Capsular Patterns, ROM, Goniometry, and End Feel Flashcards
Cervical Capsular Pattern
Recognizable pain
Equal limitation of all motions except flexion which is minimally restricted
Thoracic Spine Capsular Pattern
Greater limitation of extension, lateral flexion, and rotation than of forward flexion
Lumbar Spine Capsular Pattern
Equal restriction of lateral flexion followed by restriction of flexion and extension
Atlanto-Occipital Capsular Pattern
Restriction of extension and lateral flexion
Thoracolumbar Flexion (tape measure)
Position:
- Feet shoulder width
- Bend forward with knees straight
- Stabilize pelvis to prevent anterior tilt
Tape Measure:
- Tape measure on T1 and S2 vertebrae
- difference before and after is the distance of flexion
Alternative:
- Same position, measure fingertip to floor
- This allows anterior pelvic tilt
Capsular End Feel:
- Firm
Normal ROM:
- 80 degrees +- 5 deg
Thoracolumbar Extension (tape measure)
Position:
- Feet shoulder width
- Bend forward with knees straight
- Stabilize pelvis to prevent posterior tilt
- End when pelvis tilts
Tape Measure:
- Tape measure on T1 and S2 vertebrae
- difference before and after is the distance of extension
Prone Pushup:
- Lie on stomach, strap over pelvis
- Press up and measure from surface to sternal notch
Capsular End Feel:
- Firm or Hard
Normal ROM:
- 25 degrees +- 5 deg
Thoracolumbar Lateral Flexion (tape measure and goniometer)
Position:
- Stabilize pelvis to prevent lateral tilt
- Stand shoulder width apart
- test is over once heel rises
Goniometer:
- Fulcrum over S2
- Stationary arm perpendicular to floor
- Mobile arm in line with T1
- Remove goniometer and measure when at end range
Tape measure:
- Side bend with feet flat and knees extended
- Mark on leg where tip of middle finger is
- Measure from floor to the tip of the middle finger
Capsular End Feel
- Firm
Normal ROM
- 35 degrees +- 5 degrees
Lumbar Flexion (Modified-Modified Schober Test)
Position:
- Standing with feet shoulder width apart
Tape Measure:
- Mark midline of pt’s sacrum that is level with PSIS, this is S2
- 15cm up second mark
- bend forward with straight knees
- ROM = Flexion distance - 15cm
Capsular End Feel
- Firm
Normal ROM
- 80 degrees +- 5 degrees
Lumbar Extension (Modified-Modified Schober Test)
Position:
- Standing with feet shoulder width apart
Tape Measure:
- Mark midline of pt’s sacrum that is level with PSIS, this is S2
- 15cm up second mark
- extend back with straight knees
- ROM = extension distance - 15cm
Capsular End Feel
- Firm or Hard
Normal ROM:
- 25 deg +- 5 deg
Thoracolumbar Rotation
Position:
- Seated, feet flat.
- Stabilize the pelvis to prevent it from rotating.
- Patient turns to one side as far as possible
- If the pelvis rotates the test is over
Goniometer:
- Fulcrum over the center of cranial aspect
- Stationary arm in line with prominent tubercles on iliac crest
- Mobile arm in line with AC joint
Capsular End Feel
- Firm
Normal ROM:
- 45 deg +- 5 deg