Abnormal End-Feels Flashcards Preview

MSK I - Principles Of Dx And Tx > Abnormal End-Feels > Flashcards

Flashcards in Abnormal End-Feels Deck (20)
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1

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

Springy

2

Rebound sensation as if pushing off from a rubber pad

Springy

3

Example of normal springy end-feel...

Axial compression of C/s

4

Knee flexion or extension c displaced meniscus

Springy

5

Produced by viscous fluid (blood) within joint

Boggy

6

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

Boggy

7

Hemarthrosis @ knee

Boggy

8

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

Spasm

9

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

Spasm

10

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

Spasm

11

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

Spasm

12

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

Spasm

13

Is muscle guarding an end-feel?

No ==> involves co-contraction

14

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

Spasm

15

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

Empty

16

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

Empty

17

Acute subdeltoid bursitis
Sign of the buttock

Empty

18

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

Facilitation

19

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

Facilitation

20

Spinal facilitation at any level

Facilitation