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125 Cards in this Set

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PE: Physically moves limbs, muscle, blood, lymph. *Moves blood & lymph *Moves mucus (hacking/cupping) *Stretching muscle *Replacing dispaced viscera *Passive-Jt. Movement *Warming fasica, moving snyovial
~Mechanical
PE: (Involves nervous System) *contractions of muscle (percussion & vibration) *Glandular activity *Vascular -vasodilation, vasoconstriction (unprolonged light) *Lengthening - involves nerve * Jt. Mvmt - Active, assistive
~Reflexive
PE: Exchange - cell or gas, cell respiration *Absorbtion of nutrients & removal of waste * Burning glycogen (less sugar/diabetic) *Chemical release/neurotransmitter - release histamine & acetacoline
-Metabolic
Endangerment Site:
Bordered by the mandible, SCM and trachea
Anterior triangle of the neck
Endangerment Site - Structures of Concern: Carotid artery, internal jugular vein, vagus nerve, lymph nodes
Anterior triangle of the neck
Endangerment Site - Bordered by the SCM, the Trapezius and the Clavicle
Posterior triangle of the neck
Endangerment Site - Structures of Concern:
Brachial plexus, subclavian artery, brachiocephalic vein, external jugular vein, & lymph nodes
Posterior triangle of the neck
Endangerment Site - Anterior bend of the elbow
Cubital area of the elbow
Endangerment Site - Structures of Concern: Median nerve, radial and ulnar arteries, median cubital vein
Cubital area of the elbow
Endangerment Site - Posterior aspect of the knee
Popliteal fossa
Endangerment Site - Structures of Concern: Tibial nerve, common peroneal nerve, popliteal artery, popliteal vein
Popliteal Fossa
How many structures go through the Carpal Tunnel?
10:
1-Median Nerve
2- 4 tendons of flexor digitorum superficialis
3- 4 tendons of flexor digitorum profundus
4- flexor pollicis longus
What are the symptoms of Carpal Tunnel?
1- Pain, numbness, tingling in thumb & 1st 2 fingers
2-Pain in palm of hand
3-Often client does some repeative motion of fingers & wrist for work
Which epicondyle is involved in Carpal Tunnel?
Medial
Which epicondyle is involved in tennis elbow?
Lateral
Which nerve runs through carpal tunnel?
Median
Which group of muscles is involved in carpal tunnel?
Anterior - Flexors of forearm
Which group of muscles is involved in tennis elbow?
Posterior - Extensors of foreman
Stretching a muscle is what PE?
Mechanical
Lengthening a muscle is what PE?
Reflexive (Involves Nerve)
Name the Contralateral Rotators:
Multifidi
Rotatores
SCM
Scalenes
Semispinalis Capitus
Name the muscles of ANTERIOR compartment of the leg: All DORISIFLEX
1. Tibialis Anterior (inverts)
2. Extensor Hallicus Longus (Ext. Big toe)
3. Extensor Digitorum Longus (Ext. Digits)
4. Peroneus Tetritus (everts)
What 2 muscles form the sling around the foot:
1. Peroneus Longus
2. Tibialis Anterior
Name the muscles of the LATERAL compartment of the leg. All PLANTAR FLEX
1. Peroneus Longus (everts)
2. Peroneus Brevis
Name the muscles of the SUPERFICIAL POSTERIOR compartment of the leg: All PLANTAR FLEX
1. Gastrocnemius (Flexes Knee)
2. Soleus (doesn't cross knee)
3. Plantaris (Flexes Knee)
Where do all Superfisical Poster leg compartment muscles insert?
Calcaneus by way of the achilles or calcaneal tendon
Name the muscles of the DEEP POSTERIOR compartment of the leg: All PLANTAR FLEX
1. Tibialis Posterior (inverts)
2. Flexor Digitorum Longus (flex digits)
3. Flexor Hallicus Longus (flexs big toe)
4. Poplietus (Medially rotates tibia, unlocks knee)
Which muscles invert the foot?
Tibialis Anterior
Tibialis Posterior
Which muscles evert the foot?
Peroneus Brevis
Peroneus Longus
Peroneus Tetritus
Pain in bottom of foot & heel
Plantar Fasicitis
Which muscles originate on the lateral condyle of the femur?
1. Gastroc
2. Polliteus
Muscles of inhalation?
1. SCM
2. Scalenes
3. External Intercostals
4. Diaphragm
Muscles of exhalation?
1. Internal intercostals
2. External Oblique
3. Internal Oblique
4. Transversus Abdominis
5. Rectus abdominis
Strain is charactierized by:
Partially torn w/ edema
Abnormal, usually permenant condition of joint which the muscle is in a flexed & fixed position:
Contracture
Axillary border of shoulder
Pec Major
If the Subscapularis is contracted, which muscle is stretched?
Infraspinatus
Draws arm forward?
Coracobrachialis
Rotator cuff muscle & medial rotator
Subscapularis
Inserts on the lesser tubercle of the humerus:
Subscapularis
Initiates ABduction of the humerus:
Supraspinatus
Rotator Cuff Muscles
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis
Which muscles insert on the Mastoid Process of the temporal bone
SCM
Splenius Capitis
Longissimus Capitis
Which muscles are epsilateral rotators
Splenius Capitis
Splenius Cervicis
Longissimus Capitis
Which muscles are contralateral rotators
Multifidus
Rotatores
SCM
Semispinalis Capitis
Semispinalis cervicis
Semispinalis Thoracis
During forced exhalation, pulls 12th rib inferiorly & sometimes causes extreme pain
Quadratis Lumborm (QL)
Unilaterally, Laterally flex & rotates vertebral column
External Oblique
Arm muscle that does NOT attach on the humerus
Biceps
Which procedure has the greatest value in promoting absorbtion?
Friction
What does massage mainly influence?
Peripheral Circulation
Which muscle is synergestic with Lattisimus Dorsi?
Teres Major
What numbers are considered to be Hypertension?
140/90
What has insertion on Rectus abdominus?
Xiphoid process
Pain reducing hormones?
Endorphins & enkephahins
Stage of metastasis of most concern to LMT?
Direct invasion of nerby structues
What type of massage could you do 24-72 hours after chemo?
Slow & gentle touch
Cancer w/fever?
Contraindication
The vagus nerve is in what endangerment site?
Anterior Triangle of the neck
The ulnar nerve is in what endangerment site?
Ulnar notch
Following surgery, to prevent excess scar formation, you should?
Obtain Dr. permission
Edema in legs caused by low back pressure in veins associated with immobility, you should?
Establish cause
Client with Scoliosis, you should?
Get Dr. recommendation
Massage treatment for lymphoedema
Light massage on limb last.
Pain, insomia, headaches, depression, gastrointestional, urinary
Fibromyalgia
Initiates extension of elbow
Anconeus
Pain proximal to elbow, hammering muscle?
Triceps
Prolonged light or strong percussion has what kind of effect
Sedative
Phlebitis
Regional contraindication
Best Heat production
Strong Percussion
TA for superficial kneading
Inactive skin
(Not jaundice or sciatica)
Most profound effect of joint movement on circulation
Blood & lymph are LARGEST in area, not MOST
Best way to increase peristalsis & move fecal matter?
Percussion
Vibration does not have this type?
Palmer
Best for pluerisy?
Percussion
Movement of synovial fluid across cell MEMBRANE
Metabolic
Muscle to form our speech
Obicularis Oris
Stimulation of the nerve & muscle contraction
Point Percussion
Procedures to treat jaundice skin?
Friction, fulling, spatting
The reflex effect of strong or prolonged light percussion is?
Dilaton of surface vessels
PE of unprolonged or short light percussion.
Spasm (vasoconstriciton, pallor, white)
Rolling not done on?
Head
Wrinkles skin on forehead horizontally AND has attachment on superior to the supraorbital margin
Occiptofrontalis, frontal belly
Attachment over deltoid & pec. major & action of depressing mandible
Platysma
Where does the Levator scapulae originate and what is its action?
Superior 4 or 5 cervical vertebrae. Elevates scapula and rotates it downward.
What is the action of the Rhomboids?
Elevates & ADducts scapula & rotates it downward.
Biceps actions:
Flexes arm, forearm and supinates the forearm
What is the only action of the Brachialis?
Flexes foreman at elbow joint.
What are the actions of the Brachioradialis?
Flexes forearm at elbow joint, supinates & pronates forearm
What are the actions of the Triceps?
Extends forearm at elbow joint & extends arm at shoulder joint.
Where does the triceps insert?
Olceranon of ulna. (Funny bone)
Which muscles originate on the Laterial Epicondyle.
1.Extensor Carpi Radialis Brevis
2. Extensor Carpi Ulnaris
3. Extensor Digitorm Minimi
4. Extensor Digitorm
5. Anconeus
6. Supinator
Tingling on back of hand could be what muscle & nerve?
Extensor digitorum
Radial Nerve
Which muscles originate on Medial Epicondyle of the humerus?
1. Flex Carpi Radials
2. Flexor Carpi Ulnaris
3. Flexor Digitorum Superficialis
4. Palmaris Longus
5. Ponator Teres
What is the "slept wrong muscle"?
Levator scapulae
Which muscles Supinates?
1. Supinator
2. Biceps Brachii
3. Brachioradials
Which muscles Pronate?
1. Brachioradials
2. Pronator Teres
3. Pronator Quadratus
Which muscles Flex the arm?
1. Biceps Brachii
2. Brachialis (only action)
3. Pronator Teres (weakly)
Which muscles Extend the arm?
1. Triceps
2. Anconeus
Which muscle inserts on the Coracoid Process?
Pec Minor
Which muscle originates on the Coracoid Process?
1. Short head of Bicep
2. Coracobrachialis
Which muscle can entrap median nerve?
Pronator Teres
What makes up the floor of the carpal tunnel? The roof of the carpal tunnel?
Floor - Carpal bones
Roof - Flexor Retineculum
Acting together, pull 12th ribs inferiorly during forced exhalation, fix 12th ribs to prevent thier elevation during deep inhalation & help extend lumbar portion of vertebral column.
QL- Quadratus Lumborum
(forced Exhalation)
Sit up muscle
Strongest thigh flexor
Initates Walking
Sway Back
Ovary Pain
Illiopsoas
Only 2 muscles to insert on the lesser trochanter
Illiacus
Psoas Major
(Illiopsoas)
Pelvic Pain - Derivative friction on lower back
Illiopsoas
Climbing Stairs
Getting up from chair
Skater muscle
*Extends thigh at hip joint & laterally rotates thigh
Gluteus Maximus
Inserts on IT band of fascia lata & lateral part of linea aspera (gluteal tuberosity) under greater trochanter of femur.
Gluteus Maximus
Where do all 6 of the deep lateral rotators insert except the quadratus femoris?
Great Trochanter of femur
Where do the Gluteus Medius and Minimus Insert and originate?
Insert - Greater Trochanter
Origin - Ilium
Action - ABduct thigh at hip joint & medially rotate thigh
What 4 muscles make up the Quadriceps?
1. Rectus Femoris
2. Vastus Lateralis
3. Vastus Medialis
4. Vastus Intermedius
2 muscles in the Anterior Compartment of the Thigh
1. Quadriceps
2. Sartorius
Which anterior thigh compartment muscles cross the hip?
Rectus femoris
(AIIS - Anterior inferior iliac spine)
Sartorius (ASIS-Anterior Superior Iliac Spine)
What joints do the Sartorius cross?
Hip and Knee Joints
Actions of the Sartorius
Flexes leg @ knee joint
Flexes, abducts & Laterally rotates thigh @ hip joint
Taylors Muscle
Crossing Leg
Sartorius
What 4 muscles make up the Hamstrings?
1. Bicep Femoris Long Head
2. Bicep Femoris Short Head
3. Semimembranosus
4. Semitendinosus
Where do all hamstring muscle originate?
Ischial Tuberosity
Most Lateral Hamstring?
Most Medial Hamstring?
Biceps Femoris
Semimembranosus
What is the action of the Hamstrings?
Flexes leg at knee joint & extend thigh at hip joint
What are the 4 muscles in the medial thigh compartment?
1. Adductor Magnus
2. Adductor Longus
3. Adductor Brevis
4. Pectineus
All medial thigh compartment muscles do?
Adduct and flex the thigh
Which 2 Adductor muscles laterally rotate thigh?
Magnus
Longus
Which Adductor muscle medially rotates the thigh?
Brevis
Medial Thigh compartment muscle that does not rotate?
Pectineus