PROM is usually done when you can observe limited ROM during AROM. The goal of PROM is to obtain the end-feel of the joint to determine what is limiting full range of motion. The following table shows an overview of „normal“ and „abnormal“ kinds of end-feels:
| End Feel | Example |
| NORMAL | |
| Hard (Ligamentous) Soft tissue approximation Tissue stretch |
Elbow extension Knee flexion Ankle dorsiflexion, shoulder lateral rotation, finger extension |
| ABNORMAL | |
| Early muscle spasm
Late muscle spasm ‘Mushy’ tissue stretch |
Protective spasm following injury
Spasm resulting from instability or pain Tight muscle |
The normal end-feel for different movements in the hip is as follows:
Flexion: Soft tissue approximation or tissue stretch
Extension: Tissue stretch
Abduction: Tissue stretch
Adduction: Soft tissue approximation or tissue stretch
Internal Rotation: Tissue stretch
External Rotation: Tissue stretch
| Study | Reliability | Sn | Sp | LR+ | LR- |
| Magee et al. (2014) | NA | NA | NA | NA | NA |
