Myofascial Stretching

Palpation

100

Levator Scapula

Origin

Insertion

Actions

Origin: TVP's of C1-C4

Insertion: superior medial border of scapula

Action: cs lateral flexion - rotation (same side)                     bilateral extension. Elevation of scapula 

              

200

Flexor Carpi Radialis

Origin

Insertion

Action

Origin: medial epicondyle of humerus

Insertion: bases of 2nd and 3rd metacarpals

Action: flexion of the wrist

           radial deviation of wrist (abduction)

300

Biceps brachii

Origin

Insertion

Action

Origin: supraglenoid tubercle of scapula                           (longhead)

           coracoid process of scapula (short head)

Insertion: radial tuberosity and bicipital                               aponeurosis

Action: g/h flexion - elbow flexion - forearm                     supination

400

Scalenes 

Origin

Insertion

Action

Origin: TVP's C3-C6 (ant) TVP's C2-C7 (mid)

           TVP's C6-C7 (posterior)

Insertion: ant/middle first rib posterior 2nd rib

Action: CS lateral flexion - rotation (opposite side)

           elevate ribs for inhalation

           

500

Latissimus dorsi 

Origin

Insertion

Action

Origin: inferior angle of scapula, SP's of T7-T12                       thoracolumbar fascia, last 3 or 4 ribs

Insertion: bicipital groove of humerus

Action: G/H adduction, extension, internal rotation

Static Stretch

100

Perform a right-side static stretch for the forearm extensors

Elbow extension

Wrist flexion

200

Perform a right-side static stretch for gastrocnemius

Knee extension

Talocrural dorsi flexion

300

Perform a right-side static stretch for piriformis

Hip flexion

Hip adduction

Hip external rotation 

400

Perform a left-side static stretch for biceps brachii

G/H extension

G/H elbow extension

Forearm supination

500

Perform a right-side static stretch for the quadratus lumborum in a side lying position.

G/H abduction

Lateral pelvic tilt

Hip adduction

PNF Stretch

100

Perform a left side PNF stretch for the upper trapezius 

CS lateral flexion away

Scapula depression

200

Perform a left-side PNF stretch for soleus

Knee flexion

Talocrural dorsi flexion

300

Perform a left-side PNF stretch for gracilis.

Hip abduction

Knee extension

400

Perform a right side PNF stretch for pectoralis major (all fibers)

G/H abduction

G/H external rotation

500

Perform a right-side iliopsoas PNF stretch 

Stabilize pelvis

Hip extension

Theory

100

What reflex involves an involuntary muscle contraction in response to passive muscle stretching?

The stretch reflex 

200

What mechanoreceptor detects changes in skeletal muscle length and the speed of the length change?

Muscle spindle fibers

300

What reflex has an inhibitory effect on skeletal muscle from muscle tension stimulation.

Golgi tendon organ reflex 

or

Autogenic inhibition

400

In the context of stretching, what does the acronym PNF stand for?

Proprioceptive neuromuscular facilitation. 

500

Name 6 benefits of having stretching in a treatment plan.

Increased flexibility, improve mobility, improve posture, improve athletic performance, reduce chance of injury, relieve stress, reduce pain.

Posture Theory

100

Name 2 muscles that would be practical to stretch for a client with head forward posture.

Suboccipitals

Cervical extensors 

Trapezius 

Pectorals 

200

Name 2 muscles that would be practical to stretch for a client with protracted scapulas.

Pectoralis major and minor

Latissimus dorsi/teres major

Anterior deltoid

300

Name 2 muscles that would be practical to stretch for a client with a anterior pelvic tilt.

QL

Lumbar ESG

Hip flexors

400

What primary muscle would you stretch for a client with torticollis.

SCM

500

Name 2 muscles that would be practical to stretch for a client with a left lateral pelvic

Right QL

Left gluteus medius