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Dry Needleing > Muscle Safety Grid > Flashcards

Muscle Safety Grid Flashcards

1
Q

Location of Brachioradialis

A

Radial side of forearm, proximal third

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2
Q

Brachioradialis Action

A

Elbow flexion in neautral

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3
Q

Brachioradialis Caution structures

A

Radial Artery and Sup Radial Nerve
Deep and Medial to Brachioradialis

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4
Q

Brachioradialis grip

A

Pincer grip

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5
Q

Brachioradialis needling direction

A

Lateral to Medial

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6
Q

Brachioradialis refferral pattern

A

Lateral Elbow, Radial Web? and Radial forearm

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7
Q

Biceps location

A

Above brachial is in upper arm

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8
Q

Biceps action

A

Elbow flexion in supination

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9
Q

Biceps caution structures

A

Nerve bundle containing Brachial artery, ulna nerve and median nerve. Located deep to biceps
Musculo cutaneous nerve - between brachialis and biceps. Deep to biceps
Palpate for pulse to find nerve bundle

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10
Q

Biceps grip

A

Pincer grip

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11
Q

Biceps needling direction

A

Lateral to medial

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12
Q

Triceps action

A

Elbow extension

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13
Q

Triceps caution structures

A

Radial nerve above deltoid tuberosity.
In spiral groove against posterior humerus

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14
Q

Triceps Grip

A

Pincer above deltoid tuberosity - pull away from radial nerve.
OK grip below deltoid tuberosity

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15
Q

Triceps referral

A

Posterior aspect of upper arm and lateral elbow

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16
Q

Upper trap safe 10

A
  1. Arms 90 degrees
  2. 1st sweep
  3. Shrug check
  4. T1. C7. C6
  5. Locate TP
  6. 2nd sweep
  7. Slide thumb alway sideways
  8. Pull cephalad (toward head)
  9. Tap needle at TP (C7)
  10. Recline needle angle range 20-90 degrees
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17
Q

Infrinaspinatus grip

A

Flat

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18
Q

Infraspinatus needling direction

A

Toward radial web and inferior angle

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19
Q

Infraspinatus caution structures

A

Lung and Pleaura

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20
Q

Infraspinatus referral patterns

A

Lateral shouder c5/c6 dermatome

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21
Q

Teres minor location

A

Below Infraspinatus

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22
Q

Teres minor needling direction

A

Toward radial web and inferior angle

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23
Q

Teres minor caution structures

A

Lung and pleura

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24
Q

Teres Minor referral pattern

A

Lateral shoulder

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25
Q

Supraspinatus grip

A

Bunny

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26
Q

Suprispinatus needling direction

A

Toward spine of scapular

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27
Q

Suprispinatus caution

A

Lung and pleura

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28
Q

Suprispinatus referral pattern

A

Lateral shoulder/elbow/ upper arm

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29
Q

Teres major location

A

Posterior axillary wall

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30
Q

Teres major grip

A

Pincer

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31
Q

Teres major needling direction

A

Medial to lateral - toward palm

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32
Q

Teres major caution points

A

Lung and pleura

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33
Q

Teres major referral pattern

A

Lateral shoulder

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34
Q

Lats grip

A

Pincer

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35
Q

Lats needling direction

A

Medial to lateral - toward palm

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36
Q

Lats caution

A

Lung and pleura

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37
Q

Lats referral pattern

A

Inferior scap C8 / T1/ T2 dermatone

38
Q

Rectus femoris location

A

Palpation at anterior thigh

39
Q

Rectus femoris action

A

Extend knee and weak flexion of hip joint

40
Q

Caution structures for Rectus femoris

A

Femoral triangle - nerve, vein, artery (lat to med) - 4 fingers

41
Q

Rectus femoris grip

A

Flat palpation

42
Q

Rectus femoris needling direction

A

Anterior to posterior

43
Q

Rectus femoris referral

A

Anterior thigh and patella

44
Q

VMO location

A

Anterior medial thigh

45
Q

VMO action

A

Extend knee joint

46
Q

VMO caution

A

Femoral artery and saphenous nerve in adductor canal- Posterior border of VMO

47
Q

VMO grip

A

Clamp

48
Q

VMO needling direction

A

Medial to lateral . Angle anterior near posterior border

49
Q

VMO referral

A

Anterior medial distal thigh

50
Q

Biceps femoris location

A

Lateral aspect of posterior thigh

51
Q

Biceps femoris action

A

Knee flexion and hip extension

52
Q

Biceps femoris caution

A

Sciatic nerve and politieal artery.
Sciatic nerve lies lateral to biceps femoris above gluteal fold and medically below gluteal fold.
Popliteal artery lies in politeal fossa (4 fingers)

53
Q

Biceps femoris grip

A

Bunny ears - push above gluteal fold, pull below gluteal fold

54
Q

Biceps femoris needling direction

A

Lateral to medial above gluteal fold.
Medial to lateral below gluteal fold

55
Q

Biceps femoris referral

A

Posterior knee

56
Q

Medial hamstrings location

A

Medial aspect of posterior thigh

57
Q

Medial hamstrings action

A

Flex knee and hip extension

58
Q

Medial hamstrings caution

A

Sciatic nerve and popliteal artery.
Sciatic nerve lies medial to medial hamstrings.
Popliteal artery lies in popliteal fossa - 4 fingers

59
Q

Medial hamstrings grip

A

Bunny ears and push away from sciatic nerve

60
Q

Medial hamstrings needling direction

A

Lateral to medial

61
Q

Medial hamstrings referral

A

Gluteal fold and ischial tuberosity

62
Q

Tibialis anterior location

A

Lateral aspect of lower leg - below head of fibula

63
Q

Tibialis anterior action

A

Inversion of sub tarlar joint and deep flexion of ankle joint

64
Q

Tibialis anterior caution

A

Anterior tibial artery - posterior to Tibialis anterior

65
Q

Tibialis anterior grip

A

Flat

66
Q

Tibialis anterior needling direction

A

Toward lateral border of tibialis

67
Q

Tibialis anterior referral

A

Anterior shin and hálux

68
Q

Peroneous . Brevis/ longus location

A

Lateral aspect of lower leg - below head of fibula

69
Q

Peroneous brevis/ longus action

A

Eversion of subtalar joint and p. Flex at ankle joint

70
Q

Peroneous longus/brevis caution structure

A

Common peroneal nerve - neck of fibula - 1 thumb width

71
Q

Peroneous brevis grip

A

Flat palpation

72
Q

Peroneous brevis direction

A

Proximal 1/3 Anterior to posterior
Mid 1/3 perpendicular

73
Q

Peroneous brevis referral

A

Lateral lower leg and lateral malleolus

74
Q

Gastrocnemius location

A

Posterior aspect of calf

75
Q

Gastroc action

A

Ankle planter flextion

76
Q

Gastroc caution

A

Medial sural cutaneous nerve and popliteal artery
Sural nerve lies in midline. Popliteal artery lies in popliteal fossa (4 fingers)

77
Q

Gastoc grip

A

Bunny ears - push pull away from centre line

78
Q

Gastroc needling direction

A

Medially - medial head
Laterally - lateral head

79
Q

Gastroc referral

A

Calf, posterior knee and arch of foot

80
Q

Soleus location

A

Posterior aspect of calf - deep to Gastroc

81
Q

Soleus action

A

Ankle plater flexion

82
Q

Soleus caution

A

Posterior tibial artery and popliteal artery - posterior artery is along the medial border of tibialis.
Popliteal artery lies in the popliteal fossa - 4 fingers

83
Q

Soleus grip

A

Clamp

84
Q

Soleus needling direction

A

Medial to lateral

85
Q

Soleus referal

A

Posterior calf and heel and Ipsilateral sij

86
Q

Multifidi location

A

Paraspinal

87
Q

Multifidi action

A

Roatation of spine unilaterally
Extension bilaterally

88
Q

Multifidi caution

A

Spinal cord (20-40mm deep to skin)
1. Laminectamy
2. Servere scoliosis
3. Congenital anomaly

89
Q

Multifidi grip

A

Flat

90
Q

Multifidi needling direction

A

Medial caudad (toward head)

91
Q

Multifidi referral

A

Paraspinal and abdominal

Dry Needleing (1 decks)

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