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NMT FINAL Flashcards

1
Q

Splenius Cervicis ORIGIN

A

SPs T3-T6

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2
Q

Splenius Cervicis INSERTION

A

TPs C1-C3

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3
Q

Slenius Capitis ORIGIN

A

Inferior 1/2 of Ligamentum Nuchae

SPs C7-T4

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4
Q

Splenius Capitis INSERTION

A

Mastoid Process

Lateral portion of superior nuchal line

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5
Q

ACTION of Splenius Capitis and Splenius Cervicis

A

Unilaterally - Rotate the head and neck to the same side

AND Laterally flex the head and neck to the same side

Bilaterally - Extend the head and neck

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6
Q

SCM ORIGIN

A

STERNAL HEAD:

Top of Manubrium

CLAVICULAR HEAD:

Medial 1/3 of clavicle

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7
Q

SCM INSERTION

A

Both heads:Mastoid Process of temporal bone and lateral portion of superior nuchal line of occiput

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8
Q

ACTION of SCM

A

UNILATERALLY: Laterally flex the head and neck to the same side AND rotate the head and neck to the opposite sideBILATERALLY: Flex the neck AND assist to elevate the rib cage during inhalation

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9
Q

Levator Scapula ORIGIN

A

TPs C1-C4

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10
Q

Levator Scapula- INSERTION

A

Medial border of scapula between superior angle and superior portion of spine of scapula

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11
Q

ACTION of Levator scapula

A

UNILATERALLY: - Elevate the scapula- Downwardly rotate the scapula- Laterally flex the head and neck to the same sideBILATERALLY: Extend the head and neck

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12
Q

Trapezius ORIGIN

A
  • EOP - Medial superior Nuchal line of occiput- ligamentum nuchae - SPs C7-T12
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13
Q

Trapezius INSERTION

A
  • Lateral 1/3 of clavicle - Acromion - Spine of Scapula- Tubercle of spine of scapula
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14
Q

UPPER Trapezius ACTION

A

Extend head and neckLaterally flex head and neck to the same sideRotate head and neck to opposite sideElevate the scapula Upward rotation of scapula

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15
Q

MIDDLE Trapezius ACTION

A

Adduct the scapula Stabilize scapula

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16
Q

LOWER Trapezius ACTION

A

Depress scapulaUpward rotation of scapula

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17
Q

Rhomboids MAJOR - ORIGIN

A

SPs T2-T5

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18
Q

Rhomboids Minor - ORIGIN

A

SPs C7-T1

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19
Q

Rhomboids Major - INSERTION

A

Medial border of scapula between the spine of scapula and inferior angle

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20
Q

Rhomboids Minor - INSERTION

A

Upper portion of medial border of scapula across from spine of scapula

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21
Q

Rhomboids Major & Minor - ACTION

A
  • Adduct the scapula- Elevate the scapula- Downward rotation of scapula
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22
Q

What is the definition of NMT?

A

A system of bodywork that affects muscle tone through sensory feedback in order to treat soft tissue pain and dysfunction

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23
Q

What three techniques are used during NMT?

A
  • Gliding- Friction- Static/Ischemic compression to individual muscles
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24
Q

What is ISCHEMIA?

A
  • Local decrease in blood supply- A state in which the current O2 supply is inadequate for the current physiological needs of the tissue
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25
What is Hypertonicity?
Greater than normal muscle tone
26
What are Trigger Points?
A localized area of deep tenderness that MAY produce referred pain - often in a PREDICTABLE area when overloaded or under direct digital pressure
27
What is a TAUGHT BAND?
The group of taught muscle fibers associated with a myofascial triggerpoint - identifiable by palpation
28
What is POSTURAL DISTORTION?
The result of imbalance in the musculoskeletal system caused by hypertonicity and gravity. This can cause shortened or lengthened muscles
29
Postural Analysis
Muscles can be identified as LOCKED SHORT or LOCKED LONG based on posture. Therapists can then treat the LOCKED SHORT muscles as a means of balancing posture
30
Nerve entrapment
Constriction or mechanical distortion of a nerve within a fibrous, fibrocartilage-osseous tunnel or taught band which in turn interferes with nerve conduction
31
Difference between Swedish Massage and NMT
- Swedish Massage has a goal of RELAXATION - NMT has a goal of PAIN RELIEF
32
What is PALPATION
To assess the body through touch
33
What do we palpate?
Specific individual muscles
34
What are we feeling for during palpation
- Hypertonicity- Reaction- Trigger Points
35
How much pressure should you use to find trigger points?
- Just enough to elicit a referred sensation- Use a scale of 1-10 aiming for 7
36
What is the PROTOCOL for NMT technique
ASSESS - Evaluate what they are saying and how they are walking and holding themselves (posture)GENERAL GLIDE - warm up the muscle region with effleurage SPECIFIC GLIDE - STATIC PRESSURE / TRIGGER POINT RELEASE - use the “wave” to SLOWLY stretch the myofascial tissue until you find a point of pain then use STATIC PRESSURE and a pain scale until you reach 7Ask if you can use more pressure?Have the client BREATH deep for 10-12 seconds. Re-evaluate pain scaleTreat twice
37
O. I. A. R. stands for
ORIGININSERTION ACTIONR = Functional Anatomy - Related muscles and structures
38
How you should define the pain scale (don’t call it a pain scale to the client)
Less than 5: I definitely need more pressure 5: that feels good. No discomfort 6: mild discomfort 7: moderate discomfort 7.5: strong sensation but no impulse to withdraw 8: impulse to withdraw, pain, inability to relax into the technique
39
Deltoids ORIGIN
- Lateral 1/3 clavicle - Acromion - Spine of scapula
40
Deltoids INSERTION
Deltoid Tuberosity
41
Deltoids ACTION ANTERIOR Fibers
- Flex shoulder- Medially rotate- Horizontally Adduct
42
Deltoid ACTIONALL Fibers
Abduct shoulder
43
Deltoid Action POSTERIOR Fibers
- Extend shoulder- Laterally rotate shoulder- Horizontally abduct
44
Triceps Brachii ORIGIN Long head
Infraglenoid tubercle of scapula
45
Triceps Brachii ORIGIN LATERAL HEAD
Posterior surface of proximal 1/2 of humerus
46
Triceps Brachii ORIGIN MEDIAL HEAD
Posterior surface of distal 1/2 of the humerus
47
Triceps Brachii INSERTION
Olecranon process of ulna
48
Triceps Brachii ACTION ALL HEADS
Extend the shoulder
49
Triceps Brachii ACTIONS LONG HEAD
- Extend the shoulder - Adduct the shoulder
50
Extensor carpi radialis LONGUS ORIGIN
Distal 1/3 of lateral supercondylar ridge of humerus
51
Extensor carpi radialis BREVIS ORIGIN
Common extensor tendon from lateral epicondyle of humerus
52
Extensor carpi radialis LONGUS INSERTION
Base of 2nd metacarpal
53
Extensor carpi radialis BREVIS INSERTION
Base of 3rd metacarpal
54
Extensor carpi radialis LONGUS AND BREVIS ACTIONS
- Extend the wrist- Abduct the wrist
55
Extensor Carpi Ulnaris ORIGIN
Common extensor tendon from the lateral epicondyle of humerus
56
Extensor carpi ulnaris INSERTION
Base of 5th metacarpal
57
Extensor carpi ulnaris ACTIONS
- Extend the wrist- Adduct the wrist
58
Extensor digitorum ORIGIN
Common extensor tendon from the lateral epicondyle of humerus
59
Extensor digitorum INSERTION
Bases of middle and distal phalanges of 2-5 fingers
60
Extensor Digitorum ACTION
Extend 2-5 fingers
61
Flexor Carpi Radialis ORIGIN
Common flexor tendon from medial epicondyle of humerus
62
Flexor Carpi Radialis INSERTION
Bases of 2nd and 3rd metacarpals
63
Flexor Carpi Radialis ACTIONS
- FLEX the wrist - ABDUCT the wrist
64
Palmaris Longus ORIGIN
Common flexor tendon from medial epicondyle of humerus
65
Palmaris Longus INSERTION
Flexor Retinaculum and palmaris aponeurosis
66
Palmaris Longus ACTIONS
TENSE the palmar fascia FLEX the wrist
67
Flexor Carpi Ulnaris ORIGIN HUMERAL HEAD
Common flexor tendon from medial epicondyle of humerus
68
Flexor Carpi Ulnaris ORIGIN ULNAR HEAD
Posterior surface of proximal 2/3 of ulna
69
Flexor Carpi Ulnaris INSERTION
- Pisiform - Hook of the Hamate - Base of 5th metacarpal
70
Flexor Carpi Ulnaris ACTIONS
- FLEX the wrist - ADDUCT the wrist
71
SUPRASPINATUS ORIGIN
Supraspinous Fossa of the scapula
72
SUPRASPINATUS INSERTION
Greater tubercle of Humerus
73
SUPRASPINATUS ACTION
ADDUCT the shoulder Stabilize the humerus
74
INFRASPINATUS ORIGIN
Infraspinous Fossa of the scapula
75
INFRASPINATUS INSERTION
Greater tubercle of humerus
76
INFRASPINATUS ACTION
Laterally rotate the shoulder
77
SUBSCAPULARIS ORIGIN
Subscapularis fossa of scapula
78
SUBSCAPULARIS INSERTION
Lesser tubercle of humerus
79
SUPSCAPULARIS ACTION
Medially rotate the shoulder Stabilize the humerus
80
SUPRASPINATUS ORIGIN
Supraspinous Fossa of the scapula
81
SUPRASPINATUS INSERTION
Greater tubercle of Humerus
82
SUPRASPINATUS ACTION
ADDUCT the shoulder Stabilize the humerus
83
INFRASPINATUS ORIGIN
Infraspinous Fossa of the scapula
84
INFRASPINATUS INSERTION
Greater tubercle of humerus
85
INFRASPINATUS ACTION
Laterally rotate the shoulder
86
TERES MINOR ORIGIN
Upper 2/3 of lateral border of scapula
87
TERES MINOR INSERTION
Greater tubercle of humerus
88
TERES MINOR ACTION
Laterally rotate the shoulder ADDUCT the shoulder Stabilize the head of humerus
89
SUBSCAPULARIS ORIGIN
Subscapularis fossa of scapula
90
SUBSCAPULARIS INSERTION
Lesser tubercle of humerus
91
SUPSCAPULARIS ACTION
Medially rotate the shoulder Stabilize the humerus
92
Teres Major ORIGIN
Inferior Angle and lower 1/3 of the lateral border of scapula
93
Teres Major INSERTION
Crest of the lesser tubercle of humerus - medial lip
94
Teres Major Action
Extend the shoulder Adduct the shoulder Medially rotate the shoulder
95
Latissimus Dorsi ORIGIN
Inferior angle of scapula SPs of last 6 thoracic vertebrae Last 3-4 ribs
96
Latissimus Dorsi INSERTION
Intertubercular Groove of humerus
97
Latissimus Dorsi ACTION
Extend the shoulder Adduct the shoulder Medially rotate the shoulder
98
Pectoralis Major ORIGIN
Medial 1/2 of clavicle Sternum Cartilage of ribs 1-6
99
Pectoralis Major INSERTION
Crest of greater tubercle of humerus
100
Pectoralis Major ACTION
ALL FIBERS: Adduct shoulder Medially rotate shoulder UPPER FIBERS: Flex shoulder Horizontal Adduction LOWER FIBERS: Extend Shoulder
101
Pectoralis Minor ORIGIN
Ribs 3-5
102
Pectoralis Minor INSERTION
Medial surface of coracoid process of scapula
103
Pectoralis Minor ACTION
Depress scapula Abduct scapula Downwardly rotate scapula
104
Serratus Anterior INSERTION
Anterior surface of medial border of scapula
105
Serratus Anterior ACTION
Abduct scapula Upwardly rotate scapula Depress scapula Hold the medial border of scapula against rib cage
106
Quadratur Lumbotum ORIGIN
Last rib TPs of lumbar vertebrae 1-4
107
Quadratus Lumborum INSERTION
Internal lip of posterior iliac crest
108
Quadratus Lumborum ACTION
Unilaterally: Lateral tilt of pelvis (elevation) Lateral flex of vertebral column to the same side Assist to extend the vertebral column Bilaterally: Fix the last rib during forced inhalation/exhalation
109
Gluteus Maximus ORIGIN
Coccyx Edge of sacrum Posterior iliac crest Sacrotuberous Sacroiliac ligaments
110
Gluteus Maximus INSERTION
Upper fibers: IT band Lower fibers: Gluteal Tuberosity
111
Gluteus Maximus ACTION
ALL FIBERS: Extend hip Laterally rotate Abduct LOWER FIBERS: Adduct
112
Gluteus Medius ORIGIN
Gluteal surface of ilium between anterior and posterior gluteal lines below liac crest
113
Gluteus Medius INSERTION
Lateral aspect of greater trochanter
114
Gluteus Medius ACTION
ALL FIBERS: Abduct hip ANTERIOR FIBERS: Flex hip Medially rotate hip POSTERIOR FIBERS: Extend hip Laterally rotate hip
115
Gluteus Medius ORIGIN
Gluteal surface of ilium between anterior and inferior gluteal lines
116
Gluteus Medius INSERTION
Anterior aspect of greater trochanter
117
Gluteus Medius ACTION
Abduct Medially rotate Flex
118
What is the STRONGEST hip flexor
Gluteus Maximus
119
Gluteus Medius is also known as
The Deltoid of the hip
120
Piriformis ORIGIN
Anterior surface of sacrum
121
Piriformis INSERTION
SUPERIOR aspect of greater trochanter
122
Piriformis ACTION
Laterally rotate hip Abduct hip when flexed
123
HAMSTRINGS: Biceps Femoris LONG HEAD - ORIGIN
Ischeal tuberosity
124
HAMSTRINGS: Biceps Femoris SHORT HEAD - ORIGIN
Lateral lip of the linea aspera
125
HAMSTRINGS: Biceps Femoris BOTH HEADS - INSERTION
Head of Fibula
126
HAMSTRINGS: Biceps Femoris ACTIONS - LONG HEAD
Extend hip Assist lateral rotation Tilt pelvis posteriorly
127
HAMSTRINGS: Biceps Femoris ACTIONS - SHORT HEAD
Flex knee Laterally rotate fixed knee
128
HAMSTRINGS: Semitendinosus ORIGIN
Ischial tuberosity
129
HAMSTRINGS: Semitendinosus INSERTION
Proximal, medial shaft of tibia at Pes Anserines tendon
130
HAMSTRINGS: Semitendinosus ACTION
Flex knee Medially rotate flexed knee Extend hip Assist to medially rotate hip Tilt pelvis Posteriorly
131
HAMSTRINGS: Semimembranosus ORIGIN
Ischial Tuberosity
132
HAMSTRINGS: Semimembranosus INSERTION
Posterior aspect of medal condyle of TIBIA
133
HAMSTRINGS: Semimembranosus ACTION
Flex the knee Medially rotate flexed knee Extend hip Assist medial rotation of hip Tilt pelvis posteriorly
134
Which muscle most commonly has trigger points referring sciatic pain
Gluteus Minimus
135
Tensor Fascia Latae INSERTION
Iliotibial tract
136
Tensor Fascia Latae ORIGIN
Iliac crest, posterior to ASIS
137
Tensor Fascia Latae ACTION
Flex the hip Medially rotate the hip Abduct the hip
138
QUADS: Rectus Femoris ORIGIN
AIIS
139
QUADS: Vastus Lateralis ORIGIN
Lateral lip of linea aspera, gluteal tuberosity greater trochanter
140
QUADS: Vastus Medialis ORIGIN
Medial lip of linea aspera
141
QUADS: Vastus Intermedius ORIGIN
Anterior and lateral shaft of the femur
142
QUADS: ALL INSERTION
Tibial tuberosity via the patella and patellar ligament
143
QUADS: ALL ACTIONS
Extend the knee Rectus Femoris: Flex the hip
144
Psoas Major ORIGIN
Bodies and transverse processes of lumber vertebrae
145
Psoas Major AND Iliacus ACTIONS
Flex the hip Laterlly rotate hip Flex the trunk toward the thigh Tilt pelvis anteriorly
146
Iliacus ORIGIN
Iliac fossa
147
Psoas Major and Iliacus INSERTION
Lesser trochanter
148
What are the 3 Erector Spinae muscles - MEDIAL TO LATERAL
Spinalis Longissimus Iliocostalis
149
What are the 3 subsets of Spinalis
Spinalis CAPITIS Spinalis CERVICIS Spinalis THORACIS
150
What are the 3 subsets of Longissimus
Longissimus CAPITIS Longissimus CERVICIS Longissimus THORACIS
151
What are the 3 subsets of Iliocostalis
Iliocostalis CERVICIS Iliocostalis THORACIS Iliocostalis LUMBORUM
152
What does Spinalis attach to
SPs
153
What does Longissimus attach to
Ribs and TPs
154
What does Iliocostalis attach to
Ribs
155
Erector Spinae ACTIONS
Unilaterally: Lateral side bending of spine and head to the same side Bilaterally: Extension of the spine
156
Which muscle is resposible for most temporal headaches
Trapezius

Neuromuscular Therapy - NMT (10 decks)

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