End feels, Capsular patterns, mobilizations Flashcards
What is a hard end feel?
bone to bone/cartilage
EX: elbow ext
What is a soft end feel?
soft tissue approximation
EX: elbow/knee flexion
What is a firm end feel?
capsular + ligamentous (tissue) stretch
EX: shoulder flexion and LR, ankle DF finger ext
What is a rubbery end feel?
abnormal; muscle spasm
early = protective spasm following injury
late = due to instability or pain
What is an empty end feel?
abnormal; muscle guarding/pain
EX: acute subacromial bursitis
What is a springy block end feel?
abnormal; meniscal displacement
EX: tear
What is a boggy end feel?
abnormal; edema; joint swelling
EX: synovitis, soft tissue edema
What is a hard capsular end feel?
abnormal; heterotrophic ossifications or other bony obstruction (in an abnormal location)
EX: frozen shoulder; osteophyte formation
What is a spastic end feel?
abnormal; UMN lesion
What is a hypermobile end feel?
abnormal; too much motion
What is a hypomobile end feel?
abnormal; too little motion
What is a “mushy” tissue stretch end feel?
abnormal; tight muscle
What is a firm with decreased elasticity end feel?
abnormal; fibrosis (thickening/scarring) of soft tissue
Cervical spine capsular pattern
side flexion and rotation equally limited; extension
Thoracic spine capsular pattern
side flexion and rotation equally limited; extension
Lumbar spine capsular pattern
side flexion and rotation equally limited; extension
TMJ capsular pattern
limitation of mouth opening
Glenohumeral joint capsular pattern
lateral rotation, abduction, medial rotation
Sternoclavicular + Acromioclavicular joint capsular pattern
pain a extreme ROM (horizontal adduction and full elevation)
Ulnohumeral joint capsular pattern
flexion, extension
Radiohumeral joint capsular pattern
flexion, extension, pronation, supination
Proximal radioulnar joint capsular pattern
supinate and pronate equally limited
Distal radioulnar joint capsular pattern
full ROM, pain at rotation
CMC thumb joint capsular pattern
abduction, extension