MSK #4- Capsular Patterns

Question 1

Temporomandibular

Answer 1

Limited mouth opening

Question 2

Upper cervical spine (occiput-C2)- occipitoatlantal joint

Answer 2

forward flexion limited > extension

Question 3

Upper cervical spine- Atlantoatlantal joint

Answer 3

limitation with rotation

Question 4

Lower cervical spine (C3-T2)

Answer 4

Limitation of all motions except flexion (side bending and rotation equally limited and both greater than extension

Question 5

Glenohumeral

Answer 5

ER>ABD>IR

Question 6

Sternoclavicular

Answer 6

Full elevation limited; pain at extreme ROM

Question 7

Acomioclavicular

Answer 7

Full elevation limited; pain at extreme ROM

Question 8

Humeroulnar

Answer 8

Loss of flexion moreso than extension

Question 9

Humeroradial

Answer 9

Loss of flexion moreso than extension

Question 10

Proximal & Distal radioulnar

Answer 10

Pronaation = supination

Question 11

Wrist

Answer 11

Flexion = extension

Question 12

Midcarpal

Answer 12

Limitation: equal in all directions

Question 13

Trapeziometacarpal

Answer 13

Abduction moreso than extension

Question 14

CMC 11-V

Answer 14

Equally restricted all directions

Question 15

Upper extremety digits

Answer 15

flexion > extension

Question 16

Thoracic Spine

Answer 16

Side bending and rotation > extension > flexion

Question 17

Lumbar spine

Answer 17

Marked and equal limitation of side bending and rotation; loss of extension > flexion

Question 18

Sacroiliac, symphasis pubis, sacrococcygeal

Answer 18

Pain when joints are stressed

Question 19

Hip

Answer 19

Limited flexion / IR; some limitation of abduction; no or little limitation of adduction and ER

Question 20

Knee

Answer 20

Flexion grossly limited; slight limitation of extension

Question 21

Talofibular (proximal & distal)

Answer 21

Pain when joint is stressed

Question 22

Talocrural

Answer 22

PF loss > DF

Question 23

Talocalcaneal (subtalar)

Answer 23

Increasing limitation of varus; joint fixed in valgus (inversion > eversion)

Question 24

Midtarsal

Answer 24

Supination > pronation (limited DF, PF, ADD and medial rotation)

Question 25

First MTP

Answer 25

Marked limitation of extension; slight limitation of flexion

Question 26

Metatarsophalangeal (11-V)

Answer 26

Variable; tend towards flexion restrictions

Question 27

Interphalangeal

Answer 27

Tend towards extension restrictions

Question 28

Manual grading of accessory joint motion

Answer 28

Assessed grade of MVMT Classification of Joint

• 0 Ankylosed
• 1 Considerable hypomobility
• 2 Slight hypomobility
• 3 Normal
• 4 Slight hypermobility
• 5 Considerable hypermobility
• 6 Unstable