Abnormal End-Feels Flashcards

1
Q

Produced by articular surface rebounding from intra-articular meniscus or disc; if forced further, something will give way

A

Springy

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2
Q

Rebound sensation as if pushing off from a rubber pad

A

Springy

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3
Q

Example of normal springy end-feel…

A

Axial compression of C/s

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4
Q

Knee flexion or extension c displaced meniscus

A

Springy

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5
Q

Produced by viscous fluid (blood) within joint

A

Boggy

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6
Q

“Squishy” sensation as joint is moved toward its end range; further forcing feels as if it will burst joint

A

Boggy

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7
Q

Hemarthrosis @ knee

A

Boggy

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8
Q

Produced by reflex and reactive muscle contraction in response to irritation of nociceptor, predominantly in articular structures and muscle; further forcing feels as if nothing will give

A

Spasm

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9
Q

Abrupt and “twangy” end to movement that is unyielding while the structure is being threatened but disappears when threat is removed (kicks back)

A

Spasm

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10
Q

With joint inflammation, it occurs early in range, especially toward close-packed position, to prevent further stress

A

Spasm

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11
Q

With irritable joint hypermobility, it occurs @ end of what should be normal range, as it prevents excessive motion from further stimulating the nociceptor

A

Spasm

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12
Q

Spasm in grade II muscle tears becomes apparent as muscle is passively lengthened and is accompanied by a painful weakness of that muscle

A

Spasm

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13
Q

Is muscle guarding an end-feel?

A

No ==> involves co-contraction

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14
Q

Significant traumatic arthritis, recent traumatic hypermobility, and grade II muscle tears

A

Spasm

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15
Q

Produced solely by pain; frequently caused by serious and severe pathological changes that do not affect joint or muscle and so do not produce spasm; demonstration of this end-feel is, with exception of acute subdeltoid bursitis, de facto evidence of serious pathology; further forcing increases pain to unacceptable levels

A

Empty

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16
Q

Limitation of motion has no tissue resistance component, and resistance is from patient being unable to tolerate further motion due to severe pain; it is not the same feeling as voluntary guarding, but rather feels as if Pt. is both resisting and trying to allow movement simultaneously

A

Empty

17
Q

Acute subdeltoid bursitis

Sign of the buttock

A

Empty

18
Q

Not truly an end-feel, as facilitated hypertonicity does not restrict motion, but it can be perceived near end-range

A

Facilitation

19
Q

Light resistance as from constant light muscle contraction throughout latter half of range that does not prevent end of range being reached; resistance unaffected by rate of movement

A

Facilitation

20
Q

Spinal facilitation at any level

A

Facilitation