Scapulothoracic: Flexion = elastic, firm–bony contact Abduction= elastic Scaption = elastic IR/ER = elastic/firm Horizontal Adduction = soft tissue Extention = firm Horizontal Abduction= firm/elastic Manual Therapy, Normal end feel of different joints, Sukhera Illustratorz, Muhammad Arslan Yasin

1. Manual Therapy
Topic:
Normal End Feel of Different Joints
By:
Muhammad Arslan Yasin
Subject:
Manual Therapy
Sukhera Illustratorz

2. Joint Structure Normal End Feel
Scapulothoracic Flexion = elastic, firm–bony contact
Abduction= elastic
Scaption = elastic
IR/ER = elastic/firm
Horizontal Adduction = soft tissue
Extention = firm
Horizontal Abduction= firm/elastic
Sternoclavicular
Acromioclavicular
Glenohumeral
Humeroulnar Flexion = soft tissue or bony approximation
Extention = bony approximationHumeroradial
Superior radioulnar
Supination = ligamentous
Pronation = bony approximation or ligamentous
Distal radioulnar
Pronation = capsular
Supination = capsular
Radiocarpal
Flexion = firm/ligamentous/elastic
Extention = firm/ligamentous/elastic
RD = bony
UD = firm/bony
Intercarpal
Flexion = firm/ligamentous/elastic
Extention = firm/ligamentous/elastic
RD = bony
UD = firm/bony
CMC thumb Flexion/Extension/Abduction= Elastic
Sukhera
Illustratorz

3. MCP thumb
Flexion = bony/firm/ligamentous/elastic
Extention = firm/elastic
MCP 2–5
Flexion = elastic/bony/firm/ligamentous
Extention = elastic/capsular/ligamentous
Abduction= firm/ligamentous
IP 2–5
PIP Flexion = firm/bony/elastic
PIP Extention = firm/ligamentous/elastic
DIP Flexion = firm/ligamentous/elastic
DIP Extention = firm/ligamentous/elastic
Hip
Flexion & Adduction = elastic or tissue approx
SLR = elastic
Extention & Abduction= elastic/firm
IR & ER = elastic/firm
Tibiofemoral
Flexion = tissue approximation
Extention = elastic/firm
Patellofemoral ---------
Talocrural Elastic (tissue stretch) for all planes
Subtalar Elastic (tissue stretch) for all planes
Midtarsal Elastic (tissue stretch) for all planes
TMT Supination=Capsular
1st MTP Extentionension=Capsular
Sukhera
Illustratorz

4. 2–5 MTP Flexion/Extention = capsular, elastic
Abd/Adduction =ligamentous
IP
Flexion/Extention = capsular, elastic
Abd/Adduction =ligamentous
TMJ
Open = tissue stretch/elastic
Closed = bone-to-bone
Lumbopelvic Spine Elastic
Sukhera
Illustratorz

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