CLINICAL EXAMINATION AND
EVALUATION QUESTIONS AND
ANSWERS.
What is the point during an active or passive motion at which further motion
is not possible without tissue injury?
Final stop
The quality of resistance felt at final stop with applying overpressure is
called what?
End-feel
What type of end-feel is felt during soft tissue approximation or soft tissue
stretching?
Soft
What type of end-feel is felt during capsule/ligament stretching?
Firm
What type of end-feel is felt during bone and/or cartilage contact?
Hard
Shift in location (early or late) is a characteristic of what?
Abnormal end-feel
Quality is different than expected for the joint motion being examined
and/or accompanied pain are characteristics of what?
Abnormal end-feel
What type of abnormal end-feel suggests muscle length deficit or spasm?
,Elastic
What type of abnormal end-feel exhibits a soft resistance just before the
final stop?
Boggy
Boggy end-feel may suggest what?
Intra-articular swelling
What type of abnormal end-feel occurs when a patient guards or requests to
stop before a final tissue resistance is felt?
Empty
What is the assessment of the quality and quantity of ROM in a single spinal
segment without muscle activation by the patient?
Passive intervertebral motion (PIVM)
PIVM examines what motion of a spinal segment?
Osteokinematic/angular
What is the systematic method of passive translatoric motion testing
performed using traction and compression and translation/gliding?
Translatoric joint play (TJP)
Translatoric joint play examines what type of motion?
Translatoric (Arthrokinematics)
TJP should be correlated with the associated motions based on what?
Kaltenborn's convex/concave rule
What is the resisted isometric testing to assess the strength of a muscle or a
synergistic group of muscles?
, Manual muscle testing (MMT)
What scale is MMT graded with?
0-5 (or dynamometer)
What grade is normal MMT?
5/5
Complete ROM against gravity with maximal resistance is what MMT grade?
5/5
What grade is good MMT?
4/5
Complete ROM against gravity with moderate resistance is what grade of
MMT?
4/5
What grade is fair+ MMT?
3+/5
What grade of MMT shows complete ROM against gravity with minimal
resistance?
3+/5
What grade of MMT is fair?
3/5 (50%)
WHat grade of MMT includes completeing the abailable ROM against gravity,
but cannot take resistance?
3/5
MMT grade of 3-/5 is given what description?
EVALUATION QUESTIONS AND
ANSWERS.
What is the point during an active or passive motion at which further motion
is not possible without tissue injury?
Final stop
The quality of resistance felt at final stop with applying overpressure is
called what?
End-feel
What type of end-feel is felt during soft tissue approximation or soft tissue
stretching?
Soft
What type of end-feel is felt during capsule/ligament stretching?
Firm
What type of end-feel is felt during bone and/or cartilage contact?
Hard
Shift in location (early or late) is a characteristic of what?
Abnormal end-feel
Quality is different than expected for the joint motion being examined
and/or accompanied pain are characteristics of what?
Abnormal end-feel
What type of abnormal end-feel suggests muscle length deficit or spasm?
,Elastic
What type of abnormal end-feel exhibits a soft resistance just before the
final stop?
Boggy
Boggy end-feel may suggest what?
Intra-articular swelling
What type of abnormal end-feel occurs when a patient guards or requests to
stop before a final tissue resistance is felt?
Empty
What is the assessment of the quality and quantity of ROM in a single spinal
segment without muscle activation by the patient?
Passive intervertebral motion (PIVM)
PIVM examines what motion of a spinal segment?
Osteokinematic/angular
What is the systematic method of passive translatoric motion testing
performed using traction and compression and translation/gliding?
Translatoric joint play (TJP)
Translatoric joint play examines what type of motion?
Translatoric (Arthrokinematics)
TJP should be correlated with the associated motions based on what?
Kaltenborn's convex/concave rule
What is the resisted isometric testing to assess the strength of a muscle or a
synergistic group of muscles?
, Manual muscle testing (MMT)
What scale is MMT graded with?
0-5 (or dynamometer)
What grade is normal MMT?
5/5
Complete ROM against gravity with maximal resistance is what MMT grade?
5/5
What grade is good MMT?
4/5
Complete ROM against gravity with moderate resistance is what grade of
MMT?
4/5
What grade is fair+ MMT?
3+/5
What grade of MMT shows complete ROM against gravity with minimal
resistance?
3+/5
What grade of MMT is fair?
3/5 (50%)
WHat grade of MMT includes completeing the abailable ROM against gravity,
but cannot take resistance?
3/5
MMT grade of 3-/5 is given what description?
