Head And Trunk MMT Flashcards
(Capital extension) nerves
Sub occipital nerve, C1-T1
Greater occipital nerve, C1-T1
(Capital extension) fair and above pos
Prone with head over the edge of table.
Be prepared to catch head in case of fatigue.
(Capital extension) resistance
Patient extends head by tilting chin (looks at wall)
Resistance is applied over occipital toward floor
(Capital extension) below fair
Supine- head weight support to reduce friction
(Capital extension) palpation
Difficult to palpate
(Cervical extension) nerves
C1-C8
(Cervical extension) fair and above pos
Prone with head over edge of table
(Cervical extension) resistance
Patient extends head without tilting chin (looks at floor)
Resistance is applied over parietal-occipital area towards floor.
(Cervical extension) below fair pos
Supine-pushes into surface
(Cervical extension) palpation
Distal to occipital at level of cervical vertebrae
(Combined extension) fair and above pos
Prone with head over edge of table
(Combined extension) resistance
Pt extends head (look at ceiling)
(Combined extension) below fair pos
Partial range
(Combined extension) palpation
Base of occipital and cervical region
(Capital flexion) nerves
C1-3
(Capital flexion) fair and above pos
Supine head supported by table
(Capital flexion) resistance
Pt tucks chin.
Resistance under chin by cupping mandible in, upward, and backward direction
(Capital flexion) below fair pos
Partial range
(Capital flexion) palpation
Difficult due to carotid arteries
(Cervical flexion) nerves
C2-8
CN XI
(Cervical flexion) fair and above pos
Supine head support by table
(Cervical flexion) resistance
Pt lifts head off table, keeping eyes on ceiling
Resistance over forehead with two fingers towards table
(Cervical flexion) below fair pos
Supine, roll head to side (SCM)
(Cervical flexion) palpation
Palpate SCM
(Cervical flexion) subs
Platysma- see facial grimacing and skin wrinkling on anterior surface of neck
(Combined flexion) fair and above pos
Supine head support by table
(Combined flexion) resistance
Pt lifts head and neck, chin to chest
Resistance over forehead
(Combined flexion) below fair pos
Supine, roll head to side (SCM)
(Combined flexion) palpation
Palpate SCM
(Combined flexion with rotation, isolate SCM) fair and above pos
Supine head supported by table, rotated to right or left side
(Combined flexion with rotation, isolate SCM) resistance
Pt lifts head keeping head turned
Resistance over temporal area above ear
(Combined flexion with rotation, isolate SCM) below fair
Supine, roll head to side (SCM)
(Combined flexion with rotation, isolate SCM) palpation
Palpate SCM
(Cervical rotation) fair and above pos
Supine, cervical spine in neutral, head rotate to one side to start
(Cervical rotation) resistance
Pt turns head toward ceiling
Resistance applied at side of head above ear
(Cervical rotation) below fair pos
Sitting
(Thoracic extension) fair and above pos
Prone with head and upper trunk over edge of table (nipple line)
Therapist stabilizes LE
Fair grade with hands at sides
(Thoracic extension) resistance
Pt extends to horizontal position
Fair grade- clears umbilicus (combined with lumbar extension)
(Thoracic extension) below fair pos
Partial range
(Thoracic extension) palpation
Adjacent to SPs
(Lumbar extension) fair and above pos
Prone with hands clasped behind head
Therapist stabilized at ankles or pelvis if hips are weak
Fair grade is with hands at sides
(Lumbar extension) resistance
Pt extends spine to clear umbilicus
(Lumbar extension) below fair
Partial range
(Lumbar extension) palpation
Adjacent to spinous processes
(Pelvic elevation) nerves
T12-L3
(Pelvic elevation) fair and above pos
Supine or prone
(Pelvic elevation) resistance
Pt hikes pelvis
Resistance is applied around ankle in caudal direction
(Pelvic elevation) below fair pos
Partial range
(Pelvic elevation) palpation
Not palpable unless atrophy in area
(Pelvic elevation) subs
Abdominals
Spinal extensors
(Trunk flexion) muscle
Rectus abdominals
(Trunk flexion) nerves
T7-T12
(Trunk flexion) fair and above pos
Supine
Stabilize at legs if hips are weak
(Trunk flexion) resistance
Curl up until scapula clears table
N= Hands behind head
G= Hands crossed over chest
F= Arms along trunk
(Trunk flexion) below fair pos
Supine- knees flexed
P= rib cage depresses
T=cough
(Trunk flexion) palpation
Midline of thorax over linea alba; use four fingers of both hands
(Trunk flexion) subs
Umbilicus will deviate toward strongest part
(Trunk rotation) nerves
T7-L1
(Trunk rotation) fair and above pos
Supine
(Trunk rotation) resistance
Flexes and rotates to one side
Arm position same as for trunk flexion
(Trunk rotation) below fair pos
Supine- knees flexed, supported head
(Trunk rotation) subs
Pec major: see shoulder shrug and raising with limited trunk rotation