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Scapular Elevation Muscles MMT
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Scapular Elevation Muscles MMT

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Questions and Answers

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?

  • 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?

  • 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?

    <p>Humerus</p> Signup and view all the answers

    Which ligament is associated with the origin of the Upper Trapezius?

    <p>Ligamentum Nuchae</p> Signup and view all the answers

    In the scapular elevation against gravity exercise, what is the patient position?

    <p>Seated, head to contralateral side</p> Signup and view all the answers

    Which muscle is palpated during the scapular elevation against gravity exercise?

    <p>Upper trapezius</p> Signup and view all the answers

    Where should the force be applied to provide resistance during the scapular elevation against gravity exercise?

    <p>Top of the shoulder</p> Signup and view all the answers

    What action does the patient perform during the scapular elevation against gravity exercise?

    <p>Elevate acromion toward ear</p> Signup and view all the answers

    Which part of the body is stabilized during the scapular elevation against gravity exercise?

    <p>Ipsilateral side of the head</p> Signup and view all the answers

    Which of the following movements is facilitated by the middle trapezius muscle?

    <p>Scapular adduction</p> Signup and view all the answers

    Where does the middle trapezius muscle insert?

    <p>Acromion and scapular spine</p> Signup and view all the answers

    What is the origin of the middle trapezius muscle?

    <p>Spinous process T1-T5 and supraspinal ligament</p> Signup and view all the answers

    Which of the following vertebrae are involved in the origin of the middle trapezius muscle?

    <p>T1-T5</p> Signup and view all the answers

    Which ligament is associated with the origin of the middle trapezius muscle?

    <p>Supraspinal ligament</p> Signup and view all the answers

    The lower trapezius muscle originates from which of the following anatomical structures?

    <p>Spinous processes of T6-T12 and supraspinous ligament</p> Signup and view all the answers

    In the scapular adduction test against gravity, which position should the patient’s upper extremity (UE) be placed in?

    <p>Shoulder abduction and elbow flexion</p> Signup and view all the answers

    In the Scapular Add and Depression Gravity Resisted exercise, what is the position of the elbow of the patient?

    <p>Extended</p> Signup and view all the answers

    What is the patient's correct position during scapular adduction gravity eliminated?

    <p>Seated, upper extremity supported in 90 degrees abduction, external rotation, elbow extended</p> Signup and view all the answers

    Which muscle is palpated during scapular adduction gravity eliminated?

    <p>Middle trapezius</p> Signup and view all the answers

    To which part of the scapula does the lower trapezius muscle insert?

    <p>Medial end of the scapular spine</p> Signup and view all the answers

    Which area should the therapist stabilize during the scapular adduction test?

    <p>Opposite thorax/shoulder</p> Signup and view all the answers

    Which muscle is specifically palpated during the Scapular Add and Depression Gravity Resisted exercise?

    <p>Lower trapezius</p> Signup and view all the answers

    What action should the therapist apply resistance against during the scapular adduction test?

    <p>Scapular adduction</p> Signup and view all the answers

    Where is stabilization applied during scapular adduction gravity eliminated?

    <p>Opposite shoulder, prevent trunk rotation</p> Signup and view all the answers

    What is the primary action associated with the lower trapezius muscle?

    <p>Scapular adduction and depression</p> Signup and view all the answers

    During the Scapular Add and Depression Gravity Resisted exercise, where should resistance be applied?

    <p>Lateral aspect of the scapula pushing into abduction and elevation</p> Signup and view all the answers

    Which action does the patient perform during scapular adduction gravity eliminated?

    <p>Scapular adduction</p> Signup and view all the answers

    Which nerve is visible and potentially associated with the lower trapezius muscle in the image?

    <p>Accessory nerve</p> Signup and view all the answers

    When testing scapular adduction against gravity, where should the resistance be applied?

    <p>Medial border of scapula</p> Signup and view all the answers

    What is the primary action the patient must perform in the Scapular Add and Depression Gravity Resisted exercise?

    <p>Raise arm to produce depression and adduction of scapula</p> Signup and view all the answers

    What is the purpose of supporting the upper extremity in 90 degrees abduction during scapular adduction gravity eliminated?

    <p>To eliminate the effect of gravity</p> Signup and view all the answers

    In the starting position for the Scapular Add and Depression Gravity Resisted exercise, how is the patient's head positioned?

    <p>Rotated to the opposite side of the arm lift</p> Signup and view all the answers

    Which cervical vertebrae are labeled in the image shown?

    <p>C3, C4, C5</p> Signup and view all the answers

    What is the purpose of stabilizing the opposite side of the thorax during the scapular adduction test?

    <p>To prevent compensatory movement of the opposite shoulder</p> Signup and view all the answers

    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.

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