Springy block full#
Springy block free#

Springy block free#

Weak & Pain вЂ“ Free ROM MovementВ вЂ“ may indicate a rupture of a muscle or lack of integrity of the nerve supply to that muscle.

Strong & Painful ROMВ Movement вЂ“ may indicate a local lesion of the muscle or tendon that is contracting ex.

StrongВ & Pain вЂ“ Free ROM Movement- likely no lesion on the contractile tissue.

ROM TESTING: 4 Classic Patterns & Pathology Example: acute moderate to severe sprain, ligamentous injury

Boggy or Soft End Feel вЂ“ occurs if you have a joint effusion or edema вЂ“ mushy withВ soft quality to it -may indicate acute inflammation.

Soft Capsular- more often seen with acute conditions-stiffness occurs early in the range, increasing until the end of the range is reached.

Hard Capsular вЂ“ thick quality and the limitation comes on abruptly.

Leathery End Feel (Capsular Stretch End Feel) вЂ“ similar to tissue stretch but occurs when the ROM is reduced.

torn meniscus wonвЂ™t be able to extend knee fully) Example: loose cartilage, meniscal tissue within joints (eg. Usually occurs before the end of the normal ROM.

Springy Block End FeelВ (Internal Derangement) вЂ“ springy or rebound sensation in a non-capsular pattern.

Example: acute bursitis, joint inflammation

Springy block full#

Maybe full range of motion but with pain.

Empty End Feel вЂ“ No physical restriction to the movement but with considerable pain.

Reflexive (protective) muscle guarding designed to prevent further injury.

Muscle Spasm End Feel вЂ“ sudden and hard dramatic arrest of movement accompanied by pain which is invoked by the movement.

Restriction occurs before the normal end of range movement caused by osteophytes, degenerative joint disease, mal-union of joint following a fracture etc.

Bone to Bone ( Bony) End Feel вЂ“ occurs when one would not expect to find a bone to bone end feel вЂ“ hard, unyielding end feel.

Example: lateral flexion of the cervical spineДЄbnormal End Feel is when the range of the joint is less or greater than normal and is painful, or when a structure other than the normal anatomy of the joint stops the motion 6 Classic ABNORMALВ End Feels

Tissue Stretch вЂ“ there is a firm, springy type of movement with a slight give towards the end of the range of motion- normal elastic resistance that is felt when stretching soft tissue.

Soft Tissue Approximation вЂ“ full range of motion is restricted by the normal muscular bulk- feeling of soft compression and is panless.

Bony End Feel вЂ“ (bone to bone) вЂ“ this is a hard, unyielding, abrupt sensation that is painless.

Normal end feel is when the joint has full ROM and the range is stopped by the anatomy of the joint

Active Resisted ROM Testing -either the patient is asked to contract the muscles while the therapist resists to prevent movement from occuring OR the therapist exerts pressure against the patientвЂ™s contraction so that the patient prevents movement from occurring.

Passive Forced ROM Testing вЂ“ when the end of the available passive range of motion is reached, the therapist applies a gradual controlled pressure (overpressure) to assess the quality of the tissue resistance to motion.

Passive Relaxed ROM Testing вЂ“ the therapist moves the joint passively throught the motions of that joint, noting any restrictions or hypermobility in the range.Active Assisted ROM Testing вЂ“ theВ therapist assists by supporting the limb as the client moves within the pain-free range.Active Free ROM Testing -theВ patient actively moves the joint through the motions, relating at which point the pain occurs in the available range.