

#Springy block end feel full
It occurs most often in joints in which a piece of loose cartilage (like the meniscus in the knee) may be blocking full motion and causing the limbs to “bounce back” a bit. Springy block – This end feel is the sensation of motion stopping short of where it should, accompanied by a rubbery or springy sensation at the end. An example of the tissue stretch with muscles would be hip flexion with the knee held in extension, in which motion is stopped by the hamstrings. 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. A true capsular end feel occurs when the joint capsule is the primary limitation to the end range of motion. The sensation often described is a “leathery” feel to the end of the motion, such as in external rotation of the shoulder. It is likely that pain will be felt at the end of this range, because the muscle in spasm will be stretched.Ĭapsular – This is the end feel described for range of motion limited at the end by the joint capsule. Muscle spasm – When muscles are in spasm, they may abruptly halt motion prior to what should be the normal range of motion. An example is the end feel for extension of the elbow. 1īone to bone – This is the sensation when motion is stopped by two bones contacting one another.

James Cyriax, the British orthopedic physician who developed one of the most commonly used systems for physical examination, specified six different end feels when he first described them in his writings. The end feel can reveal a great deal about the nature of various pathologies. The end feel is the quality of movement perceived by the practitioner at the very end of the available range of motion. One of the most important factors to investigate with passive range-of-motion testing is the end feel. It is important to have the greatest degree of muscular relaxation prior to beginning the movement, to improve the accuracy of the evaluation and eliminate muscular effort as the cause of any pain that is felt. To perform a passive movement evaluation, the practitioner instructs the client to relax as much as possible preceding the movement. Valuable information can be derived from thorough examination of the end feel. In this article, we will focus particular attention on the “end feel” that is evaluated during passive range-of-motion testing.

#Springy block end feel how to
While many massage practitioners have been exposed to the fundamental concepts of active and passive range-of-motion testing, most have not learned how to use this information effectively in a clinical environment. Some of the most valuable assessment information is derived from relatively simple procedures such as passive range-of-motion tests.
