End Feels And Limiting Factors Flashcards
Shoulder flexion
Elastic
Tension in the posterior band of Coraco-humeral ligament
Posterior joint capsule
Resistance latissimus dorsi and pectoralis major
Tension in inferior band of gleno-humeral ligament
Shoulder extension
Elastic
Anterior joint capsule
Anterior band of coraco-humeral ligament
Shoulder adduction
Adduction beyond the neutral position of joint is not possible due to presence of trunk
Superior GH ligament
Superior joint capsule
Middle and posterior fibres of deltoid
Shoulder abduction.
Elastic
Pectoralis major and latissimus dorsi
Middle and inferior GH ligaments
Inferior joint capsule
Shoulder medial rotation.
Elastic
Tension in joint capsule
Rhomboids and middle and inferior trapezius
With elbow flexed- contact between trunk and forearm
Shoulder lateral rotation.
Elastic
Tension in Gleno-humeral ligament
Serratus anterior and pectoralis minor
Elbow flexion
Soft tissue opposition
Apposition of the anterior muscles of arm and forearm
Tension in posterior joint capsule and triceps
Elbow extension.
Hard
Contact between the olecranon and olecranon fossa
Tension in anterior joint capsule
Flexor muscles ( biceps and brachialis)
Pronation
Radio- ulnar joint
Elastic
Annular ligament
Posterior radioulnar ligaments
Tightness in quadrate ligament- criss-crossed in structure so always under tension
Interosseous membrane
Supination
Radio-ulnar joint
Elastic
The annular membrane
Anterior radioulnar ligament
Interosseous membrane
Quadrate ligament
Hip flexion
Soft tissue opposition (with knee flexed)
Contact of the thigh with the anterior abdominal wall
Elastic (with knee extended)
Tension of hamstrings
Tension of gluteus maximus
Hip extension
Elastic
Tension of the capsular ligaments of the hip joint
- ilio- femoral ligament
- pubofemoral ligament
- ischiofemoral ligament
Anterior joint capsule
Hip flexors
Hip abduction
Elastic
Tension of adductor muscles
Joint capsule
Ilio-femoral and pubo- femoral ligaments
Hip adduction
Elastic
Tension in abductors
Limited by opposite leg
Ischiofemoral ligament
Tension in lateral aspect ilio-femoral ligament
Hip medial rotation
Elastic
Tension in lateral rotators
Tension is ischiofemoral ligament
Posterior capsule
Hip lateral rotation
Elastic
Tension in medial rotators
Tension in ilio- femoral and pubo- femoral ligament
Knee flexion
Soft tissue opposition
Contact of hamstrings and gastrocnemius/ soleus
Movement may be limited before this due to retraction of quadriceps/ shortening of capsular ligaments
Knee extension
Elastic
Posterior joint capsule
Popliteal
Collateral and cruciate ligaments
Dorsi- flexion at ankle joint
Elastic
Calcaneofibular ligament
Posterior joint capsule
Achilles’ tendon
Anterior components of medial and lateral collateral ligaments
Plantar flexion at the ankle joint
Elastic
Anterior joint capsule
Anterior components of medial and lateral collateral ligaments
Anterior talofibular ligament
Eversion at the subtalar joint
Elastic
Cervical ligament
Tibio calcaneal fibres of deltoid ligament
Tibialis anterior
Inversion at the subtalar joint
Elastic
Anterior and posterior talofibular ligament
Calcaneofibular ligament
Peroneus longus and Brevis
Wrist flexion
Elastic
Tension in extensor tendons
Dorsal intercarpal ligament
Posterior joint capsule
Wrist extension
Elastic
Tension in flexor tendons
Palmar Intercarpal ligament
Anterior joint capsule
Ulnar deviation
Elastic
Radial collateral and radial collateral carpal ligaments
Lateral aspect of joint capsule
Radial deviation
Hard
Limited by radial styloid process coming into contact with the scaphoid and apposition of the lateral articular surfaces of the mid carpal joint
