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Passive range of motion (PROM) end-feels
Subjective end-feel during PROM
End-feel Capsular Elastic Muscle Bony approximation Empty
Tissue
spasm
Tissue restricting motion Joint capsule tendon recoil Muscle pain Bone Soft tissues Unable to
Muscle/
determine
Next palpatory step Test joint Test muscle Test muscle
flexibility
play
flexibility
Indicated diagnostic procedure ultrasound, MRI, ultrasound, MRI, Musculoskeletal Radiographs, FNA/ultrasound source of pain
Variable –
Musculoskeletal
Musculoskeletal
CT, etc.
determine
ultrasound, MRI,
etc.
etc.
etc.
Figure 5.1 Diagnostic suggestions based on the observed end-feel during passive range of motion.
