Final answer:
When a GH joint exhibits a hypomobile P/A glide, joint adhesion, and pain upon evaluation, it suggests moderate to high tissue reactivity. This conclusion is based on the presence of inflammation or scar tissue, and the body's protective response. However, determining the exact level of reactivity requires a professional assessment.
Step-by-step explanation:
If we're discussing a GH (glenohumeral) joint with a hypomobile P/A (posterior/anterior) glide, paired with joint adhesion and a pain end feel, we're evaluating the tissues' response to manual therapy. Tissue reactivity here refers to the degree of inflammation and irritability within the affected tissues. A hypomobile glide with adhesion and pain typically indicates that there is significant tissue reactivity, suggesting either moderate or high levels, as these symptoms are indicative of inflammation, potential scar tissue, and a defensive response from the body protecting the area.In selecting between moderate or high tissue reactivity, one must consider the intensity of the pain, the degree of motion restriction, and overall functional impairment. If the joint has minimal movement and severe pain even with gentle palpation or motion, the tissue reactivity would likely be characterized as high. Conversely, if the joint allows some movement before pain onset and the pain is manageable, it would likely be characterized as moderate tissue reactivity. However, without further clinical information and the ability to physically assess the joint, it might be difficult to ascertain the precise level of reactivity, making the options of moderate or high both possible choices. Ultimately, this determination should be made by a healthcare professional through direct assessment.