College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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What end-feel would a therapist expect when performing passive range of motion (PR-ROM) on a patient presenting with osteoarthritis?

Soft end-feel
Springy block end-feel
Early leathery end-feel
Empty end-feel

The correct answer is: Early leathery end-feel

When evaluating a patient with osteoarthritis during passive range of motion (PR-ROM) assessment, a therapist would anticipate an early leathery end-feel. This type of end-feel typically occurs due to the presence of soft tissue restriction and joint stiffness associated with osteoarthritis. In osteoarthritis, the joint surfaces may have irregularities or degenerative changes, leading to limited motion and a sensation of resistance when the therapist moves the joint passively. The early leathery end-feel indicates that the therapist feels some form of resistance, but it is not so rigid as to suggest a complete block, like what might be experienced in more severe joint disease or a mechanical block. Understanding this type of end-feel is essential for therapists as it informs them about the extent of the joint limitations due to the osteoarthritic process and aids in developing an appropriate treatment plan that can include mobilization techniques and soft tissue work to improve function and potentially reduce pain for the patient.