End-Feel
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End-Feel[edit | edit source]
The end of each motion at each joint is limited from further movement by particular anatomical structures. The type of structure that limits a joint has a characteristic feel, which may be detected by the therapist performing the passive ROM. This feeling, which is experienced by the therapist as resistance, or a barrier to further motion, is called the end-feel
Purpose[edit | edit source]
A proper evaluation of end feel can help the examiner
- To assess the type of pathology present
- To identify the limiting structures and choose focused and effective treatment
- Determine a prognosis for the condition
- And learn the severity or stage of the problem
Developing the ability to determine the type of end feel takes practice and sensitivity. When assessing passive movement, the examiner should apply overpressure at the end of the ROM to determine the quality of end feel ( the sensation the examiner "feels" in the joint as it reaches the end of the ROM ) of each passive movement.
Passive ROM, particularly towards the end of the motion, must be performed slowly and carefully, when testing end feel. Secure stabilization of the bone proximal to the joint being tested is critical in preventing multiple joints and structure from moving and interfering with the determination of the end feel
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