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

What is characterized as bony osteophytic end-feel in PR-ROM assessment?

1. Restriction with a spasm

2. Hard end-feel

3. Soft end-feel

4. Normal end-feel

The correct answer is: Hard end-feel

A hard end-feel is indicative of a bony osteophytic restriction during passive range of motion (PR-ROM) assessment. This type of end-feel is typically encountered when there is an obstruction or barrier created by bone formations or osteophytes, which are outgrowths of bone that can develop due to conditions such as osteoarthritis. When a therapist feels a hard end-feel during the assessment, it suggests that the joint's movement is restricted not by soft tissue structures or muscular resistance, but rather by the presence of bony formations. This sensation is distinct because it generally lacks the give or elasticity associated with softer end-feels. Recognizing a hard end-feel is crucial for practitioners as it can influence their assessment and the development of a treatment plan, indicating potential underlying joint pathology or degenerative changes. Thus, identifying this specific end-feel helps in understanding the limitations of joint movement and directing appropriate therapeutic interventions.