What is normal shoulder end feel?

Bony end feel is a hard (abrupt) sensation that is blocked by bone, and is painless in the normal patient. An example of normal bony end feel is elbow extension. Try this on yourself.

What are the abnormal end feels?

Cyriax describes abnormal-pathologic end-feels as capsular, before normal full range is reached (some- times called early capsular), spasm, springy block, and empty. An early capsular end-feel is again the “hardish arrest of movement, with some give in it” occurring at the end of the patient’s limited range of motion.

What is a capsular end feel?

Capsular – indicates that the joint capsule is limiting the ROM. Feels like stretching a leather belt. Example – knee extension. Ligamentous – indicates that ligament tightness is limiting the ROM. Feels like stretching a leather belt.

What joints have a soft end-feel?

Tissue approximation 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.

What is the capsular pattern for the shoulder?

James Cyriax, 1905–1985, Orthopaedic Surgeon in England) referred to this evolutional sequence of movement pattern typical for the given joint “capsular pattern”. In the shoulder joint it begins with limitation of external rotation, then abduction and ends with limitation of internal rotation.

What is a normal end feel?

Probably the most common normal end feel in the body is a firm end feel. This is caused by tension in soft tissues, such as during movements of the wrist.

What is the “end feel”?

end feel. In physical therapy and rehabilitation, the feeling experienced by an evaluator when overpressure is applied to tissue at the end of the available passive range of motion. It is interpreted as abnormal when the quality of the feel is different from normal response at that joint.

What does end feel mean?

end feel. a characteristic sensation perceived by the examiner when the end of joint range of motion is reached.

What does soft end feel mean?

Elastic (Soft) – This is when the end of the movement is caused by a muscle or other soft tissue stretching and then reaching the end of its range of motion. This is similar to capsular, although not all sources refer to it as separate to the capsular end feel and some replace the capsular end feel with this designation.