palpation of quadriceps as a group
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Terms in this set (9)
1. supine with knee bolstered. locate AIIS and the patella
2. draw an imaginary line between these two points and follow the path of the rectus femoris
3. palpate along this line and strum across the rectus fibers (2-3 fingers wide)
4. ask your partner to flex his hip and hold his foot up off the table. this position contracts the rectus femoris, making it more pronounced.
1. partner side lying (make sure pillow is between the legs). place flat of your hand on the lateral side of the thigh while your partner slowly extends and relaxes his knee. notice the vastus lateralis contracting and relaxing.
2. palpate entire belly - posteriorly to the biceps femoris and proximally to the greater trochanter. with the thigh relaxed, identify the direction and depth of the lateralis fibers and the superficial IT tract.
1. prone. place hand on the posterior thigh, between the buttocks and the knee. ask partner to flex knee, holding foot off the table. as the hamstrings contract, explore mass and width.
2. locate ischial tuberosity. slide fingertips distally ONE INCH and strum across the large, solid tendon of the hamstrings.
3. follow tendon distally as it spreads out into the separate bellies of the hamstrings
1. partner prone. ask to hold knee in a flexed position. again, explore the bellies of the hamstrings.
2. the lateral half of the hamstring belly is the biceps femoris. its belly will lead toward the head of the fibula.
3. medial head of half of hamstrings consists of the layered bellies of semitend and semimemb. move to medial side of the knee and palpate for the tendons of these muscles
4. most superficial tendon: semitendonosis. turn partner supine and follow distally til it merges with pes anserine tendon.
1. prone. locate coccyx, edge of sacrum, PSIS, and posterior 2 inches of the iliac crest to isolate the landmarks that form the origin of the maximus
2. locate insertion at gluteal tuberosity
3. connect origin to insertion by drawing the fiber direction on your partner. palpate thick fibers. notice differences in depth between adipose tissue and muscle fibers
1. side lying. isolate shape of the glute medius by placing webbing of one hand along iliac crest (PSIS to about ASIS) while other hand finds greater troch
2. hands form a shape that looks like a slice of pie.
3. palpate area from below iliac crest to greater troch for dense fibers of glute med.
4. sink fingers deep to glute med to look for min.