Practical 2: Motion Palpation Flashcards
Bony Palpation
Locate bony landmarks and assess bony contour for any joint malposition’s, anomalies, or tenderness
Soft Tissue Palpation
Evaluate altered segmental tone and texture
Motion Palpation
The hands are used to assess mobility of joints
Assess active, passive, and accessory joint movements
Active joint movement
due to voluntary muscle contraction
- The end point of active joint movement is the physiologic barrier
- End point = physiologic barrier
Passive Joint Movement
involuntary movement
Challenge elastic limits of the joint = End Play Zone
Elastic Barrier
End point = End play zone
Accessory Joint Movement
necessary for normal function
- Joint play
- End play
Joint Play
the joint’s resistance to movement when in a neutral or loose packed position
End play
the symptomatic and qualitative assessment of motion through the end play zne
Which range of motion has a
Further ROM, Active or Passive?
Passive
When adjusting, what ROM space do Chiropractors enter?
Paraphysiologic Space
What happens when ROM reaches Anatomic limit?
Joint trauma or pathology
Static Palpation
Fingertips for tenderness and alignment
Assess joint play with thumbs
Hand Contact Points
- Pisiform
- Hypothenar
- Metacarpal
- Digital
- Index
- Web
- Thumb
- Thenar
- Calcaneal