passive and unknown range records for no-movement classification | Case | Already-recorded configuration | Already-recorded task outcome | Comfort and unknowns | | --- | --- | --- | --- | | R1 | Seated shoulder flexion; person raised the right arm themselves while the forearm rested lightly on a sliding table support; no angle recorded | Reached a fictional switch at shoulder height once | Recorded comfortable; performance without the sliding support is unknown | | R2 | Supine knee flexion; a clinician moved the lower leg while the fictional person remained relaxed; existing record says 105° | No standing, walking or stair task was recorded | Comfort recorded; active knee motion and function are unknown | | R3 | Seated active ankle dorsiflexion; fictional person moved the foot themselves; clinician-approved existing goniometer record says 8° | Could place the foot on a low fictional footrest with the usual shoe and brace | No pain recorded; tissue health, gait and performance without brace are unknown | | R4 | Standing trunk reach described only as ‘good flexibility’; observer, direction, support and whether movement was active are absent | No task outcome supplied | Configuration is too incomplete to interpret | ## 1. Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top… Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top of the sheet. Why: “Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top of the sheet” keeps this lesson inside its declared record-analysis boundary and prevents the supplied scenario from being mistaken for physical practice. Success check: A legible entry directly completes “Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top of the sheet” and records the requested condition, decision or boundary without adding a new claim. Accessible alternative: Complete the same research action — “Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top of the sheet.” — using speech-to-text, text-to-speech, enlarged text, keyboard-only navigation, shorter work blocks or a support person. Preserve this declared check: “A legible entry directly completes “Select the no-movement route and write FICTIONAL/EXISTING RECORD ONLY at the top of the sheet” and records the requested condition, decision or boundary without adding a new claim.” Do not convert the research task into capability practice. Alternative relationship: Target preserving when declared check is preserved Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. For each row, name one joint and one direction For each row, name one joint and one direction. Reject vague labels such as whole-body flexibility. Why: “For each row, name one joint and one direction” establishes the exact Active range of motion question or boundary that every later comparison must preserve. Success check: Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “For each row, name one joint and one direction. Reject vague labels such as whole-body flexibility.” Accessible alternative: Complete “For each row, name one joint and one direction. Reject vague labels such as whole-body flexibility.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “For each row, name one joint and one direction. Reject vague labels such as whole-body flexibility.”” Use text-to-speech, enlarged text, keyboard navigation, shorter sessions, a support person or an equivalent non-practical record format as needed. Accessibility changes must not enlarge practical authority. Alternative relationship: Target preserving when declared check is preserved Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Classify ACTIVE when the person produces the movement without movement assistance Classify ACTIVE when the person produces the movement without movement assistance; ACTIVE_ASSISTED when the person contributes while a support helps produce motion; PASSIVE when an external person or device produces the motion while the person remains relaxed; and UNKNOWN when the producer is not recorded. Why: “Classify ACTIVE when the person produces the movement without movement assistance” isolates the named evidence distinction so the learner can interpret Active range of motion without extending the claim. Success check: The output directly answers “Classify ACTIVE when the person produces the movement without movement assistance”, names the relevant distinction and stays within the supplied record. Accessible alternative: Complete the same research action — “Classify ACTIVE when the person produces the movement without movement assistance; ACTIVE_ASSISTED when the person contributes while a support helps produce motion; PASSIVE when an external person or device produces the motion while the person remains relaxed; and UNKNOWN when the producer is not recorded.” — using speech-to-text, text-to-speech, enlarged text, keyboard-only navigation, shorter work blocks or a support person. Preserve this declared check: “The output directly answers “Classify ACTIVE when the person produces the movement without movement assistance”, names the relevant distinction and stays within the supplied record.” Do not convert the research task into capability practice. Alternative relationship: Target preserving when declared check is preserved Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Copy posture, aid and support exactly Copy posture, aid and support exactly. A seated supported observation is a different configuration from standing or unsupported movement. Why: “Copy posture, aid and support exactly” creates the auditable value, condition or statement needed for the tutorial’s later comparison and conclusion. Success check: A legible entry directly completes “Copy posture, aid and support exactly” and records the requested condition, decision or boundary without adding a new claim. Accessible alternative: A supported, seated, reduced-range or slower version of “Copy posture, aid and support exactly. A seated supported observation is a different configuration from standing or unsupported movement.” is equivalent only when it keeps the same trained or measured target, declared configuration and success check: “A legible entry directly completes “Copy posture, aid and support exactly” and records the requested condition, decision or boundary without adding a new claim.” If any of those change, record it as a related alternative rather than an equivalent repetition. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Write one thing the observation could show and one meaningful function it… Write one thing the observation could show and one meaningful function it cannot establish. Why: “Write one thing the observation could show and one meaningful function it cannot establish” creates the auditable value, condition or statement needed for the tutorial’s later comparison and conclusion. Success check: A legible entry directly completes “Write one thing the observation could show and one meaningful function it cannot establish” and records the requested condition, decision or boundary without adding a new claim. Accessible alternative: Complete the same research action — “Write one thing the observation could show and one meaningful function it cannot establish.” — using speech-to-text, text-to-speech, enlarged text, keyboard-only navigation, shorter work blocks or a support person. Preserve this declared check: “A legible entry directly completes “Write one thing the observation could show and one meaningful function it cannot establish” and records the requested condition, decision or boundary without adding a new claim.” Do not convert the research task into capability practice. Alternative relationship: Target preserving when declared check is preserved Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Choose keep as description, leave unanswered, seek qualified review or stop Choose keep as description, leave unanswered, seek qualified review or stop. Do not recommend another movement observation. Why: “Choose keep as description, leave unanswered, seek qualified review or stop” fixes the exact Active range of motion configuration or decision before later observations are compared. Success check: The output directly answers “Choose keep as description, leave unanswered, seek qualified review or stop”, names the relevant distinction and stays within the supplied record. Accessible alternative: A supported, seated, reduced-range or slower version of “Choose keep as description, leave unanswered, seek qualified review or stop. Do not recommend another movement observation.” is equivalent only when it keeps the same trained or measured target, declared configuration and success check: “The output directly answers “Choose keep as description, leave unanswered, seek qualified review or stop”, names the relevant distinction and stays within the supplied record.” If any of those change, record it as a related alternative rather than an equivalent repetition. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.