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Neuromuscular Therapy - NMT > NMT FINAL > Flashcards

NMT FINAL Flashcards

1
Q

Splenius Cervicis ORIGIN

A

SPs T3-T6

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2
Q

Splenius Cervicis INSERTION

A

TPs C1-C3

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3
Q

Slenius Capitis ORIGIN

A

Inferior 1/2 of Ligamentum Nuchae

SPs C7-T4

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4
Q

Splenius Capitis INSERTION

A

Mastoid Process

Lateral portion of superior nuchal line

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5
Q

ACTION of Splenius Capitis and Splenius Cervicis

A

Unilaterally - Rotate the head and neck to the same side

AND Laterally flex the head and neck to the same side

Bilaterally - Extend the head and neck

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6
Q

SCM ORIGIN

A

STERNAL HEAD:

Top of Manubrium

CLAVICULAR HEAD:

Medial 1/3 of clavicle

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7
Q

SCM INSERTION

A

Both heads:Mastoid Process of temporal bone and lateral portion of superior nuchal line of occiput

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8
Q

ACTION of SCM

A

UNILATERALLY: Laterally flex the head and neck to the same side AND rotate the head and neck to the opposite sideBILATERALLY: Flex the neck AND assist to elevate the rib cage during inhalation

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9
Q

Levator Scapula ORIGIN

A

TPs C1-C4

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10
Q

Levator Scapula- INSERTION

A

Medial border of scapula between superior angle and superior portion of spine of scapula

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11
Q

ACTION of Levator scapula

A

UNILATERALLY: - Elevate the scapula- Downwardly rotate the scapula- Laterally flex the head and neck to the same sideBILATERALLY: Extend the head and neck

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12
Q

Trapezius ORIGIN

A
  • EOP - Medial superior Nuchal line of occiput- ligamentum nuchae - SPs C7-T12
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13
Q

Trapezius INSERTION

A
  • Lateral 1/3 of clavicle - Acromion - Spine of Scapula- Tubercle of spine of scapula
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14
Q

UPPER Trapezius ACTION

A

Extend head and neckLaterally flex head and neck to the same sideRotate head and neck to opposite sideElevate the scapula Upward rotation of scapula

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15
Q

MIDDLE Trapezius ACTION

A

Adduct the scapula Stabilize scapula

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16
Q

LOWER Trapezius ACTION

A

Depress scapulaUpward rotation of scapula

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17
Q

Rhomboids MAJOR - ORIGIN

A

SPs T2-T5

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18
Q

Rhomboids Minor - ORIGIN

A

SPs C7-T1

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19
Q

Rhomboids Major - INSERTION

A

Medial border of scapula between the spine of scapula and inferior angle

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20
Q

Rhomboids Minor - INSERTION

A

Upper portion of medial border of scapula across from spine of scapula

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21
Q

Rhomboids Major & Minor - ACTION

A
  • Adduct the scapula- Elevate the scapula- Downward rotation of scapula
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22
Q

What is the definition of NMT?

A

A system of bodywork that affects muscle tone through sensory feedback in order to treat soft tissue pain and dysfunction

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23
Q

What three techniques are used during NMT?

A
  • Gliding- Friction- Static/Ischemic compression to individual muscles
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24
Q

What is ISCHEMIA?

A
  • Local decrease in blood supply- A state in which the current O2 supply is inadequate for the current physiological needs of the tissue
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25
Q

What is Hypertonicity?

A

Greater than normal muscle tone

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26
Q

What are Trigger Points?

A

A localized area of deep tenderness that MAY produce referred pain - often in a PREDICTABLE area when overloaded or under direct digital pressure

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27
Q

What is a TAUGHT BAND?

A

The group of taught muscle fibers associated with a myofascial triggerpoint - identifiable by palpation

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28
Q

What is POSTURAL DISTORTION?

A

The result of imbalance in the musculoskeletal system caused by hypertonicity and gravity. This can cause shortened or lengthened muscles

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29
Q

Postural Analysis

A

Muscles can be identified as LOCKED SHORT or LOCKED LONG based on posture. Therapists can then treat the LOCKED SHORT muscles as a means of balancing posture

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30
Q

Nerve entrapment

A

Constriction or mechanical distortion of a nerve within a fibrous, fibrocartilage-osseous tunnel or taught band which in turn interferes with nerve conduction

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31
Q

Difference between Swedish Massage and NMT

A
  • Swedish Massage has a goal of RELAXATION - NMT has a goal of PAIN RELIEF
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32
Q

What is PALPATION

A

To assess the body through touch

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33
Q

What do we palpate?

A

Specific individual muscles

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34
Q

What are we feeling for during palpation

A
  • Hypertonicity- Reaction- Trigger Points
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35
Q

How much pressure should you use to find trigger points?

A
  • Just enough to elicit a referred sensation- Use a scale of 1-10 aiming for 7
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36
Q

What is the PROTOCOL for NMT technique

A

ASSESS - Evaluate what they are saying and how they are walking and holding themselves (posture)GENERAL GLIDE - warm up the muscle region with effleurage SPECIFIC GLIDE - STATIC PRESSURE / TRIGGER POINT RELEASE - use the “wave” to SLOWLY stretch the myofascial tissue until you find a point of pain then use STATIC PRESSURE and a pain scale until you reach 7Ask if you can use more pressure?Have the client BREATH deep for 10-12 seconds. Re-evaluate pain scaleTreat twice

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37
Q

O. I. A. R. stands for

A

ORIGININSERTION ACTIONR = Functional Anatomy - Related muscles and structures

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38
Q

How you should define the pain scale (don’t call it a pain scale to the client)

A

Less than 5: I definitely need more pressure 5: that feels good. No discomfort 6: mild discomfort 7: moderate discomfort 7.5: strong sensation but no impulse to withdraw 8: impulse to withdraw, pain, inability to relax into the technique

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39
Q

Deltoids ORIGIN

A
  • Lateral 1/3 clavicle - Acromion - Spine of scapula
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40
Q

Deltoids INSERTION

A

Deltoid Tuberosity

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41
Q

Deltoids ACTION ANTERIOR Fibers

A
  • Flex shoulder- Medially rotate- Horizontally Adduct
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42
Q

Deltoid ACTIONALL Fibers

A

Abduct shoulder

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43
Q

Deltoid Action POSTERIOR Fibers

A
  • Extend shoulder- Laterally rotate shoulder- Horizontally abduct
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44
Q

Triceps Brachii ORIGIN Long head

A

Infraglenoid tubercle of scapula

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45
Q

Triceps Brachii

ORIGIN

LATERAL HEAD

A

Posterior surface of proximal 1/2 of humerus

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46
Q

Triceps Brachii ORIGIN

MEDIAL HEAD

A

Posterior surface of distal 1/2 of the humerus

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47
Q

Triceps Brachii INSERTION

A

Olecranon process of ulna

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48
Q

Triceps Brachii ACTION ALL HEADS

A

Extend the shoulder

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49
Q

Triceps Brachii ACTIONS LONG HEAD

A
  • Extend the shoulder - Adduct the shoulder
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50
Q

Extensor carpi radialis LONGUS ORIGIN

A

Distal 1/3 of lateral supercondylar ridge of humerus

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51
Q

Extensor carpi radialis BREVIS ORIGIN

A

Common extensor tendon from lateral epicondyle of humerus

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52
Q

Extensor carpi radialis LONGUS INSERTION

A

Base of 2nd metacarpal

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53
Q

Extensor carpi radialis BREVIS INSERTION

A

Base of 3rd metacarpal

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54
Q

Extensor carpi radialis LONGUS AND BREVIS ACTIONS

A
  • Extend the wrist- Abduct the wrist
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55
Q

Extensor Carpi Ulnaris ORIGIN

A

Common extensor tendon from the lateral epicondyle of humerus

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56
Q

Extensor carpi ulnaris INSERTION

A

Base of 5th metacarpal

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57
Q

Extensor carpi ulnaris ACTIONS

A
  • Extend the wrist- Adduct the wrist
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58
Q

Extensor digitorum ORIGIN

A

Common extensor tendon from the lateral epicondyle of humerus

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59
Q

Extensor digitorum INSERTION

A

Bases of middle and distal phalanges of 2-5 fingers

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60
Q

Extensor Digitorum ACTION

A

Extend 2-5 fingers

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61
Q

Flexor Carpi Radialis ORIGIN

A

Common flexor tendon from medial epicondyle of humerus

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62
Q

Flexor Carpi Radialis INSERTION

A

Bases of 2nd and 3rd metacarpals

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63
Q

Flexor Carpi Radialis ACTIONS

A
  • FLEX the wrist
  • ABDUCT the wrist
64
Q

Palmaris Longus ORIGIN

A

Common flexor tendon from medial epicondyle of humerus

65
Q

Palmaris Longus INSERTION

A

Flexor Retinaculum and palmaris aponeurosis

66
Q

Palmaris Longus ACTIONS

A

TENSE the palmar fascia

FLEX the wrist

67
Q

Flexor Carpi Ulnaris ORIGIN

HUMERAL HEAD

A

Common flexor tendon from medial epicondyle of humerus

68
Q

Flexor Carpi Ulnaris ORIGIN ULNAR HEAD

A

Posterior surface of proximal 2/3 of ulna

69
Q

Flexor Carpi Ulnaris INSERTION

A
  • Pisiform
  • Hook of the Hamate
  • Base of 5th metacarpal
70
Q

Flexor Carpi Ulnaris ACTIONS

A
  • FLEX the wrist
  • ADDUCT the wrist
71
Q

SUPRASPINATUS ORIGIN

A

Supraspinous Fossa of the scapula

72
Q

SUPRASPINATUS INSERTION

A

Greater tubercle of Humerus

73
Q

SUPRASPINATUS ACTION

A

ADDUCT the shoulder

Stabilize the humerus

74
Q

INFRASPINATUS ORIGIN

A

Infraspinous Fossa of the scapula

75
Q

INFRASPINATUS INSERTION

A

Greater tubercle of humerus

76
Q

INFRASPINATUS ACTION

A

Laterally rotate the shoulder

77
Q

SUBSCAPULARIS ORIGIN

A

Subscapularis fossa of scapula

78
Q

SUBSCAPULARIS INSERTION

A

Lesser tubercle of humerus

79
Q

SUPSCAPULARIS ACTION

A

Medially rotate the shoulder

Stabilize the humerus

80
Q

SUPRASPINATUS ORIGIN

A

Supraspinous Fossa of the scapula

81
Q

SUPRASPINATUS INSERTION

A

Greater tubercle of Humerus

82
Q

SUPRASPINATUS ACTION

A

ADDUCT the shoulder

Stabilize the humerus

83
Q

INFRASPINATUS ORIGIN

A

Infraspinous Fossa of the scapula

84
Q

INFRASPINATUS INSERTION

A

Greater tubercle of humerus

85
Q

INFRASPINATUS ACTION

A

Laterally rotate the shoulder

86
Q

TERES MINOR ORIGIN

A

Upper 2/3 of lateral border of scapula

87
Q

TERES MINOR INSERTION

A

Greater tubercle of humerus

88
Q

TERES MINOR ACTION

A

Laterally rotate the shoulder

ADDUCT the shoulder

Stabilize the head of humerus

89
Q

SUBSCAPULARIS ORIGIN

A

Subscapularis fossa of scapula

90
Q

SUBSCAPULARIS INSERTION

A

Lesser tubercle of humerus

91
Q

SUPSCAPULARIS ACTION

A

Medially rotate the shoulder

Stabilize the humerus

92
Q

Teres Major ORIGIN

A

Inferior Angle and

lower 1/3 of the lateral border of scapula

93
Q

Teres Major INSERTION

A

Crest of the lesser tubercle of humerus - medial lip

94
Q

Teres Major Action

A

Extend the shoulder

Adduct the shoulder

Medially rotate the shoulder

95
Q

Latissimus Dorsi ORIGIN

A

Inferior angle of scapula

SPs of last 6 thoracic vertebrae

Last 3-4 ribs

96
Q

Latissimus Dorsi INSERTION

A

Intertubercular Groove of humerus

97
Q

Latissimus Dorsi ACTION

A

Extend the shoulder

Adduct the shoulder

Medially rotate the shoulder

98
Q

Pectoralis Major ORIGIN

A

Medial 1/2 of clavicle

Sternum

Cartilage of ribs 1-6

99
Q

Pectoralis Major INSERTION

A

Crest of greater tubercle of humerus

100
Q

Pectoralis Major ACTION

A

ALL FIBERS:

Adduct shoulder

Medially rotate shoulder

UPPER FIBERS:

Flex shoulder

Horizontal Adduction

LOWER FIBERS:

Extend Shoulder

101
Q

Pectoralis Minor ORIGIN

A

Ribs 3-5

102
Q

Pectoralis Minor INSERTION

A

Medial surface of coracoid process of scapula

103
Q

Pectoralis Minor ACTION

A

Depress scapula

Abduct scapula

Downwardly rotate scapula

104
Q

Serratus Anterior INSERTION

A

Anterior surface of medial border of scapula

105
Q

Serratus Anterior ACTION

A

Abduct scapula

Upwardly rotate scapula

Depress scapula

Hold the medial border of scapula against rib cage

106
Q

Quadratur Lumbotum ORIGIN

A

Last rib

TPs of lumbar vertebrae 1-4

107
Q

Quadratus Lumborum INSERTION

A

Internal lip of posterior iliac crest

108
Q

Quadratus Lumborum ACTION

A

Unilaterally:

Lateral tilt of pelvis (elevation)

Lateral flex of vertebral column to the same side

Assist to extend the vertebral column

Bilaterally:

Fix the last rib during forced inhalation/exhalation

109
Q

Gluteus Maximus ORIGIN

A

Coccyx

Edge of sacrum

Posterior iliac crest

Sacrotuberous

Sacroiliac ligaments

110
Q

Gluteus Maximus INSERTION

A

Upper fibers:

IT band

Lower fibers:

Gluteal Tuberosity

111
Q

Gluteus Maximus ACTION

A

ALL FIBERS:

Extend hip

Laterally rotate

Abduct

LOWER FIBERS:

Adduct

112
Q

Gluteus Medius ORIGIN

A

Gluteal surface of ilium between anterior and posterior gluteal lines below liac crest

113
Q

Gluteus Medius INSERTION

A

Lateral aspect of greater trochanter

114
Q

Gluteus Medius ACTION

A

ALL FIBERS:

Abduct hip

ANTERIOR FIBERS:

Flex hip

Medially rotate hip

POSTERIOR FIBERS:

Extend hip

Laterally rotate hip

115
Q

Gluteus Medius ORIGIN

A

Gluteal surface of ilium between anterior and inferior gluteal lines

116
Q

Gluteus Medius INSERTION

A

Anterior aspect of greater trochanter

117
Q

Gluteus Medius ACTION

A

Abduct

Medially rotate

Flex

118
Q

What is the STRONGEST hip flexor

A

Gluteus Maximus

119
Q

Gluteus Medius is also known as

A

The Deltoid of the hip

120
Q

Piriformis ORIGIN

A

Anterior surface of sacrum

121
Q

Piriformis INSERTION

A

SUPERIOR aspect of greater trochanter

122
Q

Piriformis ACTION

A

Laterally rotate hip

Abduct hip when flexed

123
Q

HAMSTRINGS:

Biceps Femoris

LONG HEAD - ORIGIN

A

Ischeal tuberosity

124
Q

HAMSTRINGS:

Biceps Femoris

SHORT HEAD - ORIGIN

A

Lateral lip of the linea aspera

125
Q

HAMSTRINGS:

Biceps Femoris

BOTH HEADS - INSERTION

A

Head of Fibula

126
Q

HAMSTRINGS:

Biceps Femoris ACTIONS - LONG HEAD

A

Extend hip

Assist lateral rotation

Tilt pelvis posteriorly

127
Q

HAMSTRINGS:

Biceps Femoris ACTIONS - SHORT HEAD

A

Flex knee

Laterally rotate fixed knee

128
Q

HAMSTRINGS:

Semitendinosus ORIGIN

A

Ischial tuberosity

129
Q

HAMSTRINGS:

Semitendinosus INSERTION

A

Proximal, medial shaft of tibia at Pes Anserines tendon

130
Q

HAMSTRINGS:

Semitendinosus ACTION

A

Flex knee

Medially rotate flexed knee

Extend hip

Assist to medially rotate hip

Tilt pelvis Posteriorly

131
Q

HAMSTRINGS:

Semimembranosus ORIGIN

A

Ischial Tuberosity

132
Q

HAMSTRINGS:

Semimembranosus INSERTION

A

Posterior aspect of medal condyle of TIBIA

133
Q

HAMSTRINGS:

Semimembranosus ACTION

A

Flex the knee

Medially rotate flexed knee

Extend hip

Assist medial rotation of hip

Tilt pelvis posteriorly

134
Q

Which muscle most commonly has trigger points referring sciatic pain

A

Gluteus Minimus

135
Q

Tensor Fascia Latae INSERTION

A

Iliotibial tract

136
Q

Tensor Fascia Latae ORIGIN

A

Iliac crest, posterior to ASIS

137
Q

Tensor Fascia Latae ACTION

A

Flex the hip

Medially rotate the hip

Abduct the hip

138
Q

QUADS:

Rectus Femoris ORIGIN

A

AIIS

139
Q

QUADS:

Vastus Lateralis ORIGIN

A

Lateral lip of linea aspera, gluteal tuberosity

greater trochanter

140
Q

QUADS:

Vastus Medialis ORIGIN

A

Medial lip of linea aspera

141
Q

QUADS:

Vastus Intermedius ORIGIN

A

Anterior and lateral shaft of the femur

142
Q

QUADS:

ALL INSERTION

A

Tibial tuberosity via the patella and patellar ligament

143
Q

QUADS:

ALL ACTIONS

A

Extend the knee

Rectus Femoris:

Flex the hip

144
Q

Psoas Major ORIGIN

A

Bodies and transverse processes of lumber vertebrae

145
Q

Psoas Major AND Iliacus ACTIONS

A

Flex the hip

Laterlly rotate hip

Flex the trunk toward the thigh

Tilt pelvis anteriorly

146
Q

Iliacus ORIGIN

A

Iliac fossa

147
Q

Psoas Major and Iliacus INSERTION

A

Lesser trochanter

148
Q

What are the 3 Erector Spinae muscles - MEDIAL TO LATERAL

A

Spinalis

Longissimus

Iliocostalis

149
Q

What are the 3 subsets of Spinalis

A

Spinalis CAPITIS

Spinalis CERVICIS

Spinalis THORACIS

150
Q

What are the 3 subsets of Longissimus

A

Longissimus CAPITIS

Longissimus CERVICIS

Longissimus THORACIS

151
Q

What are the 3 subsets of Iliocostalis

A

Iliocostalis CERVICIS

Iliocostalis THORACIS

Iliocostalis LUMBORUM

152
Q

What does Spinalis attach to

A

SPs

153
Q

What does Longissimus attach to

A

Ribs and TPs

154
Q

What does Iliocostalis attach to

A

Ribs

155
Q

Erector Spinae ACTIONS

A

Unilaterally:

Lateral side bending of spine and head to the same side

Bilaterally:

Extension of the spine

156
Q

Which muscle is resposible for most temporal headaches

A

Trapezius

Neuromuscular Therapy - NMT (10 decks)

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