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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.