Normal And Abnormal End Feels

Question 1

Firm but giving; resistance builds with lengthening; like stretching a piece of leather. Example: closed-packed position of the joint; external rotation of the shoulder. Abnormal example: capsular fibrosis (frozen shoulder)

Answer 1

Capsular

Question 2

Palpates as abrupt hard block with no end play with a normal ROM
Example: knee extension
Abnormal example: chronic whiplash

Answer 2

Ligamentous

Question 3

Giving, squeezing quality; results from the approximation of soft tissues; typically painless
Example: elbow flexion
Abnormal example: muscle hypertrophy; soft tissue swelling

Answer 3

Soft tissue approximation

Question 4

Hard, non-giving abrupt stop as two surfaces meet
Example: elbow extension
Abnormal example: bone exists is (DJD)

Answer 4

Bony

Question 5

Firm but giving; builds with elongation; palpates as deep, taut, and tender fibers. Exhibits restricted mobility and a rubbery end block
Example: hip flextion

Answer 5

Muscular

Question 6

Guarded, resisted by muscle contraction; muscle reaction should be felt. The end feel cannot be assessed because of pain or guarding.
Example: hyper mobility/instability

Answer 6

Muscle spasm

Question 7

Normal end feel resistance is missing, end feel is not encountered at normal point, or the joint demonstrates unusual give. Pain is felt before full ROM is achieved

Answer 7

Empty

Question 8

Bouncy, springy quality.

Example: meniscus tear, joint mice

Answer 8

Interarticular