Myology 1.2 neck palpation and treatment

Question 1

SCM most common source for referred pain for

3

Answer 1

Frontal headache
Orbital headache (migraine pain)
Vertex (top of the head)

Question 2

Vertebrae

Widest transverse process

Answer 2

C1

Question 3

SCM Cautions

Answer 3

Common carotid artery

Lies just deep to the medial surface of the muscle

Has a strong pulse

Question 4

Stiff neck muscles

Answer 4

Levator scapula

Splenius cervicis

Question 5

Sternocleidomastoid work 1

RELEASE TRIGGER POINTS

Client supine, head laterally flexed toward side being treated

Answer 5

-release trigger points along muscle belly with static compression if present (treat heads separately)

Question 6

Sternocleidomastoid work 2

CROSS FIBER FRICTION

Client supine, head laterally flexed toward side being treated

Answer 6

• cross fiber friction (mastoid process, manubrium & clavicle)

Question 7

Sternocleidomastoid work 3

FINGERTIP GLIDES

Client supine, head laterally flexed toward side being treated

Answer 7

-glide superiorly with flexed fingertips starting midway on SCM towards and over mastoid process of temporal bone. repeat

Question 8

splenius capitis and cervicis work 1

THUMB GLIDES

client supine

Answer 8

• thumb glides in lamania groove C1-C7

- slow thumb glide from mastoid process inferiorly and medially, just anterior to trapezius

Question 9

splenius capitis and cervicis work 2

STATIC COMPRESSION

client supine

Answer 9

-static compression on any triggerpoints found (note that trigger points in splenius cervicis and levator scapula often cause pain associated with stiff neck)

Question 10

splenius capitis and cervicis work 3

STATIC COMPRESSION

client PRONE

Answer 10

• thumb glides in lamina groove from T6-Mastoid process

Question 11

splenius capitis and cervicis work 2

STATIC COMPRESSION

client PRONE

Answer 11

-static compression on any triggerpoints found

Question 12

The superior attachment of splenius capitis is found

Answer 12

deep to the superior attachment of the SCM on the mastoid process and superior nuncal line

Question 13

Levator scapula work 1

THUMB GLIDES

client prone

Answer 13

thumb glides on the belly from insertion (superior angle of the scapula) to origin (C1-4 transverse processes)

Question 14

Levator scapula work 2

STATIC COMPRESSION

client prone

Answer 14

static compression on any trigger points found

note that trigger points in splenius cervicis and levator scapula often cause pain associated with stiff neck

Question 15

Levator scapula work 3

FRICTION INSERTION

client prone

Answer 15

insertion at the superior angle of the scapula

Question 16

Levator scapula work 4

FRICTION ORIGIN

client prone

Answer 16

origin at posterior tubercle of transverse processes of C1-C4 (static compression of any trigger points found)