Week 3 Quiz LE Goni Flashcards
Define:
soft end feel
What are the TWO soft end feels of the body?
when end ROM is limited by soft tissue or “tissue on tissue”
elbow flex and knee flex
e.g. ROM of elbow flex limited by bicep musculature
Define:
hard end feel
What are the TWO hard end feels of the body?
when end ROM is limited by body tissue or “bone on bone”
elbow ext and knee ext
Define:
firm end feel
Name all the firm feels of the body.
when end ROM is limited by ligaments, joint caspules, or tendons or “tissue stretch”
ALL joints except elbow flex/ext and knee flex/ext
What is end feel?
What are the different types?
type of sensation or feeling clinician experiences when the jt reaches the end of its available PROM
hard feel, firm feel, soft feel
What are the three types of firm end feel?
muscular stretch
capsular stretch
ligamentous stretch
Give an example
muscular stretch
hip flexion with straight knee
passive tension of the hamstring
Give an example
capsular stretch
ext of MCP joints
tension in the ant capsule
Give an example
ligamentous stretch
forearm sup
tension in the palmar radioulnar ligament of the inferior radioulnar joint, interosseous membrane, oblique cord)
Give an example
abnormal firm end feel
increased tone
tighenting of a capsule
ligament shortening
Give an example
abnormal hard end feel
fracture
osteoporosis
Give an example
abnormal soft end feel
edema
ligament instability or tear
hip flex
What substitution do patients perform?
In what position should the motion be measured?
trunk flex, hip ABD/ADD
supine
hip ext
What substitution do patients perform?
In what position should the motion be measured?
trunk ext, trunk rot
prone
hip ABD
What substitution do patients perform?
In what position should the motion be measured?
trunk sidebending, hip ER
supine
hip ADD
What substitution do patients perform?
In what position should the motion be measured?
trunk sidebending
supine
