Podcast
Questions and Answers
Which of the following is NOT an origin of the Upper Trapezius?
Which of the following is NOT an origin of the Upper Trapezius?
- Superior Nuchal Line
- Occipital Protuberance
- Spinous Process C7
- Transverse Processes of C1-4 (correct)
What is the insertion point of the Levator Scapulae?
What is the insertion point of the Levator Scapulae?
- Lateral 3rd clavicle
- Vertebral (medial) border of scapula between superior angle and scapula spine (correct)
- Acromion
- Spine of scapula
From which structure does the Upper Trapezius NOT originate?
From which structure does the Upper Trapezius NOT originate?
- Superior Nuchal Line
- Transverse Processes of C1-4 (correct)
- Ligamentum Nuchae
- Spinous Process C7
Which bone does NOT serve as an insertion point for the Upper Trapezius?
Which bone does NOT serve as an insertion point for the Upper Trapezius?
Which ligament is associated with the origin of the Upper Trapezius?
Which ligament is associated with the origin of the Upper Trapezius?
In the scapular elevation against gravity exercise, what is the patient position?
In the scapular elevation against gravity exercise, what is the patient position?
Which muscle is palpated during the scapular elevation against gravity exercise?
Which muscle is palpated during the scapular elevation against gravity exercise?
Where should the force be applied to provide resistance during the scapular elevation against gravity exercise?
Where should the force be applied to provide resistance during the scapular elevation against gravity exercise?
What action does the patient perform during the scapular elevation against gravity exercise?
What action does the patient perform during the scapular elevation against gravity exercise?
Which part of the body is stabilized during the scapular elevation against gravity exercise?
Which part of the body is stabilized during the scapular elevation against gravity exercise?
Which of the following movements is facilitated by the middle trapezius muscle?
Which of the following movements is facilitated by the middle trapezius muscle?
Where does the middle trapezius muscle insert?
Where does the middle trapezius muscle insert?
What is the origin of the middle trapezius muscle?
What is the origin of the middle trapezius muscle?
Which of the following vertebrae are involved in the origin of the middle trapezius muscle?
Which of the following vertebrae are involved in the origin of the middle trapezius muscle?
Which ligament is associated with the origin of the middle trapezius muscle?
Which ligament is associated with the origin of the middle trapezius muscle?
The lower trapezius muscle originates from which of the following anatomical structures?
The lower trapezius muscle originates from which of the following anatomical structures?
In the scapular adduction test against gravity, which position should the patient’s upper extremity (UE) be placed in?
In the scapular adduction test against gravity, which position should the patient’s upper extremity (UE) be placed in?
In the Scapular Add and Depression Gravity Resisted exercise, what is the position of the elbow of the patient?
In the Scapular Add and Depression Gravity Resisted exercise, what is the position of the elbow of the patient?
What is the patient's correct position during scapular adduction gravity eliminated?
What is the patient's correct position during scapular adduction gravity eliminated?
Which muscle is palpated during scapular adduction gravity eliminated?
Which muscle is palpated during scapular adduction gravity eliminated?
To which part of the scapula does the lower trapezius muscle insert?
To which part of the scapula does the lower trapezius muscle insert?
Which area should the therapist stabilize during the scapular adduction test?
Which area should the therapist stabilize during the scapular adduction test?
Which muscle is specifically palpated during the Scapular Add and Depression Gravity Resisted exercise?
Which muscle is specifically palpated during the Scapular Add and Depression Gravity Resisted exercise?
What action should the therapist apply resistance against during the scapular adduction test?
What action should the therapist apply resistance against during the scapular adduction test?
Where is stabilization applied during scapular adduction gravity eliminated?
Where is stabilization applied during scapular adduction gravity eliminated?
What is the primary action associated with the lower trapezius muscle?
What is the primary action associated with the lower trapezius muscle?
During the Scapular Add and Depression Gravity Resisted exercise, where should resistance be applied?
During the Scapular Add and Depression Gravity Resisted exercise, where should resistance be applied?
Which action does the patient perform during scapular adduction gravity eliminated?
Which action does the patient perform during scapular adduction gravity eliminated?
Which nerve is visible and potentially associated with the lower trapezius muscle in the image?
Which nerve is visible and potentially associated with the lower trapezius muscle in the image?
When testing scapular adduction against gravity, where should the resistance be applied?
When testing scapular adduction against gravity, where should the resistance be applied?
What is the primary action the patient must perform in the Scapular Add and Depression Gravity Resisted exercise?
What is the primary action the patient must perform in the Scapular Add and Depression Gravity Resisted exercise?
What is the purpose of supporting the upper extremity in 90 degrees abduction during scapular adduction gravity eliminated?
What is the purpose of supporting the upper extremity in 90 degrees abduction during scapular adduction gravity eliminated?
In the starting position for the Scapular Add and Depression Gravity Resisted exercise, how is the patient's head positioned?
In the starting position for the Scapular Add and Depression Gravity Resisted exercise, how is the patient's head positioned?
Which cervical vertebrae are labeled in the image shown?
Which cervical vertebrae are labeled in the image shown?
What is the purpose of stabilizing the opposite side of the thorax during the scapular adduction test?
What is the purpose of stabilizing the opposite side of the thorax during the scapular adduction test?
Study Notes
Scapular Elevation
- Upper trapezius muscle:
- Originates from occipital protuberance, superior nuchal line, ligamentum nuchae, and spinous process of C7
- Inserts into lateral 3rd clavicle, acromion, and spine of scapula
- Scapular elevation against gravity:
- Patient is seated, with head to contralateral side
- Therapist stabilizes ipsilateral side of head
- Resists top of shoulder into scapular depression
Scapular Adduction
- Middle trapezius muscle:
- Originates from spinous processes of T1-T5 and supraspinal ligament
- Inserts into acromion and scapular spine
- Scapular adduction against gravity:
- Patient is prone, with testing upper extremity in shoulder abduction and elbow flexion
- Therapist stabilizes opposite thorax/shoulder and applies resistance into abduction through medial border of scapula
- Scapular adduction gravity eliminated:
- Patient is seated with upper extremity supported in 90 degrees abduction, external rotation, and elbow extension
- Therapist stabilizes opposite shoulder, preventing trunk rotation
- Patient performs scapular adduction
Scapular Adduction and Depression
- Lower trapezius muscle:
- Originates from spinous processes of T6-T12 and supraspinous ligament
- Inserts into medial end of scapular spine
- Scapular adduction and depression against gravity:
- Patient is prone, with shoulder abducted 130°, elbow extended, and head rotated to opposite side
- Therapist stabilizes contralateral thorax and resists over lateral aspect of scapula, pushing into abduction and elevation
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Description
This quiz covers the anatomy of scapular elevation muscles, specifically the upper trapezius and levator scapulae, including their origins and insertions.