MUSCLE ENERGY TECHNIQUES > UPPER EXTREMITY > Flashcards

UPPER EXTREMITY Flashcards

(16 cards)

Study These Flashcards
1
Q

MET - TRAPEZIUS - SUPINE

A
  • Pt supine
  • Place one hand under the head
  • Place other hand on top of shoulder
  • Place the symptomatic trapezius in a position of bind by side bending head away from symptomatic side
  • Ask pt to side bend head to the symptomatic side or elevate the shoulder on the symptomatic shoulder
  • Resist
  • Hold for 10 seconds
  • After 10 seconds ask pt to relax and take a deep breath in and out
  • While the pt is breathing out use the head to take the traps into the next place of bind
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2
Q

MET - SPLENI AND SEMISPINALIS - SUPINE

A

Pt supine
Lift head up and push down into the pillow
Breathe and push the head up more
Can cross the forearms to do this

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3
Q

MET - PECTORALIS MINOR - SUPINE

A
  • Pt supine
  • Place your hand closest to pt head under the scapula
  • Place other hand over the front of pt shoulder
  • Ask pt to protract their shoulder
  • Resist
  • Hold for 10 seconds and get pt to breathe in and out
  • On the out breath push into pt shoulder to encourage retraction and stretch the pectoralis minor
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4
Q

MET - PECTORALIS MINOR - SIDE LYING

A
  • Pt side-lying on the asymptomatic side
  • Cradle pt scapula with hand closest to feet
  • Pt protracts shoulder
  • Resist
  • Hold for 10 seconds and get pt to breathe in and out
  • On the out breath encourage the scapula into a retracted position which will induce the lengthening of the pectoralis minor
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5
Q

MET - SUBSCAPULARIS - SUPINE

A
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6
Q

MET - INFRASPINATUS AND TERES MINOR - SUPINE

A
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7
Q

MET - PECTORALIS MAJOR - SUPINE

A
  • Pt supine
  • Lift the arm on the symptomatic side and take it away from the body in the scapula plane
  • Place other hand on top of pectoralis major (if pt is a female ask them to place their hand on their pecs first)
  • Pt tries to pull their arm across their body
  • Resist
  • Hold for 10 seconds and get pt to breathe in and out
  • On the out breath take the pt arm further into the scapula plane by pushing the arm downwards

THIS IS FOR THE STERNAL FIBRES

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8
Q

MET - LATISSIMUS DORSI - SIDE LYING

A
  • Pt side lying on asymptomatic side
  • Interlock your hand closest to pt head with their top arm
  • Pt tries to adduct arm to their body
  • Resist
  • Hold for 10 seconds and get pt to breathe in and out
  • On the out breath place your other hand on pt iliac crest
  • Apply pressure to pt iliac crest and further abduct their arm to stretch the latissimus dorsi
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9
Q

MET - LEVATOR SCAPULAE - SUPINE

A
  • Pt supine
  • Place one hand under the head
  • Place other hand on top of shoulder
  • Guide pt head into a side bend away from the symptomatic side, followed by flexion (tucking chin to chest) until you feel the bind
  • Ask pt to push their neck into extension
  • Resist
  • Hold for 10 seconds
  • After 10 seconds ask pt to relax and take a deep breath in and out
  • While the pt is breathing out take the head into further flexion, with an added left rotational movement
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10
Q

MET - SUPRASPINATUS - SEATED

A
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11
Q

MET - RHOMBOID - SUPINE

A
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12
Q

MET - RHOMBOID - SIDE LYING

A

Pt side lying
Palpate the medial border of scapula through pt arms

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13
Q

MET - BICEPS

A

Pt seated
Elbow flexed 90
Stabilise at pt elbow and hold superior to their wrist
Pt performs a bicep curl
Resist
Relax and take to the new barrier - which is more extension

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14
Q

MET - TRICEPS

A

Pt seated
Elbow flexed slightly more than 90
Stabilise at pt elbow and hold superior to their wrist
Pt extends arm at elbow
Resist
Relax and take to the new barrier - which is more flexion

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15
Q

MET - STERNOCLEIDOMASTOID - SUPINE

A
  • Pt supine
  • Knees bent with a pillow under pt shoulder blades
  • Hold round the pt head and turn the head into full rotation away from the symptomatic side
  • Pt holds this position without help from the practitioner for 10 seconds
  • After 10 seconds take control of pt head and slowly lower it onto the couch, still keeping the rotation
  • Place one hand on pt temporal bone and other hand on the pt sternum (if pt is a female ask them to place their hand on their sternum first)
  • Pt breathes in and out
  • While the pt is breathing out, introduce more pressure onto pt sternum while stabilising the head with the other hand
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16
Q

MET - SCALENES - SUPINE

Study These Flashcards
A
  • Pt supine
  • Knees bent with a pillow under pt shoulder blades
  • Hold round the pt head and turn the head into full rotation away from the symptomatic side
  • Place one hand over pt temporal bone and other hand on pt clavicle on the symptomatic side (if pt is a female ask them to place their hand on their clavicle first)
  • Pt breathes in
  • Resist the movement from the upper rib cage and stabilise the position of pt head with the other hand
  • Hold for 10 seconds and as pt breathes out follow their breath down with the hand on the clavicle to stretch the scalenes
MUSCLE ENERGY TECHNIQUES
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