Week 3 Quiz LE Goni Flashcards by Amber Lindsey

Q

Define:

soft end feel

What are the TWO soft end feels of the body?

A

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

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Q

Define:

hard end feel

What are the TWO hard end feels of the body?

A

when end ROM is limited by body tissue or “bone on bone”

elbow ext and knee ext

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Q

Define:

firm end feel

Name all the firm feels of the body.

A

when end ROM is limited by ligaments, joint caspules, or tendons or “tissue stretch”

ALL joints except elbow flex/ext and knee flex/ext

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Q

What is end feel?
What are the different types?

A

type of sensation or feeling clinician experiences when the jt reaches the end of its available PROM

hard feel, firm feel, soft feel

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Q

What are the three types of firm end feel?

A

muscular stretch
capsular stretch
ligamentous stretch

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Q

Give an example

muscular stretch

A

hip flexion with straight knee

passive tension of the hamstring

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Q

Give an example

capsular stretch

A

ext of MCP joints

tension in the ant capsule

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Q

Give an example

ligamentous stretch

A

forearm sup

tension in the palmar radioulnar ligament of the inferior radioulnar joint, interosseous membrane, oblique cord)

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Q

Give an example

abnormal firm end feel

A

increased tone
tighenting of a capsule
ligament shortening

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Q

Give an example

abnormal hard end feel

A

fracture
osteoporosis

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Q

Give an example

abnormal soft end feel

A

edema
ligament instability or tear

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Q

hip flex

What substitution do patients perform?
In what position should the motion be measured?

A

trunk flex, hip ABD/ADD
supine

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Q

hip ext

What substitution do patients perform?
In what position should the motion be measured?

A

trunk ext, trunk rot
prone

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Q

hip ABD

What substitution do patients perform?
In what position should the motion be measured?

A

trunk sidebending, hip ER
supine

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Q

hip ADD

What substitution do patients perform?
In what position should the motion be measured?

A

trunk sidebending
supine

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Q

hip ER

What substitution do patients perform?
In what position should the motion be measured?

A

pelvis elevates on the opposite side
sitting

Q

hip IR

What substitution do patients perform?
In what position should the motion be measured?

A

pelvis elevates on the same side
sitting

Q

kne flex

What substitution do patients perform?
In what position should the motion be measured?

A

hip flex (supine)
hip ext (prone)*

*hip off table

Q

knee ext

What substitution do patients perform?
In what position should the motion be measured?

A

hip flex
sitting

Q

ankle DF

What substitution do patients perform?
In what position should the motion be measured?

A

knee ext (sitting)
knee flex (supine)

(no EV or IV)

Q

ankle PF

What substitution do patients perform?
In what position should the motion be measured?

A

knee flex
sitting

Q

ankle INV

What substitution do patients perform?
In what position should the motion be measured?

A

hip ER
sitting

Q

ankle EV

What substitution do patients perform?
In what position should the motion be measured?

A

hip IR
sitting

Q

hip flex

What is the normal ROM?
What is the alignment of the of the axis?
What is the alignment of the stationary arm?
What is the alignment of the moving arm?

A

120º
greater trochanter
lat midline of the pelvis
femoral lateral epicondyle

# hip ext What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

20º greater trochanter lat midline of the pelvis femoral lateral epicondyle

# hip ABD What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

45º ASIS horizontal line one ASIS to the other ant patellar midline

# hip ADD What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

30º ASIS horizontal line one ASIS to the other ant patellar midline

# hip ER What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

45º ant aspect of the patella perpendicular or parallel to floor ant midline lower leg

# hip IR What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

45º ant aspect of the patella perpendicular or parallel to the floor ant midline lower leg

# knee flex What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

115º femoral lat epicondyle greater trochanter fibular head and lat malleolus

# knee ext What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

0º femoral lat epicondyle greater trochanter fibular head and lat malleolus

# ankle DF What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

20º lateral malleolus fibular head fifth metatarsal

# ankle PF What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

50º lateral malleolus fibular head fifth metatarsal

# ankle INV What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

35º midpoint between malleoli tibial tuberosity second metatarsal

# ankle EV What is the normal ROM? What is the alignment of the of the axis? What is the alignment of the stationary arm? What is the alignment of the moving arm?

15º midpoint between malleoli tibial tuberosity second metatarsal