massage therapy palpations test review Flashcards

temporal fossa

coronoid process

elevates the mandible @ the TMJ

retracts the mandible @ the TMJ

40 to 60 mm

open the jaw

inferior margins of zygomatic bone

angle, ramus and coronoid process of the mandible

elevates, protracts, retracts the mandible @ the TMJ

40 to 60 mm

open the jaw

sternal head

clavicular head (medial 1/3 of clavicle)

mastoid process of the temporal bone

flexes the lower neck @ spinal joints

extends the upper neck and head @ spinal joints

laterally flexes the neck and head @ spinal joints

contralaterally rotates the neck and head @ spinal joints

80 to 90 flexion

70 extension

20 to 45 lateral flexion

up to 90 of rotation to both sides

client seated

contralaterally flex neck, adding ipsilateral rotation

( to stretch the R flex head to L and look up to L side)

anterior: TP's of C3-C6

middle: TP's of C2-C7

posterior: TP's of C5-C7

anterior: 1st rib

middle: 1st rib

posterior: 2nd rib

anterior: elevation of 1st rib

flexion of neck

ipsilateral lateral flexion

middle: elevation 1st rib

ipsilateral lateral flexion

posterior: elevation of the 2nd rib

ipsilateral lateral flexion

• contralateral flexion (to stretch R side flex to opposite side L )
• to stretch anterior bring head laterally and back
• to stretch posterior bring head laterally and forward

TP's of C1-C4

medial border of scapula, from superior angle to root of scapula spine

• elevates scapula @ scapulocostal joint
• extends neck @ spinal joints
• laterally flexes neck @ spinal joints

contralaterally flex and rotate client's head and apply mild tension with opposite hand

(if stretching R turn, flex head and rotate to L side)

medial clavicle, sternum, costal cartilages of ribs 1-7

(medial 1/2 of the clavicle, and the aponeurosis of the external abdominal oblique)

lateral lip of the bicipital groove of the humerus

• adducts the arm @ shoulder
• medially rotates arm @ shoulder
• flexes arm @ shoulder (clav. head)
• horizontal adduction

supine or seated, abduct arm to 90, externally rotate to 90, stabilize torso with hand on the other shoulder

self stretch: do or stretch arm at 90 or horizontal

ribs 3-5

coracoid process of scapula (medial aspect)

• protracts- abducts- scapula @ scapulocostal joint
• depresses scapula @ scapulocostal joint
• elevates ribs 3-5 @ sternocostal + costospinal joints
• downwardly rotates scapula @ scapulocostal joint

supine, abduct arm, secure superior hand on anterior shoulder with thumb in axillary fold. adduct arm. extend and supinate forearm.

create posterior tilt by pressing posteriorly

self stretch: door stretch, hand extended towards ceiling

inferior angle and inferior lateral border of the scapula

medial lip of the bicipital groove of the humerus

• medial rotation of the arm @ the glenohumeral joint
• adduction of the arm @ the GH joint
• extension of the arm @ the GH joint

prone, abduct arm with lateral rotation

superior lateral border of the scapula (the superior 2/3 of the dorsal surface)

greater tubercle of the humerus

• lateral rotation of the arm @ GH joint
• adduction of arm @ GH joint
• horizontal extension (lateral rotation) of arm @ GH joint

prone, abduct arm with medial rotation

supraspinatus fossa of scapula (medial 2/3)

greater tubercle of humerus (superior facet)

• abducts arm from 0-15 @ shoulder joint
• assists deltoid in abduction 15-90

abduction: 15

cross arms over chest, stand behind client pull at elbows

infraspinatus fossa of scapula (medial 2/3)

greater tubercle of humerus (middle facet)

laterally rotates arm @ shoulder joint

lateral rotation: 60

prone, arm hanging off table, medially rotate arm to stretch

long head: supraglenoid tubercle of scapula

short head: coracoid process of scapula

radial tuberosity and the bicipital aponeurosis into deep fascia overlying the common flexor tendon

• flexes forearm @ elbow joint
• supinates forearm @ radioulnar joints
• flexes arm @ shoulder

prone or seated

extend arm, extend elbow and pronate forearm

occiput, nuchal ligament, Sps of C7- T12

lateral clavicle, acromion process, spine of scapula

entire:

• laterally flexes the neck and head @ spinal joints (upper)
• retracts (adducts) scapula @ scapulocostal joint
• extends neck and head @ spinal joints (upper)
• contralaterally rotates neck and head @ spinal joints (upper)
• elevates scapula @ scapulocostal joint (upper)
• depresses scapula @ scapulocostal joint (lower)
• upwardly rotates scapula @ scapulocostal joint (upper, lower)
• extends trunk @ spinal joints ( middle, lower)

seated

upper traps: laterally flex head to one side, grabbing the side of table/ chair increases stretch, therapist apply mild pressure. flex head and apply mild pressure

middle traps: protract shoulders

lateral clavicle, acromion process, and the spine of the scapula (lateral 1/3 of the clavicle)

deltoid tuberosity of the humerus

entire muscle: abducts the arm @ shoulder joint

anterior: flexes arm @ shoulder joint

medially rotates arm @ shoulder joint

posterior: extends arm @ shoulder joint

laterally rotates arm @ shoulder joint

client hugs themselves and therapist stands behind and pulls @ elbows

posterior iliac crest, posterolateral scarum, coccyx

iliotibial band (ITB) and the gluteal tuberosity of the femur

• extends the thigh @ hip joint
• laterally rotates the thigh @ hip joint
• abducts thigh @ hip joint (upper 1/3)
• adducts thigh @ hip joint (lower 2/3)

supine, leg up, pin hip, push leg??

knee to chest?

external ilium, inferior to the iliac crest

greater trochanter of the femur

• abducts thigh @ hip joint
• flexes thigh @ hip joint
• extends thigh @ hip joint
• laterally rotates thigh @ hip joint
• medially rotates thigh @ hip joint
• posteriorly tilts pelvis @ hip joint
• anteriorly tilts pelvis @ hip joint

side lying drop leg off table

anterior superior iliac spine (ASIS) and the anterior iliac crest

iliotibial band (ITB)

• flexes the thigh @ hip
• abducts the thigh @ hip
• medially rotates the thigh @ hip
• anteriorly tilts pelvis @ hip

sidelying, drop leg off table, in extension ??

anterior sacrum (and the anterior surface of the sacrotuberous ligament)

greater trochanter of the femus

laterally rotates thigh @ hip joint

supine, leg @ 90, anchor hip, push leg across

long head: ischial tuberosity (and the sacrotuberous ligament)

short head: linea aspera (and the lateral supracondylar line of femur)

head of fibula (and the lateral tibial condyle)

• flexes the leg @ knee
• extends the thigh @ hip
• posteriorly tilts the pelvis @ hip

supine, lift leg up towards clients head???

ischial tuberosity

pes anserine tendon ( at the proximal anteromedial tibia)

• flexes leg @ knee
• extends thigh @ hip
• posteriorly tilts pelvis @ hip

supine, lift leg up towards clients head

pubis + ischium

linea aspera of femur

• adducts thigh @ hip
• extends thigh @ hip
• posteriorly tilts pelvis @ hip
• elevates the pelvis @ hip joint

have client perform middle split and assist by standing behind client and pushing the forward

self stretch: legs up the wall, legs horizontally abducting ( open legs/ do middle split)

linea aspera of femur

tibial tuberosity ( via the patella and patellar ligament)

extends leg @ knee joint

have client side lying and stabilize hip with hand and flex clients knee

anterior inferior iliac spine (AIIS)

tibial tuberosity via patella and patellar ligament

• extends leg @ knee
• flexes thigh @ hip
• anteriorly tilts pelvis @ hip

have client side lying and stabilize hip with hand and flex clients knee + extend hip

proximal anterior tibia, lateral tibial condyle

medial foot - 1st cuneiform and 1st metatarsal

• dorsiflexes foot @ ankle joint
• inverts foot @ tarsal joints

apply pressure of top of foot placing foot into plantarflexion and eversion