Soft Tissue Assessment

Question 1

two types of soft tissue

Answer 1

contractile

inert

Question 2

contractile tissue

Answer 2

muscle

tendon

Question 3

inert tissue

Answer 3

capsule
ligament
bursa
fascia
nerve

Question 4

what does AROM tell us

Answer 4

willingness to move
ability to move
impacts occupational performance

Question 5

what does PROM tell us

Answer 5

sequence of pain
capsular pattern
end feel

Question 6

what does pain before end range indicate

Answer 6

acute irritation

Question 7

what does pain at end range indicate

Answer 7

sub acute

Question 8

what does pain only with overpressure indicate

Answer 8

chronic, residual pain

tissue is ready for stress and can move forward with strengthening

Question 9

capsular pattern

Answer 9

loss of motion in a predictable pattern specific for that particular joint

Question 10

shoulder capsular pattern (in order from most to least limited)

Answer 10

ER
ABD
IR or flexion

Question 11

wrist capsular pattern (in order from most to least limited)

Answer 11

supination &/or ext

flexion

Question 12

end feel

Answer 12

resistance to further motion

Question 13

types of end feel

Answer 13

hard
soft
firm
spasm
empty

Question 14

hard end feel

Answer 14

contact of bone on bone

Question 15

soft end feel

Answer 15

soft tissue stops the movement

Question 16

firm end feel

Answer 16

firm, spongy sensation that has some give

normal

Question 17

spasm end feel

Answer 17

muscle stops movement when person feels pain an therapist is unable to reach end range

Question 18

empty end feel

Answer 18

end range is not reached because person does not move through full range of motion

Question 19

isometric contraction

Answer 19

limb is in neutral position, patient activates muscle but does not move limb

Question 20

strong and painless isometric contraction indicates

Answer 20

normal

Question 21

strong and painful isometric contraction indicates

Answer 21

minor lesion within contractile unit (most common)

Question 22

grossly weak and painless isometric contraction indicates

Answer 22

major lesion

• complete tear
• neurologic involvement

Question 23

grossly weak and painful isometric contraction indicates

Answer 23

major lesion

• partial tear in muscle
• fracture

Question 24

intrinsic muscles

Answer 24

origin and insertion within hand

Question 25

extrinsic muscles

Answer 25

origin is not within hand

muscle also crosses wrist

Question 26

lag

Answer 26

limitation of active motion in a joint that has passive motion available

Question 27

contracture

Answer 27

passive limitation of the joint