Foundational concepts of synovial joints and tissue types Flashcards
What are contractile tissues?
- muscle belly
- Tendons
What are non-contractile tissues?
- joint capsules
- ligaments
- nerve sheathes
- dura mater
- cartilage
- bursa
(true/false) There is some mobility within a joint capsule even though it is classified as non-contractile tissue.
true
Definition: Pt can perform 100% of the movement
AROM
Definition: Therapist performs 100% of the movement and the patient is relaxed
PROM
What form of ROM do you assess end-feels of a joint?
PROM
What form of end-feel has a firm barrier with a little spring?
Capsular
What is an example of a capsular end-feel?
Forearm supination
What form of end-feel has tension within the muscle?
Muscle stretch
What is an example of a muscle stretch end-feel?
Hip FLX with knee straight (SLR)
Knee flexion is an example of a ____ end-feel.
soft tissue approximation
Pain is often present with a ___ end-feel.
spasm
The latissimus dorsi guarding during shoulder FLX PROM is an example of a ____ end-feel
spasm
An end-feel where there is pain BEFORE the true end-feel.
empty
End-range elbow EXT is an example of a ___ end-feel
bony
What are the different types of passive movements?
compression, gliding, distraction
Distraction is (perpendicular/parallel) to the joint surface.
perpendicular
Gliding is (perpendicular/parallel) to the joint surface
parallel
Definition: wave-like motions during passive movements
oscillations
Open packed position has (minimal/maximal) contact between the articulating structures.
minimal
What joint position is often referred to as the Loose Packed position?
OPP
Closed packed position has (minimal/maximal) contact between the articulating structures.
maximal
Definition: unique pattern of capsular tightening associated with immobility resulting from trauma and/or pathology
capsular pattern
(true/false) Each synovial joint has the same capsular pattern
FALSE!
How are capsular patterns assessed?
PROM and joint assessment
Glenohumeral joint ___ > ___> ___.
ER, ABD, IR
Definition: ISOMETRIC resistance that is applied to the limb in a NEUTRAL position to assesses the integrity of the muscle belly, tendon, and tendinous attachments.
contractile testing
What is the result of contractile testing for normal muscle?
No pain and Strong resistance
What is the result of contractile testing for a minor lesion such as tendinitis?
Painful but strong resistance
What is the result of contractile testing for a major lesion?
Painful and weak resistance (3+/5 to 4/5)
What is the result of a contractile test for a complete rupture and/or neurological disorder/lesion?
Pain free but weak resistance
