Dit document omvat alle klinische en theoretische informatie die jij nodig hebt om het menselijke lichaam van A tot Z te begrijpen. Echt een aanrader voor de studerende en met werkende fysiotherapeut.
Wil jij in jezelf investeren? Dan is dit een aanrader!
Deze samenvatting bevat veel illu...
,Inhoudsopgave
ANATOMY MYOFASCIAL UPPER QUARTER ....................................................................................................... 1
SHOULDER MUSCLES ........................................................................................................................................ 6
M. DELTOID .......................................................................................................................................................... 6
M. SUPRASPINATUS ......................................................................................................................................... 9
M. INFRASPINATUS ........................................................................................................................................ 11
TERES MINOR ................................................................................................................................................. 13
M. TERES MAJOR ............................................................................................................................................ 15
M. SUBSCAPULARIS ........................................................................................................................................ 17
SERRATUS ANTERIOR & LATISSIMUS DORSI ................................................................................................... 19
M SERRATUS ANTERIOR......................................................................................................................................... 19
M. LATISSIMUS DORSI ........................................................................................................................................... 22
PECTORALS AND SUBCLAVIUS ........................................................................................................................ 25
M. PECTORALIS MAJOR .................................................................................................................................. 25
M. PECTORALIS MINOR .................................................................................................................................. 27
M. SUBCLAVIUS .............................................................................................................................................. 29
CERVICAL AND SUBOCCIPITAL MUSCLES ........................................................................................................ 31
M. SPLENIUS CAPITUS .................................................................................................................................... 31
M. SPLENIUS CERVICIS .................................................................................................................................... 33
M. LEVATOR SCAPULAE .................................................................................................................................. 35
M. SUBOCCIPITAL MUSCLE GROUP ................................................................................................................ 38
M. RECTUS CAPITIS POSTERIOR MAJOR ................................................................................................................... 39
M. RECTUS CAPITIS POSTERIOR MINOR ................................................................................................................... 39
M. OBLIQUUS CAPITIS INFERIOR ............................................................................................................................. 39
M. OBLIQUUS CAPITIS SUPERIOR ............................................................................................................................ 39
GENERAL CERVICAL EXTENSORS ..................................................................................................................... 41
M. SEMISPINALIS CAPITIS ............................................................................................................................... 41
M. LONGUS CAPITIS .............................................................................................................................................. 43
M. SEMISPINALIS CERVICIS ..................................................................................................................................... 44
DYSFUNCTIONAL OF THE SHOULDER COMPLEX.............................................................................................. 45
SPENCER TECHNIQUE ............................................................................................................................................. 45
KINEMATIC RELEASE .............................................................................................................................................. 45
THEREFORE, WHERE NO EXACT MECHANISM CAN BE FOUND A GLOBAL FUNCTIONAL APPROACH MAY BE
MORE USEFUL. THIS HAS BEEN ARGUED BY A NUMBER OF AUTHORS INCLUDING (GEMMELL ET AL.
HTTPS://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/ABS/PII/S1479235411000095) .............................. 46
DIAGNOSIS 1........................................................................................................................................................ 46
‘Glenohumeral hypomobility with inhibition of the lower scapular stabilizers, stiff thoracic spine and
possible fear avoidance behavior’. ............................................................................................................. 46
DIAGNOSIS 2........................................................................................................................................................ 47
‘Scapular dyskinesis with reduced external rotation of the shoulder’ ...................................................... 47
2
, DIAGNOSIS 3........................................................................................................................................................ 47
‘Glenohumeral hypomobility, tight subscapularis with TrPs and referral pain from cervical manipulable
lesions’ ......................................................................................................................................................... 47
TRAPEZIUS MUSCLES THREE PARTS ................................................................................................................ 48
M. UPPER TRAPEZIUS ‘DESCENDING PART’ .................................................................................................... 48
M. MIDDLE TRAPEZIUS AND LOWER TRAPEZIUS ............................................................................................ 51
M. RHOMBOID MAJOR AND MINOR .............................................................................................................. 54
M. RHOMBOID MAJOR ......................................................................................................................................... 55
M. RHOMBOID MINOR ......................................................................................................................................... 55
M. SERRATUS POSTERIOR SUPERIOR .............................................................................................................. 57
M. SERRATUS POSTERIOR INFERIOR ............................................................................................................... 59
LUMBAR ERECTOR SPINAE MUSCLES.............................................................................................................. 61
M. ILIOCOSTALIS ............................................................................................................................................ 61
ILIOCOSTALIS CERVICIS ........................................................................................................................................... 62
ILIOCOSTALIS THORACIC ......................................................................................................................................... 62
ILIOCOSTALIS LUMBORUM ...................................................................................................................................... 62
LONGISSIMUS THORACIS................................................................................................................................ 63
M. SEMISPINALIS THORACIS ........................................................................................................................... 67
M. MULTIFIDUS .............................................................................................................................................. 69
M. ROTATORES .............................................................................................................................................. 72
M. QUADRATUS LUMBORUM ........................................................................................................................ 74
M. CORACOBRACHIALIS, M. BICEPS BRACHII, M. BRACHIALIS, M. TRICEPS BRACHII AND M. ANCONEUS. ..... 77
M. CORACOBRACHIALIS ......................................................................................................................................... 77
M. BICEPS BRACHII ......................................................................................................................................... 80
M. BRACHIALIS ............................................................................................................................................... 83
M. TRICEPS BRACHII AND ANCONEUS ............................................................................................................ 85
M. TRICEPS BRACHII ............................................................................................................................................. 85
M. ANCONEUS ..................................................................................................................................................... 88
M. PRONATOR TERES, M. FLEXOR CARPI RADIALIS, M. PALMARIS LONGUS AND M. FLEXOR CARPI ULNARIS.89
M. PRONATOR TERES ............................................................................................................................................ 89
M. FLEXOR CARPI RADIALIS.................................................................................................................................... 92
M. PALMARIS LONGUS .......................................................................................................................................... 94
M. FLEXOR CARPI ULNARIS .................................................................................................................................... 96
M. BRACHIORADIALIS, M. FLEXOR DIGITORUM SUPERFICIALIS, M. FLEXOR DIGITORUM PROFUNDES AND M.
FLEXOR POLLICIS LONGUS .............................................................................................................................. 98
M. BRACHIORADIALIS............................................................................................................................................ 98
M. FLEXOR DIGITORUM SUPERFICIALIS................................................................................................................... 100
M. FLEXOR DIGITORUM PROFUNDES ...................................................................................................................... 103
M. FLEXOR POLLICIS LONGUS ............................................................................................................................... 105
M. SUPINATOR AND M. PRONATOR QUADRATUS ........................................................................................ 107
M. SUPINATOR .................................................................................................................................................. 107
M. PRONATOR QUADRATUS................................................................................................................................. 110
FINGER MUSCLE RELAXATION EXERCISE TRACK ........................................................................................... 112
3
, RATIONALE ........................................................................................................................................................ 112
M. EXTENSOR CARPI RADIALIS LONGUS AND BREVIS, M. EXTENSOR DIGITORUM, M. EXTENSOR DIGITI
MINIMI AND M. EXTENSOR CARPI ULNARIS. ................................................................................................ 113
M. EXTENSOR CARPI RADIALIS LONGUS ................................................................................................................. 113
Handgrip and Compression Test ............................................................................................................... 115
M. EXTENSOR CARPI RADIALIS BREVIS ................................................................................................................... 116
M. EXTENSOR DIGITORUM ................................................................................................................................... 118
M. EXTENSOR DIGITI MINIMI ............................................................................................................................... 121
M. EXTENSOR CARPI ULNARIS .............................................................................................................................. 123
M. ABDUCTOR POLLICIS LONGUS, M. EXTENSOR POLLICIS BREVIS, M. EXTENSOR POLLICIS LONGUS AND M.
EXTENSOR INDICES. ...................................................................................................................................... 125
M. ABDUCTOR POLLICIS LONGUS .......................................................................................................................... 125
M. ABDUCTOR POLLICUS BREVIS ........................................................................................................................... 127
M. EXTENSOR POLLICIS LONGUS ........................................................................................................................... 129
M. EXTENSOR INDICIS ......................................................................................................................................... 131
M. ABDUCTOR POLLICIS BREVIS, M. FLEXOR POLLICIS BREVIS, M. OPPONENS POLLICIS AND M. ADDUCTOR POLLICIS ........... 133
M. ABDUCTOR POLLICIS BREVIS ............................................................................................................................ 133
M. EXTENSOR POLLICIS BREVIS ............................................................................................................................. 135
M. EXTENSOR POLLICIS LONGUS ........................................................................................................................... 137
M. EXTENSOR INDICIS ......................................................................................................................................... 139
M. ABDUCTOR POLLICIS BREVIS, M. FLEXOR POLLICIS BREVIS, M. OPPONENS POLLICIS AND M. ADDUCTOR
POLLICIS ....................................................................................................................................................... 141
M. ABDUCTOR POLLICIS BREVIS ............................................................................................................................ 141
M. FLEXOR POLLICIS BREVIS ................................................................................................................................. 143
M. OPPONENS POLLICIS ...................................................................................................................................... 145
M. ADDUCTOR POLLICIS ...................................................................................................................................... 147
M. ABDUCTOR DIGITI MINIMI, M. FLEXOR DIGITI MINIMI AND M. OPPONENS DIGITI MINIMI .................... 149
M. ABDUCTOR DIGITI MINIMI .............................................................................................................................. 149
M. FLEXOR DIGITI MINIMI BREVIS......................................................................................................................... 151
M. OPPONENS DIGITI MINIMI .............................................................................................................................. 153
CARPAL TUNNEL MOBILIZATIONS ................................................................................................................ 155
OPPONENS ROLL EXERCISE ................................................................................................................................... 155
CARPAL TUNNEL STRETCH 1.................................................................................................................................. 155
CARPAL TUNNEL STRETCH 2.................................................................................................................................. 155
M. PALMAR INTEROSSEI, M. DORSAL INTEROSSEI AND M. LUMBRICALS ..................................................... 156
M. PALMAR INTEROSSEI ...................................................................................................................................... 156
M. DORSAL INTEROSSEI ....................................................................................................................................... 158
M. LUMBRICALS ................................................................................................................................................. 160
M. STERNALIS, M. EXTERNAL INTERCOSTALS AND M. INTERCOSTALS .......................................................... 163
M. STERNALIS (RECTUS STERNALIS) ....................................................................................................................... 163
M. EXTERNAL INTERCOSTAL.................................................................................................................................. 165
M. INTERNAL INTERCOSTAL .................................................................................................................................. 167
M. STERNOCLEIDOMASTOID, M. LONGUS COLI AND M. SCALENES .............................................................. 169
M. STERNOCLEIDOMASTOID ................................................................................................................................. 169
M. LONGUS COLI .......................................................................................................................................... 172
M. SCALENES ANTERIOR, M. SCALENES MEDIUS, M. SCALENES POSTERIOR ................................................................. 174
M. Scalenes Anterior ................................................................................................................................. 174
M. Scalenes Medius .................................................................................................................................. 175
4
, Scalenus Posterior ..................................................................................................................................... 176
..................................................................................................................................................................... 178
DIAPHRAGM ................................................................................................................................................ 179
M. EXTERNAL OBLIQUE, M. INTERNAL OBLIQUE, M. RECTUS ABDOMINIS, M. PYRAMIDALIS AND M.
TRANSVERSE ABDOMINIS ............................................................................................................................ 182
M. EXTERNAL OBLIQUE ....................................................................................................................................... 182
Inguinal Ligament ..................................................................................................................................... 183
M. INTERNAL OBLIQUES ...................................................................................................................................... 185
M. PYRAMIDALIS ................................................................................................................................................ 187
M. RECTUS ABDOMINIS ....................................................................................................................................... 189
..................................................................................................................................................................... 191
M. TRANSVERSUS ABDOMINIS .............................................................................................................................. 192
MYOFASCIAL CONSIDERATION OF THE MUSCLES OF RESPIRATION .............................................................. 195
MUSCLES OF RESPIRATION ................................................................................................................................... 198
UPPER AND LOWER INTERCOSTAL MUSCLE TENSION RELEASE .................................................................................... 199
SYMPATHETIC INTRAFUSAL TENSION SYNDROME ....................................................................................... 200
FACTORS FEEDING INTO SITS AND USEFUL DIAGNOSTIC SIGNS AND SYMPTOMS ........................................................... 200
TREATMENT ....................................................................................................................................................... 202
INTERSCAPULAR PAIN SYNDROME ............................................................................................................... 204
THE FIVE MOST COMMON MUSCLES INVOLVED ARE: .................................................................................................. 204
M. Levator Scapulae ................................................................................................................................. 204
M. Scalenes ............................................................................................................................................... 205
M. Infraspinatus ........................................................................................................................................ 206
M. Latissimus Dorsi ................................................................................................................................... 207
M. Serratus Anterior ................................................................................................................................. 208
THE OTHER FIVE MUSCLES ARE: .............................................................................................................................. 209
M. Multifidus Thoracis .............................................................................................................................. 209
M. Rhomboids ........................................................................................................................................... 210
M. Lower Trapezius ................................................................................................................................... 211
M. Iliocostalis Thoracis ............................................................................................................................. 212
M. Serratus Posterior Superior ................................................................................................................. 213
ABDOMINAL PAIN OF MYOFASCIAL ORIGIN (APOMO) ................................................................................. 214
TREATMENT ....................................................................................................................................................... 215
BODY LANGUAGE ASSOCIATED WITH DISTORTIONS AND MYOFASCIAL THERAPY........................................ 216
TRIGGER POINTS .......................................................................................................................................... 217
PREAMBLE ......................................................................................................................................................... 217
PATHOPHYSIOLOGY OF MYOFASCIAL TRIGGER POINTS .............................................................................................. 217
ENERGY CRISIS THEORY........................................................................................................................................ 217
MOTOR END-PLATE HYPOTHESIS ........................................................................................................................... 217
TYPES OF TRIGGER POINT ..................................................................................................................................... 217
Active TrP .................................................................................................................................................. 217
Latent TrP .................................................................................................................................................. 218
TREATMENT POINT PRESSURE RELEASE .................................................................................................................. 218
COMMON MYOFASCIAL BANDS ................................................................................................................... 219
5
, Shoulder Muscles
M. Deltoid
The Deltoid muscle has three divisions: 1. Anterior Division 2. Middle Division 3. Posterior
Division and has a smooth Medial Triangular Surface.
6
,Origin
1. Anterior Division:
Anterior border and Superior surface of the third Lateral
of the Clavicle.
2. Middle Division:
The Lateral margin and Superior surface of the Acromion
3. Posterior Division:
The lower edge of the Crest of the Scapular Spine
Insertion
The fibers converge Inferiorly to a short, substantial
tendon that is attached to the Deltoid Tubercule on the
Lateral aspect of the Midshaft of the Humerus.
Nerve Supply
Axillary Nerve (C5-C6)
Actions
- Anterior Division
Vertical abduction, medial rotation and flexion
- Middle Division
Vertical abduction (agonist of M. Pectoralis
Major)
- Posterior Division
Vertical abduction, lateral rotation and extension (an agonist of M. Latissimus Dorsi
and M. Teres Major)
Muscle Test/s
- Anterior Division
The arm is raised to 90gr abduction, slightly flexed and
externally rotated and the doctor pushed down and into
extension (biceps grip).
- Middle Division
The arm is raided to 90gr abduction and the doctor p
ushes straight down on the elbow.
- Posterior Division
The arm is raised to 90gr abduction, slightly extended and internally rotated and the doctor
pushes down and into flexion.
7
, Clinical Gems
- Upper Trapezius over-involvement is
common in arm Abduction patterns.
Therefore, patients who work overhead
will often be more difficult to treat for
Upper Trapezius TrPs. This muscle test
often is a good screening for this
abnormal movement pattern (shrugging
trapezius)
8
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ritchiesteinmann. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $26.43. You're not tied to anything after your purchase.
