Soft Tissue Assessment Flashcards
two types of soft tissue
contractile
inert
contractile tissue
muscle
tendon
inert tissue
capsule ligament bursa fascia nerve
what does AROM tell us
willingness to move
ability to move
impacts occupational performance
what does PROM tell us
sequence of pain
capsular pattern
end feel
what does pain before end range indicate
acute irritation
what does pain at end range indicate
sub acute
what does pain only with overpressure indicate
chronic, residual pain
tissue is ready for stress and can move forward with strengthening
capsular pattern
loss of motion in a predictable pattern specific for that particular joint
shoulder capsular pattern (in order from most to least limited)
ER
ABD
IR or flexion
wrist capsular pattern (in order from most to least limited)
supination &/or ext
flexion
end feel
resistance to further motion
types of end feel
hard soft firm spasm empty
hard end feel
contact of bone on bone
soft end feel
soft tissue stops the movement
firm end feel
firm, spongy sensation that has some give
normal
spasm end feel
muscle stops movement when person feels pain an therapist is unable to reach end range
empty end feel
end range is not reached because person does not move through full range of motion
isometric contraction
limb is in neutral position, patient activates muscle but does not move limb
strong and painless isometric contraction indicates
normal
strong and painful isometric contraction indicates
minor lesion within contractile unit (most common)
grossly weak and painless isometric contraction indicates
major lesion
- complete tear
- neurologic involvement
grossly weak and painful isometric contraction indicates
major lesion
- partial tear in muscle
- fracture
intrinsic muscles
origin and insertion within hand
extrinsic muscles
origin is not within hand
muscle also crosses wrist
lag
limitation of active motion in a joint that has passive motion available
contracture
passive limitation of the joint
