OMM Hypertonic/Inhibited

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Postural muscles

Tight->hypertonic

Dynamic muscles

Neurologically inhibited

Key long cervical restrictors that sideband and rotate to opposite sides

Upper Trapezius
SCM
Scalenes

Key long cervical restrictors that sideband and rotate to the same side

Levator scapula: due to TWIST in it from rotation during development. ASSOCIATED WITH C2 dysfunction.

Latissimus dorsi

innervated by cervical nerve (C4-C5). GREAT INTEGRATOR.

What is the inhibitor of the serratus muscles?

Alternating stacked ERSs in the mi

If you have a thoracic dysfunction at T4 ERS L, T5 ERS R, and T6 ERS L, what muscles are inhibited?

Serratus Anterior

Rotatores

Hypertonic->type II dysfunction

What are the key hypertonic shoulder muscles?

Shoulder capsule
Levator Scapula (C2)
Latissimus dorsi (C4-C5)

What are the key inhibited shoulder muscles?

Middle and lower trapezius (lower T spine)
Serratus anterior (mid T spine)

Postural muscles of the upper quarter

Flexors PULLSS

Flexors of the upper extremity
Pectoralis
Upper trapezius
Latissimus dorsi
Levator Scapulae
SCM
Scalenes
SUBSCAPULARIS

Dynamic muscles of the upper quarter

Supraspinatus
Infraspinatus
Teres minor
Deltoid
Rhomboids
Middle and lower trapezius
Extensors of the uppers extremity

Cervical Flexion Test: Hypertonic muscles

SCM and Scalenes

Cervical Flexion Test: Inhibited muscles

Deep flexors of the neck: LONGUS COLLI

Bilateral Shoulder Abduction Maneuver is a screening test used to assess for what?

1) Asymmetry of gliding motion of scapula on trunk
2) Winging of scapula

Bilateral Shoulder Abduction Maneuver: Hypertonic muscles

Levator scapulae
Upper trapezius

Bilateral Shoulder Abduction Maneuver: Inhibited muscles

Serratus anterior
Lower and Middle Trapezius
Rhomboids
Supraspinatus

Unilateral Shoulder Abduction Maneuver: Muscle Firing Sequence

Normal: Contralateral Quadratus lumborum should fire
Abnormal: ipsilateral Quadratus lumborum fires.

Ideal Sequence: 1st->Supraspinatus, deltoid, infraspinatus, middle and lower trapezius, contralateral quadratus lumborum

Dysfunctional sequence: Tight levator scapula fires and inhibits ideal firing pattern, late firing of middle and lower trapezius, ipsilateral QL fire (instead of contralateral)

Scapular Stabilization Test: inhibited muscles

Serratus anterior
Lower trapezius
Rhomboids

Scapular Depression Test: Hypertonic muscles

Levator scapulae and upper trapezius

Scapular Depression Test: Inhibited

INHIBITED LOWER TRAPEZIUS.

Bilateral Shoulder Flexion Test: Hypertonic

Latissimus dorsi on side of restricted flexion.

Anterior Shoulder Postion Test: Hypertonic muscles

POSTERIOR SHOULDER CAPSULE
Levator scapulae
Upper Trapezius

Anterior Shoulder Position Test: Inhibited muscles

Middle/Lower trapezius
Serratus anterior
Rhomboids

Anterior Shoulder Position Test substituted muscles

PECTORALIS MINOR

Levator Scapulae Self Stretch

Side bend away, rotate away, lean away

Upper Trapezius and SCM

Flex, Side bend away, rotate towards, tuck chin

Scalene Muscles: Manual Stretch: FOOTBALL HOLD

Side bend toward, Rotate away for ME

Latissimus dorsi self stretch

PRARYER POSITION. DROP CHEST TO THE FLOOR.

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