Iwona Flashcards
module 3 phys dis (20 cards)
What is soft normal end feel ?
When two body surfaces come together a soft compression of tissue is felt
What is soft normal end feel ? example
PROM elbow flexion
What is Firm normal end feel ?
Firm/springy sensation
What is Firm normal end feel ? example
MCP extension
What is Capsular normal end feel?
hard/firm stretch (stretching leather)
What is Capsular normal end feel? example
PROM shoulder ER
What is hard abnormal end feel? give examples
Abrupt hard stop to motion or a grating sensation (loose bodies in a joint, fracture)
What is soft abnormal end field? give examples
Boggy sensation (Soft tissue edema, synovitis)
What is firm abnormal end field? give examples
Springy sensation or hard arrest (ligament/muscular or capsular shortening)
What is empty abnormal end field? give examples
Unable to get to end range (usually due to pain
What is Springy Block – Bouncy abnormal end field? give examples
indicates loose body (knee with torn meniscus)
What is Spasm abnormal end field? give examples
(no pain = tone, pain = arthritis, fx)
What is Reliability?
“the extent to which the instrument yields the same repeated measure” Clarkson (2013)
What can be invalid if proper protocol is not followed?
validity
Give examples of Functional screen
Can you raise both arms up? Can you put them behind your head?
What you do when you Measure PROM
feel for restriction, identify issues, end feel (document)
What you do when you Measure AROM
identify cause of restrictions (pain, stiffness, weakness etc.)
what is Modified Kapandji Index?
Used for thumb opposition
WNL
Full ROM and does not have to be measured with a goniometer
WFL
Not full range of motion however does not effect function. Variable across therapists and patients.
