ROM

Question 1

It is useful to remember that the ROM that causes pain is performed?

Answer 1

LAST

Question 2

When patient moves body part themselves?

Answer 2

Active ROM

Question 3

Movement done by examiner without patient assistance (normally greater than AROM)

Answer 3

Passive ROM

Question 4

This is the end of active joint movement (as far as the patient can move)

Answer 4

Physiologic Barrier

Question 5

The elastic resistance that is felt at end of passive ROM; further motion towards anatomic barrier may be induced passively by examiner.

Answer 5

Elastic Limit

Question 6

The limit of anatomical integrity, limit of motion imposed by anatomic structures; forcing movement beyond this barrier will produce tissue damage (like sprain/strain/fracture)

Answer 6

Anatomic Limit

Question 7

It is a discrete, short- range movements of independent of action of voluntary muscles, determined by springing each joint in neutral position.

Answer 7

Joint Play

Question 8

A discrete. short range movements of a joint independent of action of voluntary muscles at the end or start of PROM.

Answer 8

End Play or End Feel / Passive Over Pressure (POP

Question 9

Full ROM without pain

Answer 9

Normal finding

Question 10

Full ROM with pain

Answer 10

minor sprain/strain

Question 11

HypoMobility without pain

Answer 11

Tissue contracture, adhesions or joint dysfunction

Question 12

Hypomobility with pain

Answer 12

Acute sprain with possible muscle guarding or joint dysfunction

Question 13

HyperMobility without pain

Answer 13

Complete ligament rupture

Question 14

Hypermobility with pain

Answer 14

Partial ligament tear or sprain (intact fibers are being stressed)

Question 15

Area of increased movement beyond elastic barrier available after cavitation (popping sound) within joint’s elastic range (osseus manipulation zone)

Answer 15

Paraphysiological space

Question 16

Most common end feel which occurs near end of ROM that is hard or firm type of movement, limited by tension in muscles and fascia (ex. cervical lateral flexion).

Answer 16

Tissue Stretch

Question 17

A normal end feel with squeezing quality near end ROM, where soft tissue conpression prevents further motion(ex. elbow flexion)

Answer 17

Soft Tissue Approximation

Question 18

Normal end feel with hard, firm, painless end ROM, limited by tension in ligaments (ex. normal knee extension)

Answer 18

Ligamentous End Feel

Question 19

With hard, non giving, painless end ROM (ex. elbow extension)

Answer 19

Bone on Bone

Question 20

Pathologic guarding or splinting feel caused by movement reduction secondary to reactive myospasm to protect the injured tissue (instability or trauma)

Answer 20

Muscle Spasm End Feel

Question 21

There’s firm, decreased ROM accompanied with pain, but not myospasm, it is like boggy end feel (ex. in edema, adhesion, synovitis, adhesive capsulitis)

Answer 21

Capsular End feel

Question 22

A bouncing or springy, seen in joints with menisci associated rebound effect (internal derangement and meniscal tears)

Answer 22

Springy BlocK End feel

Question 23

Lack of normal end ROM resistance, usually associated with an increase ROM (common in instability, hypermobility, or ligament rupture)

Answer 23

Empty End Feel