MUSCLES Flashcards

1
Q

Corcacobrachialis

A

O: Coracoid process of the scapula
I: Medial surface of the mid-Humeral Shaft
Actions (2):
-Flexes shoulder at glenohumeral Joint
-Adducts shoulder at glenohumeral Joint
Innvervation: Musculocutaneous Nerve (C6, C7)

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2
Q

Palpation Key: Coracobrachialis

A

Client flexes & adducts
against resistance

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3
Q

Subclavius

A

O:1st rib & cartilage
I: Inferior surface of the middle of the 1/3 of clavicle
Actions (3):
-Depresses the Clavical and Draws it Anteriorly
-Elevates the first rib to assist during inhalation
-Stabilize the sternoclavicular Joint.
Innervation: Subclavian

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4
Q

Palpation Key: Subclavius

A

Side Lying- support arm in flexed position
and pull away from body anteriorly.
In the center of the clavicle, curl thumb around underside

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5
Q

Serratus Anterior

A

O: External surfaces of the upper 8 or 9 ribs
I: Anterior Medial Border of the Scapula
Actions (4): Abduct, Upwardly Rotate, Depress scapula at Scapulothoracic Joint. Hold the medial border of scapula against ribcage
INNERVATION: Long Thoracic Nerve

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6
Q

Palpation: Serratus Anterior

A

Slide under the Pec. Major along the ribcage
Have client depress their shoulder

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7
Q

Quadratus Lumborum

A

O: Posterior iliac crest
I: Last rib and transverse processes of 1st through 4th lumbar vertebrae
Actions: Unilaterally
-Laterally Tilt (Elevate) the pelvis
-Laterally Flex the vertebral column to the same side
Bilaterally:
Assist to Extend the vertebral column
Fix the last rib during forced inhalation and exhalation.
Tilt pelvis anteriorly
Innervaton: Lumbar PLexus

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8
Q

palpation: Quadratus Lumborum

A

Prone or side lying
Drop off laterally from the erector spinae group and
press firmly with medial direction
Have client hike their hip.

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9
Q

Rectus Abdominis

A

O: Pubic Crest and Pubic Symphysis
I: Cartilage of ribs 5-7 and xiphoid process
Actions(2)- Flexes Vetebral Column, Tilts Pelvis Posteriorly
Innervation: Ventral Rami

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10
Q

Palpation: Rectus Abdominis

A

Supine - client flexes trunk against gravity

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11
Q

Adductor Magnus

A

O: Inferior ramus of the pubis, ramus of ischium, and ischial tuberosity
I: Medial lip of linea aspera and adductor tubercle
Actions (4):Adduct the coxal jt (hip)
Medially rotate the coxal jt (hip)
Assist to flex the coxal jt (hip)
Posterior fibres:
Extend the coxal jt (hip)
Innervation: Obturator and Sciatic

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12
Q

Palpation Adductor Magnus

A

Side lying w/top hip flexed, get client to adduct hip
resist adduction of the hip
Slide posteriorly off the adductor longus tendon

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13
Q

Gracilis

A

O: Inferior ramus of pubis
I:Proximal, medial shaft of tibia at pes anserinus tendon
Actions(4): Adduct the coxal jt (hip)
Medially rotate the coxal jt (hip)
Flex the tibiofemoral jt (knee)
Medially rotate the tibiofemoral jt (knee)
Innervation: Anterior Branch of Obturator Nerve

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14
Q

Palpation: Gracilis

A

Supine w/legs off end of table at 90 degrees. Drop posteriorly off the Adductor Longus tendon. Ask client to flex leg @ knee jt against resistance of the table to differentiate from
the other adductors.

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15
Q

Popliteus

A

O: Lateral condyle of the femur
I: Proximal, posterior aspect of tibia
Actions (2): Medially rotate the flexed tibiofemoral joint (knee)
Flex the tibiofemoral joint (knee)
Innervation: Tibial Nerve

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16
Q

Palpation : popliteus

A

Prone- with knee flexed, resist medial rotation of the knee

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17
Q

Sartorius

A

O:Anterior superior iliac spine (ASIS)
I: Proximal, medial shaft of the tibia at pes anserinus tendon
Actions(5) Flex the coxal jt (hip) (acetabulofemoral jt)
Laterally rotate the coxal jt (hip)
Abduct the coxal jt (hip)
Flex the tibiofemoral jt (knee)
Medially rotate the flexed tibiofemoral jt (knee
Innervation: Femoral Nerve

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18
Q

Palpation: Sartorius

A

Supine with foot resting on the opposite knee (hip is flexed & laterally rotated) With hand on medial knee resist client raising knee towards ceiling.

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19
Q

Adductor Brevis

A

O: Inferior ramus of pubis
I: Pectineal line and medial lip of linea aspera
Actions (3): Adduct the coxal jt (hip)
Medially rotate the coxal jt (hip)
Assist to flex the coxal jt (hip)
Innervation: Obturator Nerve

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20
Q

Palpation: Adductor Brevis

A

Start supine w/hip slightly flexed and laterally rotated
Resist adduction and medial rotation of the hip
Palpate between AdductorLongus and Gracilis

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21
Q

Pectineus

A

O: Superior ramus of pubis
I: Pectineal line of femur
Actions (3): Adduct the coxal jt (hip)
Medially rotate the coxal jt (hip)
Assist to flex the coxal jt (hip)
Innervation: Femoral and Obturator Nerves

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22
Q

Palpation: Pectineus

A

Start supine w/hip slightly flexed and laterally rotated,
resist adduction and medial rotation
Slide laterally toward ASIS off adductor longus tendon

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23
Q

Tibialis Posterior

A

O: Proximal Posterior shafts of the tibial and fibula and interosseous membrane
I:All Five tarsal bones and the base of 2nd through 4th metatarsals
Actions: Inverts foot at Sabtalar joint, and plantarflexes the ankle at the talocrural Joint.
Innervation: Tibial nerve

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24
Q

Palpation: Tibialis Posterior

A

Prone: Resist Plantarflexion and eversion of the foot.
Locate medial malleolus, slide
posteriorly and proximally off the
malleolus into the space between
the tibial shaft & the calcaneal tendon)

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25
Flexor Digitorum Longus
O: Middle Posterior surface of tibia I: Distal Phalanges of 2nd through 5th toes Actions (3): -Invert the foot at the sabtalar joints, and flex the toes 2nd through 5th at the metatarsophalangeal and interphalangeal joints Weak Plantarflexion Innervation: Tibial Nerve
26
Palpation: Flexor Digitorum Longus
Prone- Ask Client to resist flexion of toes 2-5.
27
Flexor Hallucis Longus
O: Middle half of the distal fibula I: Distal Phalanx of 1st toe Actions (3): -Flex the 1st toe at the metstarsalphalangeal and interphalangeal joint. -Weak Plantarflexion -Invert foot at sabtalar joint Innervation: Tibial Nerve
28
Palpation:Flexor Hallicus Longus
Prone: Ask client to flex big toe (Locate medial malleolus, slide posteriorly and proximally off the malleolus into the space between the tibial shaft & the calcaneal tendon)
29
Plantaris
O: Lateral Supracondyler line of femur I: Calcaneaus via the calcaneal tendon Actions (2) -Weak plantarflexion of ankle at talocrural joint -Weak flexion of knee at the tibiofemoral joint Innervation: Tibial Nerve
30
Palpation: Plantaris
Prone - fall medially off the head of the fibula in the popliteal space inbetween the gastrocnemius heads
31
Fibularis Brevis
O: Distal 2/3 of lateral fibula I: Tuberosity of the 5th Metatarsal Actions (2) -Evert Foot at the subtalar jts (foot) -Assist to plantar flex the talocrural jt (ankle) Innervation: Superficial Fibular nerve
32
Palpation: Fibularis Brevis
Side lying - resist eversion
33
Brachialis
O: The distal 1/2 of the anterior surface of the humerus. I: Tuberosity and coronoid process of the ulna Action: The brachialis flexes the elbow at the humeroulnar joint Innervations: Musculotaneous And Small Branch from Radial Nerve
34
Palpation: Brachialis
Gently resist forearm flexion with forearm fully pronated
35
Pronator Teres
O: Common Flexor Tendon from medial epicondyle of the humerus and coronoid process of ulna I: Middle of Lateral surface of the radius Actions (2) -Pronate the forearm at radioulnar joint -Assist to flex elbow at humerulnar joint Innervation: Median
36
Palpation: Pronator Teres
Shake hands with client and resist Pronation
37
Supinator
O: Lateral epicondyle of the humerus, radial collateral ligament, annular ligament, and supinator crest of the ulnar I: Anterior, laeral Surface of Proximal 1/3 of radial shaft Actions (1)- Supinate the forearm at the radioulnar jt. Innervation: Radial
38
Serratus Posterior Superior
O:Spinous processes of C7-T3 I: Posterior surface of 2-5th ribs Actions(1): Elevate the ribs during inhalation Innervation:T1-T4
39
Palpation: Serratus Posterior Superior
With client's arm hanging off side of table locate upper medial border of scapula sink in as client takes a quick sharp inhales
40
Serratus Posterior Inferior
O: Spinous processes of T12-L3 I:Posterior surface of 9-12th ribs Action (1): Depress the ribs during exhalation Innvervation: T9-T12
41
Palpation: Serratus Posterior Inferior
Locate bottom of ribcage and get client to slowly exhale
42
Internal Obliques
O: Lateral inguinal ligament, iliac crest and thoracolumbar fascia I: Internal surface of lower 3 ribs, rectus sheath to the linea alba Actions (4): -Unilaterally: Laterally flex vertebral column to same side -Rotate vertebral column to same side -Bilaterally: Flex the vertebral column -Compresses the abdominal contents Innervation: iliohypogastric and ilioinguinal, ventral rami
43
Palpation: Internal Obliques
Client Supine: ask client to flex & ipsilaterally rotate the trunk
44
Transverse Abdominis
O: Lateral inguinal ligament, iliac crest, thoracolumbar fascia and internal surface of lower 6 ribs I: Rectus sheath to the linea alba Actions: Compress abdominal Contents Innervation: iliohypogastric and ilioinguinal, ventral rami
45
Palpation: Transverse Abdominis
Supine, wrap hands around and ask client to bear down
46
External Intercostals/ Internal Intercostals
O: Inferior border of the rib above I: Superior bored of the rib below Actions: -External intercostal draws the ribs superiorly, increasing space in thoracic cavity during inhalation -Internal Intercostal Draws the ribs inferiorly, decreasing the space in the thoracic cavity during exhalation. Innervation: Thoracic
47
Palpation: External and Internal Intercostals
With client sidelying position fingers between the ribs (inferior to the pecs). Get client to take slow deep breaths gets breast tissue out of way
48
Semispinalis Capitis
O: Transverse processes of C4-T5 I: Between the superior and inferior nuchal lines of the occiput Actions: Extend the vertebral column and head Innervation: Cervical
49
Palpation: Semispinalis Capitis
Client Prone: Extend head and neck, deep to traps.
50
Diaphragm
O: Inner surfaces of lower 6 ribs, upper 2 or 3 lumbar vertebrae, inner part of xiphoid process I: central tendon Actions: Draw down central tendon of the diagphragm Increase the volume of thoracic cavity during inhalation Innervation: Phrenic Nerve
51
Palpation: Diaphragm
Palpate left side, live on right, under rib 7, curl fingers, deep breath, stink deeper, push out to avoid spasms
52
Multifidi and Rotatores
O: Multifidi: sacrum, TVPs of lumbar through cervical vertebrea Rotatores: TVPs of lumbar through cervical Vertebrea I: Multifidi: Spinous processes of lumbar vertebrae through 2nd cervical vertebrae (2-4 Vertebrae Span) Rotatores: spinous processess of lumbar vertebrae through 2nd cervical vertebrae (1-2 Vertebrae Span_ Innervation: Spinal
53
Quadratus Femoris
O: Lateral border is the ischial tuberosity I: Intertrochanteric crest between the greater and lesser trochanters Actions(1) Laterally rotate the hip at the coxal joint Innvervation: Sacral plexus
54
Palpation: Quadratus Femoris
Prone: palpate between the distal, posterior aspect of the greater trochanter & ischial tuberosity - resist Lat. Rotation
55
Piriformis
O: Anterior surface of sacrum I: Superior aspect of greater trochanter Action (2) -Laterally rotate hip at coxal Joint -Abduct hip at coxal joint Innvervation: Sacral plexus
56
Palpation: Piriformis
Prone: find the coccyx, PSIS & greater trochanter (they form a "T" & piriformis islocated along the base of the T. Resist lateral rotation of the hip
57
Iliacus
O: Iliac fossa I: Lesser trochanter Actions (4) -With the origin fixed: Flex the coxal jt (hip) May Laterally rotate the coxal jt (hip) With the insertion fixed: Flex the trunk toward the thigh Tilt pelvis anteriorly Innvervation: Femoral
58
Palpation: Iliacus
Supine with hip slightly flexed locate anterior portion of iliac crest Curl fingers around iliac fossa on client's exhale To check get client to slightly flex their hip
59
Psoas Major
O: Bodies & transverse processes of lumbar vertebrae I: Lesser trochanter Actions (5): With the origin fixed: Flex the coxal jt (hip) May Laterally rotate the coxal jt (hip) With the insertion fixed: Flex the trunk toward the thigh Tilt pelvis anteriorly Unilaterally: Assist to laterally flex the lumbar spine Innervation: Lumbar Plexus
60
Palpation: Psoas Major
Caution: Psoas is just lateral to the abdominal aorta (if a pulse is felt move fingers more lateral Supine: hip slightly flexed start between navel & ASIS sink in towards table as client exhales. Check by asking client to flex hip slightly
61
Sternocleidomastoid
O: Sternal Head: Top of Manubrium Clavicular Head: Medial 1/3 of the clavicle I: Mastoid process of the temporal bone and the lateral portion of the superior nuchal line of the occiput. Actions(4) -Unilaterally flex head and neck to same side -Unilaterally rotate head and neck to opposite side -Bilaterally flex the neck -Bilaterally assist to elevate the ribs during inhalation. Innervation: Spinal Accessory Nerve
62
Palpation: Sternocleidomastoid
Client Laying Supine- Rotate head and neck- Life head off table
63
Scalenes
O: ---Anterior: Transverse processes of C3-C6 (cervical vertebrae) ----Middle:Transverse processes of C2-C7 (cervical vertebrae) ----Posterior: Transverse processes of C6-C7 (cervical vertebrae) I:Anterior and Middle: 1st rib, Posterior: 2nd rib Actions(4) ALL THREE: -Unilaterally flex head and neck to same side -Unilaterally rotate -Elevate the ribs during inhalation Anterior Only: -Bilaterally flex the head and neck. Innervation: C3-C8
64
Palpation: Scalenes
Supine: Drop laterally off the SCM and have client take in short quick breaths through the nose O/I HINT to remember: SIN# 136 127 267
65
Levator Scapulae
O: Transverse processes of C1-C4 (cervical vertebrae) I: Medial border of the scapula between the superior angle and superior portion of spine of scapula Actions (5) Unilaterally: -Elevate & Downwardly Rotate the scapulothoracic jt -Laterally Flex the head and neck -Rotate the head and neck to same side Bilaterally: Extend the head & neck Innervation (2): Cervical and dorsal scapular nerves
66
Palpation: Levator Scapulae
Seated - hand in small of back resist elevation of the scapula
67
Splenius Capitus
O: Inferior 1/2 of ligamentum nuchae and spinous processes of C7-T4 I: Mastoid process and lateral portion of superior nuchal line Actions(3) 1.Rotate the head & neck to same side 2.Laterally Flex the head & neck to same side 3. Bilaterally:Extend the head and neck Innervation: Cervical Nerve
68
Palpation: Splenius Capitus
Seated with client's head ipsilaterally rotated - resist extension of the head & neck begin in posterior triangle
69