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Dry needle > Muscle grid > Flashcards

Muscle grid Flashcards

1
Q

Soleus location and action

A

Posterior calf deep to gastoc. Ankle plantarflexion

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2
Q

Soleus grip and needling direction

A

Clamp. Med/lat.

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3
Q

Soleus referral

A

Posterior calf and heel and ipsi-lateral sacroiliac joint.

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4
Q

Soleus caution

A

Posterior tibial artery and nerve - along the medial border of the tibia

Popliteal artery - lies in the fossa - 4 fingers.

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5
Q

Rectus femoris location and action

A

Palpate anterior thigh. Knee extension and weak hip flexion

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6
Q

Rectus femoris grip and needling direction

A

Flat palpation. Anterior to posterior.

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7
Q

Rectus femoris referral

A

Anterior thigh and patella

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8
Q

Rectus femoris caution

A

Femoral nerve, artery and vein (lat to med) - 4 fingers

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9
Q

Vastus medialis location and action

A

Antero-medial thigh. Knee extension

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10
Q

Vastus medialis caution

A

Femoral artery and Saphenous nerve in adductor canal - posterior border of VMO

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11
Q

Vastus medialis grip and direction

A

Clamp. Medial to lateral. ANGLE ANTERIORLY near posterior border (close to caution structures).

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12
Q

Vastus medialis referral

A

Anterior-medial distal thigh

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13
Q

Biceps femoris location and action

A

Lateral aspect of posterior thigh. Knee flexion and hip extension.

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14
Q

Biceps femoris caution

A

Sciatic nerve - lateral to biceps femoris above gluteal fold and medially below gluteal.
Popliteal artery - lies in popliteal fossa - 4 fingers

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15
Q

Biceps femoris grip and direction

A

Bunny ears push above gluteal fold and pull below gluteal fold

Lateral to medial above gluteal fold and medial to lateral below gluteal fold.

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16
Q

Biceps femoris referral

A

Posterior knee

17
Q

Medial hamstring location and action

A

Medial aspect of posterior thigh. Flexion knee and hip extension.

18
Q

Medial hamstring location and action

A

Medial aspect of posterior thigh. Flexion knee and hip extension.

19
Q

Medial hamstrings caution

A

Sciatic nerve - medial to medial hamstrings
Popliteal artery - lies in popliteal fossa - 4 fingers

20
Q

Medial hamstrings grip and direction

A

Bunny ears push away from sciatic nerve. Lateral to medial.

21
Q

Medial hamstrings referral

A

Gluteal fold and ischial tuberosity

22
Q

Tibialis anterior location and action

A

Lateral aspect lower leg, below head of fibula. Inversion of subtalar joint and dorsiflexion of ankle joint.

23
Q

Peroneal brevis and longus caution

A

Common peroneal nerve - neck of fibula, 1 thumb width.

24
Q

Peroneal brevis and longus grip and direction

A

Flat palpation. Proximal 1/3 anterior to posterior. Mid 1/3 perpendicular.

25
Q

Peroneal brevis and longus referral

A

Lateral lower leg and lateral malleolus

26
Q

Peroneal brevis and longus location and action

A

Lateral aspect of lower leg, below head of fibula. Eversion of subtalar joint and plantarflexion of ankle joint.

27
Q

Tibialis anterior caution

A

Anterior tibial artery - posterior to tibialis anterior

28
Q

Tibialis anterior grip and direction

A

Flat. Towards lateral border of tibia.

29
Q

Tibialis anterior referral

A

Anterior shin and hallux

30
Q

Gastrocnemius location and action

A

Posterior aspect of calf. Ankle plantarflexion and knee flexion.

31
Q

Gastrocnemius caution

A

Medial sural cutaneous nerve - lies in midline.
Politeal artery - lies in popliteal fossa.

32
Q

Gastrocnemius grip and direction

A

Bunny ears, push/pull away from centerline. Medially (med. head) and laterally (lat. head).

33
Q

Gastrocnemius referral

A

Calf, posterior knee and arch of foot.

34
Q

Multifidi location and action

A

Paraspinal. Rotation of spine (unilateral) and extension (bilateral)

35
Q

Multifidi caution

A

Spinal cord 20-40 mm deep to skin. Contraindications: laminectomy, severe scoliosis and congenital anomaly.

36
Q

Multifidi grip and direction

A

Flat. Medial Caudad.

37
Q

Multifidi referral

A

Paraspinal and abdominal.

Dry needle (1 decks)

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