NMT MIDTERM 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 side BILATERALLY: 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 side BILATERALLY: 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 neck Laterally flex head and neck to the same side Rotate head and neck to opposite side Elevate 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 scapula Upward 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 7 Ask if you can use more pressure? Have the client BREATH deep for 10-12 seconds. Re-evaluate pain scale Treat twice
37
O. I. A. R. stands for
ORIGIN INSERTION ACTION R = 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 ACTION ALL 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
TERES MINOR ORIGIN
Upper 2/3 of lateral border of scapula
78
TERES MINOR INSERTION
Greater tubercle of humerus
79
TERES MINOR ACTION
Laterally rotate the shoulder ADDUCT the shoulder Stabilize the head of humerus
80
SUBSCAPULARIS ORIGIN
Subscapularis fossa of scapula
81
SUBSCAPULARIS INSERTION
Lesser tubercle of humerus
82
SUPSCAPULARIS ACTION
Medially rotate the shoulder Stabilize the humerus
83
SUPRASPINATUS ORIGIN
Supraspinous Fossa of the scapula
84
SUPRASPINATUS INSERTION
Greater tubercle of Humerus
85
SUPRASPINATUS ACTION
ADDUCT the shoulder Stabilize the humerus
86
INFRASPINATUS ORIGIN
Infraspinous Fossa of the scapula
87
INFRASPINATUS INSERTION
Greater tubercle of humerus
88
INFRASPINATUS ACTION
Laterally rotate the shoulder
89
TERES MINOR ORIGIN
Upper 2/3 of lateral border of scapula
90
TERES MINOR INSERTION
Greater tubercle of humerus
91
TERES MINOR ACTION
Laterally rotate the shoulder ADDUCT the shoulder Stabilize the head of humerus
92
SUBSCAPULARIS ORIGIN
Subscapularis fossa of scapula
93
SUBSCAPULARIS INSERTION
Lesser tubercle of humerus
94
SUPSCAPULARIS ACTION
Medially rotate the shoulder Stabilize the humerus