AT 250 Lecture Notes - Lecture 1: Nerve Root, Goniometer, Soft Tissue

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Attempt to categorize end feel (endpoint of rom): normal or abnormal. Soft tissue approximation: soft & spongy, gradual painless stop; yielding compression that stops further. Bone to bone- distinct and abrupt end point when 2 hard surfaces come in contact with one another. Capsular / ligamentous feel- abrupt, hard, firm end point w only a little give". Muscular feel- springy feel w some associated discomfort. Empty feel- no end feel is apparent; pain stops motion before resistance is felt. Muscle spasm/guarding- tight, restrictive feeling often from pain experienced at a point in the painful. Myotomes: group of muscles supplied by single nerve root. Dermatomes: area of skin supplied by one nerve root. Abnormal end feels range range, you hit full range, joint springs back a few degrees. Springy block- a stop and rebound at some point in rom. Tissue creates limitation in patients ability to reach full range; passively moving patient to full.

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