NMT MIDTERM Flashcards
Splenius Cervicis ORIGIN
SPs T3-T6
Splenius Cervicis INSERTION
TPs C1-C3
Slenius Capitis ORIGIN
Inferior 1/2 of Ligamentum Nuchae SPs C7-T4
Splenius Capitis INSERTION
Mastoid Process Lateral portion of superior nuchal line
ACTION of Splenius Capitis and Splenius Cervicis
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
SCM ORIGIN
STERNAL HEAD: Top of Manubrium CLAVICULAR HEAD: Medial 1/3 of clavicle
SCM INSERTION
Both heads: Mastoid Process of temporal bone and lateral portion of superior nuchal line of occiput
ACTION of SCM
UNILATERALLY: Laterally flex the head and neck to the same side AND rotate the head and neck to the opposite side BILATERALLY: Flex the neck AND assist to elevate the rib cage during inhalation
Levator Scapula ORIGIN
TPs C1-C4
Levator Scapula- INSERTION
Medial border of scapula between superior angle and superior portion of spine of scapula
ACTION of Levator scapula
UNILATERALLY: - Elevate the scapula - Downwardly rotate the scapula - Laterally flex the head and neck to the same side BILATERALLY: Extend the head and neck
Trapezius ORIGIN
- EOP - Medial superior Nuchal line of occiput - ligamentum nuchae - SPs C7-T12
Trapezius INSERTION
- Lateral 1/3 of clavicle - Acromion - Spine of Scapula - Tubercle of spine of scapula
UPPER Trapezius ACTION
Extend head and neck Laterally flex head and neck to the same side Rotate head and neck to opposite side Elevate the scapula Upward rotation of scapula
MIDDLE Trapezius ACTION
Adduct the scapula Stabilize scapula
LOWER Trapezius ACTION
Depress scapula Upward rotation of scapula
Rhomboids MAJOR - ORIGIN
SPs T2-T5
Rhomboids Minor - ORIGIN
SPs C7-T1
Rhomboids Major - INSERTION
Medial border of scapula between the spine of scapula and inferior angle
Rhomboids Minor - INSERTION
Upper portion of medial border of scapula across from spine of scapula
Rhomboids Major & Minor - ACTION
- Adduct the scapula - Elevate the scapula - Downward rotation of scapula
What is the definition of NMT?
A system of bodywork that affects muscle tone through sensory feedback in order to treat soft tissue pain and dysfunction
What three techniques are used during NMT?
- Gliding - Friction - Static/Ischemic compression to individual muscles
What is ISCHEMIA?
- Local decrease in blood supply - A state in which the current O2 supply is inadequate for the current physiological needs of the tissue
What is Hypertonicity?
Greater than normal muscle tone
What are Trigger Points?
A localized area of deep tenderness that MAY produce referred pain - often in a PREDICTABLE area when overloaded or under direct digital pressure
What is a TAUGHT BAND?
The group of taught muscle fibers associated with a myofascial triggerpoint - identifiable by palpation
What is POSTURAL DISTORTION?
The result of imbalance in the musculoskeletal system caused by hypertonicity and gravity. This can cause shortened or lengthened muscles
Postural Analysis
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
Nerve entrapment
Constriction or mechanical distortion of a nerve within a fibrous, fibrocartilage-osseous tunnel or taught band which in turn interferes with nerve conduction
Difference between Swedish Massage and NMT
- Swedish Massage has a goal of RELAXATION - NMT has a goal of PAIN RELIEF
What is PALPATION
To assess the body through touch
What do we palpate?
Specific individual muscles
What are we feeling for during palpation
- Hypertonicity - Reaction - Trigger Points
How much pressure should you use to find trigger points?
- Just enough to elicit a referred sensation - Use a scale of 1-10 aiming for 7
What is the PROTOCOL for NMT technique
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 7 Ask if you can use more pressure? Have the client BREATH deep for 10-12 seconds. Re-evaluate pain scale Treat twice
O. I. A. R. stands for
ORIGIN INSERTION ACTION R = Functional Anatomy - Related muscles and structures