Head And Trunk MMT Flashcards by Jessica Deak

(Capital extension) nerves

Sub occipital nerve, C1-T1

Greater occipital nerve, C1-T1

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(Capital extension) fair and above pos

Prone with head over the edge of table.

Be prepared to catch head in case of fatigue.

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(Capital extension) resistance

Patient extends head by tilting chin (looks at wall)

Resistance is applied over occipital toward floor

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(Capital extension) below fair

Supine- head weight support to reduce friction

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(Capital extension) palpation

Difficult to palpate

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(Cervical extension) nerves

C1-C8

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(Cervical extension) fair and above pos

Prone with head over edge of table

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(Cervical extension) resistance

Patient extends head without tilting chin (looks at floor)

Resistance is applied over parietal-occipital area towards floor.

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(Cervical extension) below fair pos

Supine-pushes into surface

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(Cervical extension) palpation

Distal to occipital at level of cervical vertebrae

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(Combined extension) fair and above pos

Prone with head over edge of table

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(Combined extension) resistance

Pt extends head (look at ceiling)

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(Combined extension) below fair pos

Partial range

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(Combined extension) palpation

Base of occipital and cervical region

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(Capital flexion) nerves

C1-3

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(Capital flexion) fair and above pos

Supine head supported by table

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(Capital flexion) resistance

Pt tucks chin.

Resistance under chin by cupping mandible in, upward, and backward direction

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(Capital flexion) below fair pos

Partial range

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(Capital flexion) palpation

Difficult due to carotid arteries

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(Cervical flexion) nerves

C2-8

CN XI

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(Cervical flexion) fair and above pos

Supine head support by table

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(Cervical flexion) resistance

Pt lifts head off table, keeping eyes on ceiling

Resistance over forehead with two fingers towards table

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(Cervical flexion) below fair pos

Supine, roll head to side (SCM)

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(Cervical flexion) palpation

Palpate SCM

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(Cervical flexion) subs

Platysma- see facial grimacing and skin wrinkling on anterior surface of neck

(Combined flexion) fair and above pos

Supine head support by table

(Combined flexion) resistance

Pt lifts head and neck, chin to chest | Resistance over forehead

(Combined flexion) below fair pos

Supine, roll head to side (SCM)

(Combined flexion) palpation

Palpate SCM

(Combined flexion with rotation, isolate SCM) fair and above pos

Supine head supported by table, rotated to right or left side

(Combined flexion with rotation, isolate SCM) resistance

Pt lifts head keeping head turned | Resistance over temporal area above ear

(Combined flexion with rotation, isolate SCM) below fair

Supine, roll head to side (SCM)

(Combined flexion with rotation, isolate SCM) palpation

Palpate SCM

(Cervical rotation) fair and above pos

Supine, cervical spine in neutral, head rotate to one side to start

(Cervical rotation) resistance

Pt turns head toward ceiling | Resistance applied at side of head above ear

(Cervical rotation) below fair pos

Sitting

(Thoracic extension) fair and above pos

Prone with head and upper trunk over edge of table (nipple line) Therapist stabilizes LE Fair grade with hands at sides

(Thoracic extension) resistance

Pt extends to horizontal position Fair grade- clears umbilicus (combined with lumbar extension)

(Thoracic extension) below fair pos

Partial range

(Thoracic extension) palpation

Adjacent to SPs

(Lumbar extension) fair and above pos

Prone with hands clasped behind head Therapist stabilized at ankles or pelvis if hips are weak Fair grade is with hands at sides

(Lumbar extension) resistance

Pt extends spine to clear umbilicus

(Lumbar extension) below fair

Partial range

(Lumbar extension) palpation

Adjacent to spinous processes

(Pelvic elevation) nerves

T12-L3

(Pelvic elevation) fair and above pos

Supine or prone

(Pelvic elevation) resistance

Pt hikes pelvis | Resistance is applied around ankle in caudal direction

(Pelvic elevation) below fair pos

Partial range

(Pelvic elevation) palpation

Not palpable unless atrophy in area

(Pelvic elevation) subs

Abdominals | Spinal extensors

(Trunk flexion) muscle

Rectus abdominals

(Trunk flexion) nerves

T7-T12

(Trunk flexion) fair and above pos

Supine | Stabilize at legs if hips are weak

(Trunk flexion) resistance

Curl up until scapula clears table N= Hands behind head G= Hands crossed over chest F= Arms along trunk

(Trunk flexion) below fair pos

Supine- knees flexed P= rib cage depresses T=cough

(Trunk flexion) palpation

Midline of thorax over linea alba; use four fingers of both hands

(Trunk flexion) subs

Umbilicus will deviate toward strongest part

(Trunk rotation) nerves

T7-L1

(Trunk rotation) fair and above pos

Supine

(Trunk rotation) resistance

Flexes and rotates to one side | Arm position same as for trunk flexion

(Trunk rotation) below fair pos

Supine- knees flexed, supported head

(Trunk rotation) subs

Pec major: see shoulder shrug and raising with limited trunk rotation