On October 23rd, 2014, we updated our
By continuing to use LinkedIn’s SlideShare service, you agree to the revised terms, so please take a few minutes to review them.
• Throughout the assessment, the examiner looks
for two sets of data:
• (1) what the patient feels (subjective) and
• (2) responses that can be measured or are found
by the examiner (objective).
• The scanning examination is a "quick look" or
scan of a part of the body involving the spine
• It is used to rule out symptoms, which may be
referred from one part of the body to another.
• It is divided into two scans• the upper limb scan and
• the lower limb scan.
• In the upper part of the body, the upper limb
scanning examination begins with the cervical
spine and includes the temporomandibular
joints, the entire scapular area, the shoulder
region, and the upper limbs to the fingers.
• In the lower part of the body, the examination
begins at the lumbar spine and continues to the
• The "scan" should add no more than 5 or 10
minutes to the assessment.
• The idea of the scanning examination was
developed by James Cyriax,
• who also, more than any other author,
originated the concepts of "contractile" and
"inert" tissue, "end feel," and "capsular
• contributed greatly to development of a
comprehensive and systematic physical
examination of the moving parts of the body.
Examination of Specific Joints
• End Feel
• There are three classic normal end feels.
• Soft-Tissue Approximation.
• Tissue Stretch.
• Capsular Patterns
• If the capsule of the joint is affected, the
pattern of proportional limitation is the
feature that indicates the presence of a
capsular pattern in the joint.
• Non-capsular Patterns
• a limitation that exists but does not
correspond to the classic capsular pattern
for that joint.