Flashcards in Normal End-Feels Deck (18)
Produced by bone-to-bone approximation...
Abrupt and unyielding; gives impression that further forcing will break something
Example of bony end-feel
Abnormal end-feel c C/s rot...
Bony ==> osteophytes
Produced by muscle-tendon unit; may occur c adaptive shortening
Stretches c elastic recoil and exhibits constant-length phenomenon; further forcing feels as if it will snap something
Examples of elastic end-feel?
Wrist flexion c finger flexion
Ankle DF c knee extended
Abnormal end-feel of decreased DF c knee flexed
Produced by contact of two muscle bulks on either side of a flexing joint where joint range exceeds other restraints
Very forgiving end-feel that gives impression that further normal motion is possible if enough force could be applied
Example of soft-tissue approximation end-feel...
Knee flexion in muscular Pt.
Elbow flexion in muscular Pt.
Abnormal elbow flexion end-feel in obese Pt.
Produced by capsule or ligaments
Various degrees of stretch s elasticity; stretch ability dependent on thickness of tissue
Strong capsular or extracapsular ligaments produce hard capsular end-feel, whereas thin capsular produces softer one
Impression given to clinician ==> further force application will tear something
Examples of capsular end-feels...
Wrist flexion (soft)
Elbow flexion in SUP (medium)
Knee extension (hard)