Normal and Abnormal End Feels

Includes information from page 45 from Final Frontier book online

What are examples of normal end feels

Some bone to bone
Soft tissue approximation
Tissue stretch

What are examples of abnormal end feels

Early and late muscle spasm
Mushy tissue stretch
Spasticity
Hard and soft capsular
Some bone to bone
Empty
Springy block

Normal Bone to Bone End Feel example

Elbow extension

Normal Soft Tissue Approximation End Feel example

Knee flexion

Normal Tissue Stretch End Feel examples

Ankle DF, Shoulder ER, Finger extension

Early Muscle Spasm

Protective spasm following injury

Late Muscle Spasm

Spasm due to instability or pain

“Mushy” Tissue Stretch

Tight muscle

Spasticity

UMN lesion

Hard capsular

Frozen shoulder
Heterotropic ossification or other bony obstruction

Soft capsular

Synovitis, soft tissue edema

Abnormal Bone to Bone

Osteophyte formation

Empty

Acute subacromial bursitis
Muscle guarding or pain

Springy Block

Meniscus tear or displacement