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29 terms

OMM Hypertonic/Inhibited

STUDY
PLAY
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.