Normal End-Feels Flashcards
Produced by bone-to-bone approximation…
Bony
Abrupt and unyielding; gives impression that further forcing will break something
Bony
Example of bony end-feel
Elbow extension
Abnormal end-feel c C/s rot…
Bony ==> osteophytes
Produced by muscle-tendon unit; may occur c adaptive shortening
Elastic
Stretches c elastic recoil and exhibits constant-length phenomenon; further forcing feels as if it will snap something
Elastic
Examples of elastic end-feel?
Wrist flexion c finger flexion
SLR
Ankle DF c knee extended
Abnormal end-feel of decreased DF c knee flexed
Elastic
Produced by contact of two muscle bulks on either side of a flexing joint where joint range exceeds other restraints
Soft-tissue approximation
Very forgiving end-feel that gives impression that further normal motion is possible if enough force could be applied
Soft-tissue approximation
Example of soft-tissue approximation end-feel…
Knee flexion in muscular Pt.
Elbow flexion in muscular Pt.
Abnormal elbow flexion end-feel in obese Pt.
Soft-tissue approximation
Produced by capsule or ligaments
Capsular
Various degrees of stretch s elasticity; stretch ability dependent on thickness of tissue
Capsular
Strong capsular or extracapsular ligaments produce hard capsular end-feel, whereas thin capsular produces softer one
Capsular
Impression given to clinician ==> further force application will tear something
Capsular
Examples of capsular end-feels…
Wrist flexion (soft) Elbow flexion in SUP (medium) Knee extension (hard)
Inappropriate stretch ability for specific joint, and if too hard may indicate hypomobility due to arthrosis, and if too soft, hypermobility
Abnormal capsular end-feel
