What does it mean when you have an end feel?
This type of end-feel is usually abnormal in nature as it is most likely that the motion has been stopped before the end of range and the client may report pain. This type of end-fel is usually caused by a piece of loose soft tissue (e.g. torn cartilage in the knee) blocking normal motion.
What is an example of normal end feel?
Tissue stretch is the most common type of normal end feel; it is found when the capsule and ligaments are the primary restraints to movement. Examples are lateral rotation of the shoulder,and knee and metacarpophalangeal joint extension. Normal end feel
What is the difference between capsular and firm end-feel?
This end-feel is similar to a capsular end-feel although the ROM is limited by the stretch of a muscle or tendon. The ROM will end firmly, although there can be a little give as the stretch of soft tissue occurs. The difference between a capsular and a firm end-feel is that the firm end-feel will not have a leathery effect.
What is capsular end feel?
A true capsular end feel occurs when the joint capsule is the primary limitation to the end range of motion. Some authors have called this end feel the “tissue stretch” end feel and extended it to other tissues, such as muscles, that may stretch normally at the end of their range of motion.
What are the types of end feel?
a characteristic sensation perceived by the examiner when the end of joint range of motion is reached. The six types of joint end feel most often used are bone to bone, soft tissue approximation, spasm end feel, empty end feel, capsular end feel, and springy block.
What does a soft end feel mean?
Introduction. Normal soft end-feel. The "End Feel" is a type of sensation or feeling which the examiner experienced when the joint is at the end of its available passive range of motionie in assessment.
What does a capsular end feel feel like?
When a joint capsule or ligaments are stretched at the end of range, the end-feel can be described as 'capsular'. This will feel 'leathery' – the joint will allow no further movement but there may be some minor give, similar to that felt when stretching leather.
What is the end feel for knee flexion?
END-FEEL. Normal end-feels for knee flexion are soft (soft tissue approximation) with the hip flexed and firm (muscular) and with the hip extended. Normal end-feels for knee extension are firm (capsular/ligamentous) with the hip extended and firm (muscular) with the hip flexed.
What is the normal end feel for shoulder flexion?
A normal range of motion for shoulder flexion is 180 degrees. This involves moving your arms from palms against the side of your body to the highest point you can raise your arms over your head.
How do you assess end feel?
0:301:55IFAST Assessment: End Feel - YouTubeYouTubeStart of suggested clipEnd of suggested clipSometimes it's just soft tissue approximation if i bend someone's knee and i bring their calf toMoreSometimes it's just soft tissue approximation if i bend someone's knee and i bring their calf to their thigh the thing that typically stops us is the contact between the musculature.
Which of the following conditions would most likely cause an abnormally firm end feel?
Which of the following conditions would most likely cause an abnormally firm end-feel? Tightening of the joint capsule would most likely produce an abnormally firm end-feel.
How do you assess end feel?
0:301:55IFAST Assessment: End Feel - YouTubeYouTubeStart of suggested clipEnd of suggested clipSometimes it's just soft tissue approximation if i bend someone's knee and i bring their calf toMoreSometimes it's just soft tissue approximation if i bend someone's knee and i bring their calf to their thigh the thing that typically stops us is the contact between the musculature.
What is the end feel for elbow flexion?
The normal end-feel for elbow flexion is soft, because of the fact that soft tissue approximation normally limits motion. The normal end-feel for elbow extension is hard as the olecranon process of the ulna becomes wedged in the olecranon fossa of the humerus.
What is the normal end feel for shoulder flexion quizlet?
It has a soft, "wet sponge" feel.
What is the difference between a capsular and a firm end feel?
The difference between a capsular and a firm end-feel is that the firm end-feel will not have a leathery effect.
What causes end feel in ROM?
This type of end-fel is usually caused by a piece of loose soft tissue (e.g. torn cartilage in the knee) blocking normal motion. In addition to the limited ROM and client pain, this type of end-feel is spongy and there may be some ‘spring back’ as the soft blockage is encountered.
What does it mean when a SMT feels a bone on bone contact?
Bone on Bone. When the end of range is encountered, the SMT will feel the bone on bone contact as the articular surfaces meet. This end-feel will be hard and abrupt. If the SMT feels any grating, grinding or juddering towards the end of this range or if the ROM is limited, it is likely that this is abnormal.
What joint feels soft?
This joint end-feel is soft as it occurs when two soft tissue masses meet one another, limiting further movement e.g. when the hamstrings and calf complex meet during knee flexion, it feels soft and cushioned.
Can a SMT sense a muscle spasm?
The client may recoil and report pain as ROM is progressed, giving a similar feel to a spongy block. The SMT may be able to sense the spasm itself, although it would be unwise to stress the joint further once client pain is perceived.
What is the end feel?
1. Bone to bone – This is the sensation when motion is stopped by two bones contacting one another. An example is the end feel ...
What does end feel mean in extension?
The end feel for a particular joint may be the joint’s normal end feel, or it may be pathological in nature. For example, in elbow extension, the normal end feel would be bone to bone as the olecranon process contacts the posterior aspect of the olecranon fossa. If you were performing a passive range-of-motion evaluation with your client and you got a tissue stretch end feel for the elbow in extension, it would most likely indicate some form of restricted range of motion that should be treated.
What is the end feel of the shoulder?
Capsular – This is the end feel described for range of motion limited at the end by the joint capsule. The sensation often described is a “leathery” feel to the end of the motion, such as in external rotation of the shoulder. A true capsular end feel occurs when the joint capsule is the primary limitation to the end range of motion.
What is the sensation when motion is stopped by two bones contacting one another?
Bone to bone – This is the sensation when motion is stopped by two bones contacting one another. An example is the end feel for extension of the elbow. Muscle spasm – When muscles are in spasm, they may abruptly halt motion prior to what should be the normal range of motion.
What is an example of a flexor?
An example is in flexion of the elbow, in which the elbow flexors and wrist flexors press on each other to limit further motion. Empty – This end feel has no mechanical limitation to the end of the range, but the client will not let you go any farther because of excessive pain.
What is joint end feel?
a characteristic sensation perceived by the examiner when the end of joint range of motion is reached. The six types of joint end feel most often used are bone to bone, soft tissue approximation, spasm end feel, empty end feel, capsular end feel, and springy block.
What is abnormal end feel?
The feeling may be soft as when two muscle groups are compressed or soft tissues are stretched, firm as when a normal joint or ligament is stretched, or hard as when two bones block motion. Abnormal end feels may include a springy sensation when cartilage is torn within a joint, muscle guarding when a muscle involuntarily responds to acute pain, or muscle spasticity when there is increased tone due to an upper motor neuron lesion or when the feeling is different from that normally experienced for the joint being tested.
What was the hope of the West End in 1979?
1979: The hope was expressed of creating a West End feelto Liverpool's theatreland, by co-ordinating events at the Empire, Royal Court and Playhouse theatres and even transferring shows between theatres,according to ticket demand.
What is a normal firm end feel?
T or F: A normal firm end feel is described as soft tissue approximation
What is end feel?
End-feel describes the type of resistance that is felt by the therapist when passively moving a joint through the end range of motion. Elbow extension would tend to produce a hard end-feel due to the olecranon process coming into contact with the olecranon fossa.
What causes a soft end feel?
Osteoarthritis and osteophyte formation typically cause an abnormally hard end-feel. Ligamentous instability typically causes an abnormally soft end-feel.
Why is the end feel for glenohumeral medial rotation firm?
The anticipated end-feel for glenohumeral medial rotation is firm because of tension in the posterior joint capsule and the infraspinatus and teres minor muscles.
What is soft end feel for knee flexion?
A soft end-feel for knee flexion is the result of soft tissue approximation of the posterior thigh and the posterior calf region.
Why does end feel empty?
An empty end-feel results from the patient being unable to tolerate further range of motion because of pain and not the result of actual tissue resistance.
When a patient's elbow is moved passively into terminal extension, the anticipated end-feel would be bone to?
When a patient's elbow is moved passively into terminal extension, the anticipated end-feel would be bone to bone due to the approximation of the olecranon process and the olecranon fossa.
