End Feels

Question 1

bone/ cartilage

Answer 1

hard (rigid, sudden stop)

Question 2

muscle/elastic

Answer 2

firm (elastic)

Question 3

soft tissue approximation

Answer 3

soft (spongy)

Question 4

capsule

Answer 4

firm (CREEP)

Question 5

ligament

Answer 5

firm (no creep)

Question 6

capsular tightness

Answer 6

firm

Question 7

joint adhesion

Answer 7

firm

Question 8

abnormal muscle

Answer 8

firm (tight muscle, increased tone)

Question 9

bony block

Answer 9

hard (sudden, rigid stop)

Question 10

abnormal cartilage/bone

Answer 10

hard (rough grating)

Question 11

displaced meniscus

Answer 11

hard (springy rebound, bouncing back)

Question 12

pannus

Answer 12

soft (crunchy)

Question 13

ligamentous/ capsular laxity

Answer 13

firm (increased movement without firm arrest)

Question 14

swelling

Answer 14

soft (boggy from effusion or edema)

Question 15

empty

Answer 15

no real end feel (patient guarding or muscle spasm)

Question 16

tests and measures sequence for extremity examination

Answer 16

1. structural inspection (posture/position)
2. palpation for condition (PFC)
3. AROM
4. PROM- C and A
5. Muscle performance (MSTT, then MMT)
6. Flexibility (MLT)
7. Special tests
8. Neurovascular
9. Palpation for (specific) tenderness (PFT)
10. Movement Analysis

Question 17

sequence for MSK management

Answer 17

I. Examination
a. Observation
b. History (Interview, Pain assessment, Outcome measures)
c. Systems Review 
d. Scanning/screening
e. Tests and measures 
f. Imaging 
II. Evaluation 
a. diagnosis 
b. prognosis 
c. plan of care (interventions)

Question 18

MSTT strong and painless

Answer 18

unremarkable, move onto MMT

Question 19

MSTT strong and painful

Answer 19

tendinopathy, tendinosis, tendinitis, defer MMT but perform MLT

Question 20

MSTT weak and painless

Answer 20

fully torn muscle, can do MMT and MLT

Question 21

MSTT weak and painful

Answer 21

partially torn muscle, defer MMT and MLT

Question 22

effects of CFM

Answer 22

traumatic hyperemia- enhanced blood supply
movement of tissue- prevention or breakdown of adhesions, improved collagen alignment
increased tissue perfusion- improved blood flow
mechanoreceptor stimulation- less pain

Question 23

CFM contraindications

Answer 23

inflammation from bacterial infections
traumatic arthritis 
ossifications in soft tissues
bursitis
RA 
over neural tissue

Question 24

what should you do post- CFM?

Answer 24

muscle contraction without overstraining damaged area. (AROM, AAROM or PROM)

appropriate isotonic loading for degenerative tendinopathy to encourage gliding between tendon fibers

functional activity

Question 25

traction

Answer 25

application of force

Question 26

distraction

Answer 26

application of force | joint separation

Question 27

effects of manipulation

Answer 27

psychological mechanical neurophysiological biochemical

Question 28

contraindications of manipulation

Answer 28

none

Question 29

manipulation variables

Answer 29

``` force duration type of manipulation temperature amplitude velocity ```

Question 30

manipulation criteria

Answer 30

``` patient position therapist position loose pack position joint alignment stabilizing hand mobilizing hand direction of force amount of force ```

Question 31

TR ligament

Answer 31

special test prom A PFT

Question 32

TR tendon and muscle

Answer 32

MLT prom C (must look at prom A to clear capsule) PFT

Question 33

TR bursa/edema

Answer 33

PFT

Question 34

TR effusion

Answer 34

PROM A

Question 35

intervention categories

Answer 35

palliative preparatory corrective supportive

Question 36

palliative intervention

Answer 36

treat high pain levels consider tissue reactivity PRICE

Question 37

preparatory intervention

Answer 37

prepare tissue/patient enhance corrective makes corrective more effective massage, oscillations, modalities

Question 38

corrective treatments

Answer 38

fix/ improve problem mechanical gains manipulation, distraction, exercises, transverse friction, ultrasound

Question 39

supportive treatments

Answer 39

ensure rollover for next treatment patient education HEP

Question 40

inert tissue impairment presentation

Answer 40

active and passive classical limited in same direction

Question 41

non-inert tissue impairment presentation

Answer 41

active and passive classical limited in opposite direction

Question 42

which manipulations produce psychological effects

Answer 42

all grade 1-3 distraction grade 1-4 glide

Question 43

which manips produce mechanical effects

Answer 43

grade 2 and 3 distraction | grade 3 and 4 glide

Question 44

which manips produce neurophysiological effects

Answer 44

all

Question 45

biochemical effects

Answer 45

all