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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 side

BILATERALLY:
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 side

BILATERALLY:
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 neck
Laterally flex head and neck to the same side
Rotate head and neck to opposite side
Elevate 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 scapula

Upward rotation of scapula

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17
Q

Rhomboids MAJOR - ORIGIN

A

SPs T2-T5

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18
Q

Rhomboids Major - INSERTION

A

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

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19
Q

Rhomboids Minor - ORIGIN

A

SPs C7-T1

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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

Deltoids ORIGIN

A
  • Lateral 1/3 clavicle
  • Acromion
  • Spine of scapula
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23
Q

Deltoids INSERTION

A

Deltoid Tuberosity

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24
Q

Deltoid ACTION

ALL Fibers

A

Abduct shoulder

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25
Q

Deltoids ACTION

ANTERIOR Fibers

A
  • Flex shoulder
  • Medially rotate
  • Horizontally Adduct
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26
Q

Deltoid Action

POSTERIOR Fibers

A
  • Extend shoulder
  • Laterally rotate shoulder
  • Horizontally abduct
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27
Q

Triceps Brachii ORIGIN

Long head

A

Infraglenoid tubercle of scapula

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28
Q

Triceps Brachii

ORIGIN LATERAL HEAD

A

Posterior surface of proximal 1/2 of humerus

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29
Q

Triceps Brachii ORIGIN

MEDIAL HEAD

A

Posterior surface of distal 1/2 of the humerus

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30
Q

Triceps Brachii ALL HEADS INSERTION

A

Olecranon process of ulna

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31
Q

Triceps Brachii ACTION ALL HEADS

A

Extend the shoulder

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32
Q

Triceps Brachii ACTIONS

LONG HEAD

A
  • Extend the shoulder

- Adduct the shoulder

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33
Q

Extensor carpi radialis LONGUS ORIGIN

A

Distal 1/3 of lateral supercondylar ridge of humerus

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34
Q

Extensor carpi radialis LONGUS INSERTION

A

Base of 2nd metacarpal

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35
Q

Extensor carpi radialis BREVIS ORIGIN

A

Common extensor tendon from lateral epicondyle of humerus

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36
Q

Extensor carpi radialis BREVIS INSERTION

A

Base of 3rd metacarpal

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37
Q

Extensor carpi radialis LONGUS AND BREVIS ACTIONS

A
  • Extend the wrist

- Abduct the wrist

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38
Q

Extensor digitorum ORIGIN

A

Common extensor tendon from the lateral epicondyle of humerus

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39
Q

Extensor digitorum INSERTION

A

Bases of middle and distal phalanges of 2-5 fingers

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40
Q

Extensor Digitorum ACTION

A

Extend 2-5 fingers

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41
Q

Extensor Carpi Ulnaris ORIGIN

A

Common extensor tendon from the lateral epicondyle of humerus

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42
Q

Extensor carpi ulnaris INSERTION

A

Base of 5th metacarpal

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43
Q

Extensor carpi ulnaris ACTIONS

A
  • Extend the wrist

- Adduct the wrist

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44
Q

Flexor Carpi Radialis ORIGIN

A

Common flexor tendon from medial epicondyle of humerus

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45
Q

Flexor Carpi Radialis INSERTION

A

Bases of 2nd and 3rd metacarpals

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46
Q

Flexor Carpi Radialis ACTIONS

A
  • FLEX the wrist

- ABDUCT the wrist

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47
Q

Palmaris Longus ORIGIN

A

Common flexor tendon from medial epicondyle of humerus

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48
Q

Palmaris Longus INSERTION

A

Flexor Retinaculum and palmaris aponeurosis

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49
Q

Palmaris Longus ACTIONS

A

TENSE the palmar fascia

FLEX the wrist

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50
Q

Flexor Carpi Ulnaris ORIGIN HUMERAL HEAD

A

Common flexor tendon from medial epicondyle of humerus

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51
Q

Flexor Carpi Ulnaris ORIGIN ULNAR HEAD

A

Posterior surface of proximal 2/3 of ulna

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52
Q

Flexor Carpi Ulnaris INSERTION

A
  • Pisiform
  • Hook of the Hamate
  • Base of 5th metacarpal
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53
Q

Flexor Carpi Ulnaris ACTIONS

A
  • FLEX the wrist

- ADDUCT the wrist

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54
Q

SUPRASPINATUS ORIGIN

A

Supraspinous Fossa of the scapula

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55
Q

SUPRASPINATUS INSERTION

A

Greater tubercle of Humerus

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56
Q

SUPRASPINATUS ACTION

A

ADDUCT the shoulder

Stabilize the humerus

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57
Q

INFRASPINATUS ORIGIN

A

Infraspinous Fossa of the scapula

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58
Q

INFRASPINATUS INSERTION

A

Greater tubercle of humerus

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59
Q

INFRASPINATUS ACTION

A

Laterally rotate the shoulder

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60
Q

SUBSCAPULARIS ORIGIN

A

Subscapularis fossa of scapula

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61
Q

SUBSCAPULARIS INSERTION

A

Lesser tubercle of humerus

62
Q

SUPSCAPULARIS ACTION

A

Medially rotate the shoulder

Stabilize the humerus

63
Q

TERES MINOR ORIGIN

A

Upper 2/3 of lateral border of scapula

64
Q

TERES MINOR INSERTION

A

Greater tubercle of humerus

65
Q

TERES MINOR ACTION

A

Laterally rotate the shoulder
ADDUCT the shoulder
Stabilize the head of humeruss

66
Q

SUBSCAPULARIS ORIGIN

A

Subscapularis fossa of scapula

67
Q

SUBSCAPULARIS INSERTION

A

Lesser tubercle of humerus

68
Q

SUPSCAPULARIS ACTION

A

Medially rotate the shoulder

Stabilize the humerus

69
Q

Teres Major ORIGIN

A

Inferior Angle and lower 1/3 of the lateral border of scapula

70
Q

Teres Major INSERTION

A

Crest of the lesser tubercle of humerus - medial lip

71
Q

Teres Major Action

A

Extend the shoulder
Adduct the shoulder
Medially rotate the shoulder

72
Q

Latissimus Dorsi ORIGIN

A 
Inferior angle of scapula
SPs of last 6 thoracic vertebrae
Last 3-4 ribs
Thoracolumbar Aponeurosis
Posterior Iliac Crest
73
Q

Latissimus Dorsi INSERTION

A

Intertubercular Groove of humerus

74
Q

Latissimus Dorsi ACTION

A

Extend the shoulder
Adduct the shoulder
Medially rotate the shoulder

75
Q

Pectoralis Major ORIGIN

A

Medial 1/2 of clavicle
Sternum
Cartilage of ribs 1-6

76
Q

Pectoralis Major INSERTION

A

Crest of greater tubercle of humerus

77
Q

Pectoralis Major ACTION

A

ALL FIBERS:
Adduct shoulder
Medially rotate shoulder

UPPER FIBERS:
Flex shoulder
Horizontal Adduction

LOWER FIBERS:
Extend Shoulder

78
Q

Pectoralis Minor ORIGIN

A

Ribs 3-5

79
Q

Pectoralis Minor INSERTION

A

Medial surface of coracoid process of scapula

80
Q

Pectoralis Minor ACTION

A

Depress scapula
Abduct scapula
Downwardly rotate scapula

81
Q

Serratus Anterior ORIGIN

A

External surfaces of upper 8-9 ribs

82
Q

Serratus Anterior INSERTION

A

Anterior surface of medial border of scapula

83
Q

Serratus Anterior ACTION

A

Abduct scapula
Upwardly rotate scapula
Depress scapula
Hold the medial border of scapula against rib cage

84
Q

Quadratus Lumbotum ORIGIN

A

Last rib

TPs of lumbar vertebrae 1-4

85
Q

Quadratus Lumborum INSERTION

A

Internal lip of posterior iliac crest

86
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

87
Q

Gluteus Maximus ORIGIN

A 
Coccyx
Edge of sacrum
Posterior iliac crest 
Sacrotuberous
Sacroiliac ligaments
88
Q

Gluteus Maximus INSERTION

A

Upper fibers:
IT band
Lower fibers:
Gluteal Tuberosity

89
Q

Gluteus Maximus ACTION

A

ALL FIBERS:
Extend hip
Laterally rotate
Abduct

LOWER FIBERS:
Adduct

90
Q

Gluteus Medius ORIGIN

A

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

91
Q

Gluteus Medius INSERTION

A

Lateral aspect of greater trochanter

92
Q

Gluteus Medius ACTION

A

ALL FIBERS:
Abduct hip

ANTERIOR FIBERS:
Flex hip
Medially rotate hip

POSTERIOR FIBERS:
Extend hip
Laterally rotate hip

93
Q

Gluteus Minimus ORIGIN

A

Gluteal surface of ilium between anterior and inferior gluteal lines

94
Q

Gluteus Minimus INSERTION

A

Anterior aspect of greater trochanter

95
Q

Gluteus Minimus ACTION

A

Abduct
Medially rotate
Flex

96
Q

Gluteus Medius is also known as

A

The Deltoid of the hip

97
Q

Piriformis ORIGIN

A

Anterior surface of sacrum

98
Q

Piriformis INSERTION

A

SUPERIOR aspect of greater trochanter

99
Q

Piriformis ACTION

A

Laterally rotate hip

Abduct hip when flexed

100
Q

HAMSTRINGS:

Biceps Femoris LONG HEAD - ORIGIN

A

Ischeal tuberosity

101
Q

HAMSTRINGS:
Biceps Femoris
SHORT HEAD - ORIGIN

A

Lateral lip of the linea aspera

102
Q

HAMSTRINGS:
Biceps Femoris
BOTH HEADS - INSERTION

A

Head of Fibula

103
Q

HAMSTRINGS:

Biceps Femoris ACTIONS - LONG HEAD

A

Extend hip
Assist lateral rotation
Tilt pelvis posteriorly

104
Q

HAMSTRINGS:

Biceps Femoris ACTIONS - SHORT HEAD

A

Flex knee

Laterally rotate fixed knee

105
Q

HAMSTRINGS:

Semitendinosus ORIGIN

A

Ischial tuberosity

106
Q

HAMSTRINGS:

Semitendinosus INSERTION

A

Proximal, medial shaft of tibia at Pes Anserines tendon

107
Q

HAMSTRINGS:

Semitendinosus ACTION

A 
Flex knee
Medially rotate flexed knee
Extend hip
Assist to medially rotate hip
Tilt pelvis Posteriorly
108
Q

HAMSTRINGS:

Semimembranosus ORIGIN

A

Ischial Tuberosity

109
Q

HAMSTRINGS:

Semimembranosus INSERTION

A

Posterior aspect of medal condyle of TIBIA

110
Q

HAMSTRINGS:

Semimembranosus ACTION

A 
Flex the knee
Medially rotate flexed knee
Extend hip
Assist medial rotation of hip
Tilt pelvis posteriorly
111
Q

Which muscle most commonly has trigger points referring sciatic pain

A

Gluteus Minimus

112
Q

Tensor Fascia Latae INSERTION

A

Iliotibial tract

113
Q

Tensor Fascia Latae ORIGIN

A

Iliac crest, posterior to ASIS

114
Q

Tensor Fascia Latae ACTION

A

Flex the hip
Medially rotate the hip
Abduct the hip

115
Q

QUADS:

Rectus Femoris ORIGIN

A

AIIS

116
Q

QUADS:

Vastus Lateralis ORIGIN

A

Lateral lip of linea aspera
gluteal tuberosity
greater trochanter

117
Q

QUADS:

Vastus Medialis ORIGIN

A

Medial lip of linea aspera

118
Q

QUADS:

Vastus Intermedius ORIGIN

A

Anterior and lateral shaft of the femur

119
Q

QUADS:

ALL INSERTIONS

A

Tibial tuberosity via the patella and patellar ligament

120
Q

QUADS:

ALL ACTIONS

A

Extend the knee

Rectus Femoris:
Flex the hip

121
Q

Psoas Major ORIGIN

A

Bodies and transverse processes of lumber vertebrae

122
Q

Psoas Major AND Iliacus ACTIONS

A

Flex the hip
Laterlly rotate hip
Flex the trunk toward the thigh
Tilt pelvis anteriorly

123
Q

Iliacus ORIGIN

A

Iliac fossa

124
Q

Psoas Major and Iliacus INSERTION

A

Lesser trochanter

125
Q

What are the 3 Erector Spinae muscles - MEDIAL TO LATERAL

A

Spinalis
Longissimus
Iliocostalis

126
Q

What are the 3 subsets of Spinalis

A

Spinalis CAPITIS
Spinalis CERVICIS
Spinalis THORACIS

127
Q

What are the 3 subsets of Longissimus

A

Longissimus CAPITIS
Longissimus CERVICIS
Longissimus THORACIS

128
Q

What are the 3 subsets of Iliocostalis

A

Iliocostalis CERVICIS
Iliocostalis THORACIS
Iliocostalis LUMBORUM

129
Q

What does Spinalis attach to

A

SPs

130
Q

What does Longissimus attach to

A

Ribs and TPs

131
Q

What does Iliocostalis attach to

A

Ribs

132
Q

Erector Spinae ACTIONS

A

Unilaterally:
Lateral side bending of spine and head to the same side

Bilaterally:
Extension of the spine

133
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

134
Q

Which muscle is resposible for most temporal headaches

A

Trapezius

135
Q

What do we palpate?

A

Specific individual muscles

136
Q

What are we feeling for during palpation

A
  • Hypertonicity
  • Reaction
  • Trigger Points
137
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

138
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 7
Ask if you can use more pressure? Have the client BREATH deep for 10-12 seconds.
Re-evaluate pain scale
Treat twice

139
Q

O. I. A. R. stands for

A

ORIGIN INSERTION ACTION

R = Functional Anatomy - Related muscles and structures

140
Q

What is the STRONGEST hip flexor

A

Gluteus Maximus

141
Q

What is PALPATION

A

To assess the body through touch

142
Q

Difference between Swedish Massage and NMT

A
  • Swedish Massage has a goal of RELAXATION

- NMT has a goal of PAIN RELIEF

143
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

144
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

145
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

146
Q

What is a TAUGHT BAND?

A

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

147
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

148
Q

What is Hypertonicity?

A

Greater than normal muscle tone

149
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

150
Q

What three techniques are used during NMT?

A
  • Gliding
  • Friction
  • Static/Ischemic compression to individual muscles

Neuromuscular Therapy - NMT (10 decks)

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