Week 0 Capsular Pattern Flashcards
End feel
a barrier to further motion
Normal end feels are normally described as
hard (bony)
soft (soft tissue approximation)
Elastic (elongation of musculotendinous structures)
Capsular (elongation of capsule or ligaments)
End feels are considered to be abnormal when
they occur sooner or later in the ROM is typical, or if they are not the type of end feel that is normally found for that joint motion
A soft bogy end feel may indicate
edema
A hard end feel may indicate
a loose intraarticular body fragment
Empty end feel
the inability of the therapist to detect any anatomical barrier to the end of ROM because the patients says no further motion should occur due to pain
Patterns of restricted joint ROM due to
diffuse, intra-articular inflammation involving the entire joint capsule
Capsular Patterns
patterns of restricted motion, which usually involves multiple motions at a joint
Capsular patterns are typically associated with
Osteoarthritis
Non capsular Pattern
Restricted passive ROM is not proportioned similarly to a capsular pattern
Arthrokinematics
motion of joint surfaces
Accessory or Joint Play Motions
used to determine joint mobility and integrity
Accessory joint motions are typically described as
glides, spins, and rolls
Glide
is a linear motion of motion of one surface sliding over another
Roll
a rotary motion similar to the bottom of a rocking chair rolling over the floor or a tire rolling over a road
Spin
a rotary motion around a fixed point or axis
Osteokinematic Motion
accessory motions usually occur in combination with each other and result in angular movement of the bone shaft
Roll-gliding
the combinations of translatory glide and the rotary motion of rolling
The combination of a roll and glide allows for increased ROM by
recentering the moving surface on the stable surface
Shoulder (glenohumeral) Pattern
Maximum loss of ER
Moderate loss of abduction
Minimum loss of IR
Elbow Complex Pattern
Flexion loss is greater than extension loss
Forearm Pattern
equally restricted in Pronation and supination
Wrist Pattern
equal restrictions in flexion and extension
Carpometacarpal Joint I Pattern
Abductions and extension restriction
Carpometacarpal Joints II-V Pattern
equally restricted in all directions
Finger Interphalangeal Pattern
Flexion loss is greater than extension loss
Hip Pattern
Maximum loss of IR, Flexion, abduction
Minimum loss of extension
Knee (tibiofemoral joint) Pattern
Flexion loss is greater than extension loss
Ankle (talocrural joint) pattern
Plantarflexion loss is greater that extension loss
Subtalar Joint Pattern
Restricted varus motion
Midtarsal joint Pattern
Restricted dorsiflexion, plantarflexion, abduction and medial rotation
Metatarsophalangeal Joint I Pattern
Extension loss is greater than flexion
Metatarsophalangeal Joints II-V Pattern
Variable, tend toward flexion restriction
Interphalangeal Joints Pattern
Tend toward extension restriction
