Muscle Palpation Techniques in Neuromuscular Shoulder Assessment

Muscle Palpation Techniques in Neuromuscular Shoulder Assessment

Purpose of Palpation

• To identify areas of pain, tension, or altered muscle tone
• To assess muscle function and neuromuscular control

Types of Palpation Techniques

• Superficial palpation: used to assess skin and subcutaneous tissue
• Deep palpation: used to assess muscle and joint tissue

Muscle Palpation Techniques for Shoulder Assessment

• Resistive palpation: apply resistance to a muscle to assess its strength and tone
• Isometric palpation: assess muscle tone while the muscle is contracting isometrically
• Dynamic palpation: assess muscle function during movement

Specific Techniques for Shoulder Muscles

• Subscapularis: palpate the subscapularis muscle by applying pressure to the posterior aspect of the scapula, just medial to the scapular spine
• Supraspinatus: palpate the supraspinatus muscle by applying pressure to the superior aspect of the scapula, just lateral to the scapular spine
• Infraspinatus: palpate the infraspinatus muscle by applying pressure to the posterior aspect of the scapula, just lateral to the scapular spine
• Teres minor: palpate the teres minor muscle by applying pressure to the posterior aspect of the scapula, just inferior to the scapular spine
• Deltoid: palpate the deltoid muscle by applying pressure to the anterior, middle, and posterior aspects of the deltoid muscle

Tips for Effective Palpation

• Use a gentle, firm pressure
• Use a slow, deliberate movement
• Use the palmar surface of the hand or fingers to apply pressure
• Avoid using the fingertips, as they can be too sensitive
• Avoid applying pressure too deeply, as this can cause discomfort or pain