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Trapezius attachment points
Upper- Occiput,C1-7 and lateral clavicle, acromion
Middle - C7-T5 and spine of scapular
Lower - T5-L2 and root of spine of scapula
Movements the traps control
Cspine - rotation, extension, sidebending
Tspine - extension
Shoulder - upper fibres in 90-180deg abduction, elevation, extension, flexion, depression
Nerve that supplies Trapezius
Cranial nerve 11 - accessory nerve - exits via jugular foramen
Trapezius, Upper
Supine - Resist Pt bringing head to shoulder - stand at head
Prone - resist cervical sidebending and shoulder elevation
Trapezius, Middle
Supine - humerus abducted to 90deg, elbow locked. Place hand under posterior forearm. Resist downwards movement.
Prone - opposite
Trapezius lower
Supine - Humerus is abducted 135deg with elbow locked. Place hand on posterior forearm. Resist downward movement.
Prone - opposite
Latissimus dorsi attachments
Sacrum, iliac crest, T7-12, inferior angle of scapula and bicipital groove
Movements the lats control
Shoulder - adduction, Internal rot, depression
Nerve that supplies Latissimus Dorsi
thoracodorsal, T7-L5
Latissimus Dorsi straight arm
Supine - humerous adducted and medially rotated against body. Hand on posterior forearm. Resist adduction.
Prone - same.
Latissimus Dorsi, Bent arm
Supine - humerus abducted 90deg, elbow bent 90deg, shoulder externally rotated. Resist adduction at the elbow.
Rhomboids attachments
C7-T5 and vertebral border of scapula
Movements the Rhomboids control
Shoulder - retract, elevate and rotate the scapula.
Nerve that supplies the Rhomboids
Rhomoids MJ & minor - dorsal scapular, C5
Rhomboids
Supine - humerus abducted 45deg, elbow bent 90deg, palm facing in. Resist adduction at the elbow.
Prone - Elbow bent and slightly abducted. Resist adduction at the elbow.
Teres major attachments
Inf angle of scap & bicipital groove
Teres major movements
Shoulder extension, internal rot & adduction
Teres major nerve supply
Lower subscapular nerve (C5-C7)
Teres major
Pt hand behind hip, resist pt moving elbow back.
Teres Minor attachments
Upper axillary border of the scapula and greater tubercle of humerus
Movements Teres Minor controls
Shoulder - External rot
What nerve supplies Teres Minor
Axillary, C5-C6
Teres Minor
Supine - elbow bent 90deg and humerus adducted 45deg. Resist lateral rotation with your hand while stabilising the opposite side of the elbow.
Prone - same.
Quadratus Lumborum attachments
Posterior iliac crest and 12th rib, transverse processes of L1-4.
What movements does Quadratus Lumborum control
T+Lspine - extension, sidebending
What nerve supplies Quadratus Lumborum
Subcostal nerve - T12
Dorsal rami of L1-L4 spinal nerve
Quadratus Lumborum
Supine - Pts legs are straight together, abducted to opposite side. Place one hand on opposite hip to stabilise, other hand on closest leg superior to the ankle. Resist movement of both legs towards you.
Prone - same.
