SlideShare a Scribd company logo
P H Y S I O _ R E H A B _ A P
END FEEL
By - Dr. Anjali Parmar (MPT-MSSS)
Normal
Abnormal
P
H
Y
S I O _ R E H A B
_
A
P
P
H
Y
S I O _ R E H A B
_
A
P
The motion of aa the joint is limited
a particular anatomical structure as
its end range prevents the joint to
move further in that direction.
The type of structure limiting the
joint range of motion has a specific
feeling that can be perceived by
the examiner when the movement
is performed passively, it is
referred as end fell.
END FEEL
A
P
H
Y
S I O _ R E H A B
_
A
P
NORMAL ROM
SOFT END FEEL
FIRM END FEEL
HARD END FEEL
NORMAL
END FEEL
ABNORMAL
END FEEEL
END FEEL
BEFORE REACH NORMAL ROM
ABNORMAL SOFT END FEEL
ABNORMAL FIRM END FEEL
ABNORMAL HARD END FEEL
ABNORMAL EMPTY END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
Physiological
End Feel
Pathological
End Feel
physio_rehab_ap
It is also known as mushy end feel. it occurs when soft structures, such as
muscle or subcutaneous fats get compressed between the proximal and
distal part of joint.
ex. end feel of knee flexion ; it is restricted by the muscles of the back of
the thigh and leg.
physio_rehab_ap
NORMAL END FEEL
SOFT END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
A firm end feel gives the sensation of a firm, elastic response with a slight
give.
ex. Carpal flexion in the normal patient will have a firm end feel.
physio_rehab_ap
NORMAL END FEEL
FIRM END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
It occurs when there is bone to bone approximation at the end of ROM. A
bone to bone block is felt by the therapist and the joint stops abruptly at
that range.
ex. elbow extension; the olecranon process lodges into the olecranon
fossa restricting further motion.
physio_rehab_ap
NORMAL END FEEL
HARD END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
The sensation is same as that of normal range soft end feel but occure
before the normal range is achieved.
ex. Synovitis of Joint.
physio_rehab_ap
ABNORMAL END FEEL
ABNORNAL SOFT END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
The springy end feel felt before the normal range is reached. it is du to
ligament muscle or capsule. The firmness varies in a very wide range from
mild to severe.
ex. end feel in frozen shoulder.
physio_rehab_ap
ABNORMAL END FEEL
ABNORMAL FIRM END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
there is bony mechanical block to ROM which prevents further
movements
ex. myositis ossification , loose body inside the joint.
physio_rehab_ap
ABNORMAL END FEEL
ABNORMAL HARD END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
It is a false end feel as the examiner do not reach the end of motion and
she herself do not feel any resistance to the movement but the patient
do not allow the examiner to mov into further ROM due to severe pain.
ex. acute infection , acute inflammation, recent trauma , and relfx
sympathetic dystrophy (RSD)
physio_rehab_ap
ABNORMAL END FEEL
EMPTY END FEEL
P
H
Y
S I O _ R E H A B
_
A
P
P
H
Y
S I O _ R E H A B
_
A
P
Assessment of end feel though requires a lot of
experience. it is a very important part of
assessment. it helps to
Find out the presence or absence of any
pathology
identify he structure, limiting the ROM , an
plan the treatment protocol based n that
identify he contraindication , if any
predict the prognosis of the condition
CAUSES OF RESTRICTION OF JOINT RANGE
OF MOTION
All the causes of restriction of ROM of a
joint can be explained under the following
headings:
abnormalities within the joint.
abnormalities of the ligament and cause
of joint.
abnormalities in the muscles around the
joint.
P
H
Y
S I O _ R E H A B
_
A
P
T
hankyo
u
Contact
information:
Instagram
Linkedin
E-Mail :
physio4health22.gmail.com

More Related Content

Similar to End Feel -joint end feel - Normal and Abnormal end feel

Reflexes
ReflexesReflexes
Assessment of shoulder injuries in primary care
Assessment of shoulder injuries in primary care Assessment of shoulder injuries in primary care
Assessment of shoulder injuries in primary care
Monis Khan
 
Introduction To Strain Counterstrain Techniques.
Introduction To Strain Counterstrain Techniques.Introduction To Strain Counterstrain Techniques.
Introduction To Strain Counterstrain Techniques.
Quratulain Naveed
 
Hip and spine syndrome (PMR)
Hip and spine syndrome (PMR)Hip and spine syndrome (PMR)
Hip and spine syndrome (PMR)
mrinal joshi
 
posture.2....pdf
posture.2....pdfposture.2....pdf
posture.2....pdf
siddhimeena3
 
Diagnosis final 1
Diagnosis final 1Diagnosis final 1
Diagnosis final 1
Indian dental academy
 
Plantar reflex
Plantar reflexPlantar reflex
Plantar reflex
Himanshu Samaiya
 
Musculoskeletal Injuries
Musculoskeletal Injuries Musculoskeletal Injuries
Musculoskeletal Injuries
paramedicbob
 
Brunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptxBrunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptx
DrUsmanYakubuYolaDok
 
Hip PT Assessment.pptx
Hip PT Assessment.pptxHip PT Assessment.pptx
Hip PT Assessment.pptx
praveen Kumar
 
Positional release technique
Positional release techniquePositional release technique
Positional release technique
Hemant Aggarwal
 
Back Pain
Back PainBack Pain
Back Pain
meducationdotnet
 
Neurological assessment.
Neurological assessment.Neurological assessment.
Neurological assessment.
Gianne Gregorio
 
Hipsters Unite! Explore the hip's role in patients with low back pain
Hipsters Unite! Explore the hip's role in patients with low back painHipsters Unite! Explore the hip's role in patients with low back pain
Hipsters Unite! Explore the hip's role in patients with low back pain
Eric Robertson
 
Case Report NS
Case Report NSCase Report NS
Case Report NS
guest18a27ea
 
Presentation about late responses f wave h reflex.ppt
Presentation about late responses f wave h reflex.pptPresentation about late responses f wave h reflex.ppt
Presentation about late responses f wave h reflex.ppt
ArditTela1
 
Thoracolumbar fractures
Thoracolumbar fracturesThoracolumbar fractures
Thoracolumbar fractures
Rishit Soni
 
Nervous system examination
Nervous system examinationNervous system examination
Nervous system examination
Pritom Das
 
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
Dr. Pratyush Velaskar
 
Ankle
AnkleAnkle

Similar to End Feel -joint end feel - Normal and Abnormal end feel (20)

Reflexes
ReflexesReflexes
Reflexes
 
Assessment of shoulder injuries in primary care
Assessment of shoulder injuries in primary care Assessment of shoulder injuries in primary care
Assessment of shoulder injuries in primary care
 
Introduction To Strain Counterstrain Techniques.
Introduction To Strain Counterstrain Techniques.Introduction To Strain Counterstrain Techniques.
Introduction To Strain Counterstrain Techniques.
 
Hip and spine syndrome (PMR)
Hip and spine syndrome (PMR)Hip and spine syndrome (PMR)
Hip and spine syndrome (PMR)
 
posture.2....pdf
posture.2....pdfposture.2....pdf
posture.2....pdf
 
Diagnosis final 1
Diagnosis final 1Diagnosis final 1
Diagnosis final 1
 
Plantar reflex
Plantar reflexPlantar reflex
Plantar reflex
 
Musculoskeletal Injuries
Musculoskeletal Injuries Musculoskeletal Injuries
Musculoskeletal Injuries
 
Brunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptxBrunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptx
 
Hip PT Assessment.pptx
Hip PT Assessment.pptxHip PT Assessment.pptx
Hip PT Assessment.pptx
 
Positional release technique
Positional release techniquePositional release technique
Positional release technique
 
Back Pain
Back PainBack Pain
Back Pain
 
Neurological assessment.
Neurological assessment.Neurological assessment.
Neurological assessment.
 
Hipsters Unite! Explore the hip's role in patients with low back pain
Hipsters Unite! Explore the hip's role in patients with low back painHipsters Unite! Explore the hip's role in patients with low back pain
Hipsters Unite! Explore the hip's role in patients with low back pain
 
Case Report NS
Case Report NSCase Report NS
Case Report NS
 
Presentation about late responses f wave h reflex.ppt
Presentation about late responses f wave h reflex.pptPresentation about late responses f wave h reflex.ppt
Presentation about late responses f wave h reflex.ppt
 
Thoracolumbar fractures
Thoracolumbar fracturesThoracolumbar fractures
Thoracolumbar fractures
 
Nervous system examination
Nervous system examinationNervous system examination
Nervous system examination
 
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
SYBPO - Orthotics - AIIPMR notes - Orthotic knee joints
 
Ankle
AnkleAnkle
Ankle
 

Recently uploaded

OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
KafrELShiekh University
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
chiranthgowda16
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
Torstein Dalen-Lorentsen
 
All info about Diabetes and how to control it.
 All info about Diabetes and how to control it. All info about Diabetes and how to control it.
All info about Diabetes and how to control it.
Gokuldas Hospital
 
Histopathology of Rheumatoid Arthritis: Visual treat
Histopathology of Rheumatoid Arthritis: Visual treatHistopathology of Rheumatoid Arthritis: Visual treat
Histopathology of Rheumatoid Arthritis: Visual treat
DIVYANSHU740006
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
AksshayaRajanbabu
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
MedicoseAcademics
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
NephroTube - Dr.Gawad
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital Powai News [Read Now].pdfHiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital Powai News [Read Now].pdf
Dr. Sujit Chatterjee CEO Hiranandani Hospital
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
suvadeepdas911
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathologypathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
ZayedKhan38
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
AyeshaZaid1
 

Recently uploaded (20)

OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1OCT Training Course for clinical practice Part 1
OCT Training Course for clinical practice Part 1
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
 
All info about Diabetes and how to control it.
 All info about Diabetes and how to control it. All info about Diabetes and how to control it.
All info about Diabetes and how to control it.
 
Histopathology of Rheumatoid Arthritis: Visual treat
Histopathology of Rheumatoid Arthritis: Visual treatHistopathology of Rheumatoid Arthritis: Visual treat
Histopathology of Rheumatoid Arthritis: Visual treat
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
Abortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentationAbortion PG Seminar Power point presentation
Abortion PG Seminar Power point presentation
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital Powai News [Read Now].pdfHiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital Powai News [Read Now].pdf
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathologypathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
 

End Feel -joint end feel - Normal and Abnormal end feel

  • 1. P H Y S I O _ R E H A B _ A P END FEEL By - Dr. Anjali Parmar (MPT-MSSS) Normal Abnormal P H Y S I O _ R E H A B _ A P P H Y S I O _ R E H A B _ A P
  • 2. The motion of aa the joint is limited a particular anatomical structure as its end range prevents the joint to move further in that direction. The type of structure limiting the joint range of motion has a specific feeling that can be perceived by the examiner when the movement is performed passively, it is referred as end fell. END FEEL A P H Y S I O _ R E H A B _ A P
  • 3. NORMAL ROM SOFT END FEEL FIRM END FEEL HARD END FEEL NORMAL END FEEL ABNORMAL END FEEEL END FEEL BEFORE REACH NORMAL ROM ABNORMAL SOFT END FEEL ABNORMAL FIRM END FEEL ABNORMAL HARD END FEEL ABNORMAL EMPTY END FEEL P H Y S I O _ R E H A B _ A P Physiological End Feel Pathological End Feel physio_rehab_ap
  • 4. It is also known as mushy end feel. it occurs when soft structures, such as muscle or subcutaneous fats get compressed between the proximal and distal part of joint. ex. end feel of knee flexion ; it is restricted by the muscles of the back of the thigh and leg. physio_rehab_ap NORMAL END FEEL SOFT END FEEL P H Y S I O _ R E H A B _ A P
  • 5. A firm end feel gives the sensation of a firm, elastic response with a slight give. ex. Carpal flexion in the normal patient will have a firm end feel. physio_rehab_ap NORMAL END FEEL FIRM END FEEL P H Y S I O _ R E H A B _ A P
  • 6. It occurs when there is bone to bone approximation at the end of ROM. A bone to bone block is felt by the therapist and the joint stops abruptly at that range. ex. elbow extension; the olecranon process lodges into the olecranon fossa restricting further motion. physio_rehab_ap NORMAL END FEEL HARD END FEEL P H Y S I O _ R E H A B _ A P
  • 7. The sensation is same as that of normal range soft end feel but occure before the normal range is achieved. ex. Synovitis of Joint. physio_rehab_ap ABNORMAL END FEEL ABNORNAL SOFT END FEEL P H Y S I O _ R E H A B _ A P
  • 8. The springy end feel felt before the normal range is reached. it is du to ligament muscle or capsule. The firmness varies in a very wide range from mild to severe. ex. end feel in frozen shoulder. physio_rehab_ap ABNORMAL END FEEL ABNORMAL FIRM END FEEL P H Y S I O _ R E H A B _ A P
  • 9. there is bony mechanical block to ROM which prevents further movements ex. myositis ossification , loose body inside the joint. physio_rehab_ap ABNORMAL END FEEL ABNORMAL HARD END FEEL P H Y S I O _ R E H A B _ A P
  • 10. It is a false end feel as the examiner do not reach the end of motion and she herself do not feel any resistance to the movement but the patient do not allow the examiner to mov into further ROM due to severe pain. ex. acute infection , acute inflammation, recent trauma , and relfx sympathetic dystrophy (RSD) physio_rehab_ap ABNORMAL END FEEL EMPTY END FEEL P H Y S I O _ R E H A B _ A P
  • 11. P H Y S I O _ R E H A B _ A P Assessment of end feel though requires a lot of experience. it is a very important part of assessment. it helps to Find out the presence or absence of any pathology identify he structure, limiting the ROM , an plan the treatment protocol based n that identify he contraindication , if any predict the prognosis of the condition
  • 12. CAUSES OF RESTRICTION OF JOINT RANGE OF MOTION All the causes of restriction of ROM of a joint can be explained under the following headings: abnormalities within the joint. abnormalities of the ligament and cause of joint. abnormalities in the muscles around the joint. P H Y S I O _ R E H A B _ A P