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Related Flashcards
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Cards In This Set
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Factors that can limit ROM (7)
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1. joint surfaces (normal or destroyed)
2. swelling in or close to the joint
3. muslce length (contractures, spasm)
4. muscle weakness
5. adhesions of soft tissue
6. capsule, ligamentous or muscular pathology
7. nerve compression or stetch
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- application of overpressure at the end of PROM of a joint will provide an
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End feel
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Sensation transmitted to the PT's hands when the end of range is obtained
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End feel
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Is the qualitative part of ROM assessment
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End feel
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Indicates whether the structures limiting the joint movements are normal or abnormal
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End feel
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Refers to the place at which the joint surfaces are most fully in contact with each other and there is max tension in the capsule and ligaments
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Closed packed position
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Refers to the point at which joint surfaces are not in close contact and parts of the joint capsule are lax
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Loose packed position
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Most space inside joint, generally position of most comfort with injury, less internal pressure, less swelling
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Loose packed position
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Capsule and ligaments are max taut, joint surfaces are in max congruency
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Closed packed position
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Parts of the capsule ar elax, joint surfaces are minimally congruent
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Loose packed position
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Full ROM is limited or stopped by the normal anatomy of the joint and surrounding tissues
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Normal end feel (physiological)
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Movement is stopped by structures other than from normal anatomy or the end feel is felt prior to the normal range of the joint
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Abnormal end feel (pathological)
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Normal end feel descriptors (4)
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1. hard (bony)
2. soft (soft tissue apposition)
3. stretch (soft tissue stretch)
4. firm (capsular)
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An abrupt hard stop to joint movement when bone contacts bone
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Hard normal
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Ex. elbow extension
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Hard normal
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