MSTA121 SN10 Lecture - ?? Gluteus maximus, gluteus medius ... –Cover the greater trochanter? • If gluteus medius was nicknamed ‘the jack of all trades’, ... MSTA121_SN10_Lecture

  • View
    213

  • Download
    1

Embed Size (px)

Transcript

  • MSTA121

    www.endeavour.edu.au

    Session 10

    Muscular Anatomy of the

    Axial Skeleton and

    Lower Limb

    Department of Myotherapy

  • Endeavour College of Natural Health www.endeavour.edu.au 2

    Review:

    Brisbane Myotherapy Studentso Brisbane and Gold Coast lecturers: Please again

    take the time to review the status of the immunisation

    process for all students enrolled in the Myotherapy

    degree.

    Classify: Not yet begun / Has undertaken at least first

    immunisation (Hep B) / Has undertaken second immunisation

    (Hep B)/ Immunity documentation acquired

    Provide the list to your Senior Lecturer via email

    o Students: If you have obtained your proof of immunity,

    please upload this to the LMS under the assessments

    tab

    (All non-Qld Myo students, please disregard)

    Image: Microsoft

  • Endeavour College of Natural Health www.endeavour.edu.au 3

    Review: Muscular Anatomy

    o In groups of three, palpate and state the origin(s),

    insertion(s) and actions of the following muscles:

    Trapezius

    Serratus anterior

    Masseter

    Sternocleidomastoid

    o Which muscle(s) would you use for:

    Sticking your chin out stubbornly

    Stopping the scapula from winging

    Standing with your shoulders back

    Hunching your shoulders

    Holding a phone with your head and shoulder

    Image: Microsoft

  • Endeavour College of Natural Health www.endeavour.edu.au 4

    Muscle Palpation

    o For all assessable muscles palpated in this unit, you

    must be able to:

    1. Palpate the origin, insertion and belly

    2. State the location of the origin and insertion

    3. State the primary action(s) of the muscle

    4. Effectively position and instruct your client to actively resist

    movement using that muscle,

    to cause contraction and

    confirm palpation of the

    correct muscle

    Image: Microsoft

  • Endeavour College of Natural Health www.endeavour.edu.au 5

    Palpation of Muscles of the

    Axial Skeleton and Lower Limbo By the end of this session, you should be able to

    palpate the following muscles:

    Erector spinae (as a group)

    Quadratus lumborum

    Rectus abdominis, internal oblique, external oblique and

    transverse abdominis

    Iliacus and psoas

    Gluteus maximus, gluteus medius (and gluteus minimus)

    Image: Microsoft

  • Endeavour College of Natural Health www.endeavour.edu.au 6

    Erector Spinae

    o In groups of 3, guided by your lecturer, palpate the

    erector spinae as a group (p.196-199)

    Why are the erector spinae named this?

    What structures do the ES (as a group) run from/to?

    Which of the three lies closest to the spine? Which is furthest?

    Which has the most superior origin?

    Name three muscles that the ES are deep to

    What is the ligamentum nuchae and how does it relate to ES?

    What is the laminar groove and how does it relate to ES?

    Which actions do the ES have at the neck?

    Why is the fibre direction of the ES important?

    Are these the deepest muscles on the posterior spine?

    (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 7

    Erector Spinae

    Image: (Laurent Lavi Lazzeresky, 2010; Jason Pier in DC, 2011)

  • Endeavour College of Natural Health www.endeavour.edu.au 8

    Erector Spinae

    Image: (primenerd, 2012; Meg, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 9

    Erector Spinae

    o What other

    muscles do you

    recognise?

    Image: (Braden Bunem, 2008)

  • Endeavour College of Natural Health www.endeavour.edu.au 10

    Quadratus Lumborum

    o In groups of 3, with guidance from your lecturer,

    palpate quadratus lumborum (p.207-208)

    This muscle is most __________ in the abdomen

    The medial portion is hidden under the ________

    What action does this muscle have during

    forced exhalation?

    From which two positions is it best to

    palpate this muscle?

    Which part is accessible during

    palpation?

    QL can activate unilaterally or bilaterally.

    What does this mean?

    Image: (Nucleus Medical Media, 2014)

    (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 11

    Quadratus Lumborum

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 12

    Quadratus Lumborum

    Image: (Nucleus Medical Media, 2009a)

  • Endeavour College of Natural Health www.endeavour.edu.au 13

    The Abdominals

    o In groups of 3, with guidance from your lecturer,

    palpate rectus abdominis, internal oblique, external

    oblique and transverse abdominis (p.209-212)

    Memory hint: The external oblique fibres run at a similar

    angle to a hand in an outside suit pocket. The internal oblique

    fibres run in a similar direction to a hand in an internal suit

    pocket (with the suit buttoned up)

    Are the abdominals just found in the stomach area? Explain

    List the abdominals from superficial to deep

    Why are there different types of sit-up exercises for working

    rectus abdominis and the obliques?

    Which of the abdominals would help you most to recover

    from a fast run?

    (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 14

    The Abdominals

    Image: (Frank M. Rafik, 2007)

  • Endeavour College of Natural Health www.endeavour.edu.au 15

    The Abdominals

    Image: (Elias Rovielo, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 16

    The Abdominals

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 17

    Iliacus and Psoas (Iliopsoas)

    o In groups of 3, with guidance from your lecturer,

    palpate the iliacus and psoas individually (p.332-335)

    Though ilacus and psoas are generally treated as one

    muscle clinically, you will first palpate them separately

    What two major actions does iliopsoas have?

    Iliopsoas and QLs are famously nicknamed the hidden

    prankster and the joker of low back pain. Why do you think

    they would have these names?

    When we sit down for long periods of time, what is likely to

    happen to iliopsoas?

    Name the origin and insertion of iliacus and psoas

    What is in common? What is different?

    (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 18

    Iliopsoas

    Image: (Biel, 2010; Nucleus Medical Media, 2009b)

  • Endeavour College of Natural Health www.endeavour.edu.au 19

    Iliopsoas

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 20

    The Gluteal Muscles

    o In groups of 3, with guidance from your lecturer,

    palpate the gluteus maximus, gluteus medius (and

    gluteus minimus) (p.315-318)

    Which of the gluteals:

    Medially rotate the femur and which laterally rotate it?

    Insert onto the greater trochanter?

    Cover the greater trochanter?

    If gluteus medius was nicknamed the jack of all trades,

    would this nickname be deserved? Explain

    How is it possible for different fibres to have different actions?

    (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 21

    Gluteal Muscles

    Image: (James Yeo, 2007a; James Yeo, 2007b)

  • Endeavour College of Natural Health www.endeavour.edu.au 22

    Gluteal Muscles

    Image: (Biel, 2010; Nucleus Medical Media, 2009c)

  • Endeavour College of Natural Health www.endeavour.edu.au 23

    Surface Anatomy of Pelvis

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 24

    Surface and Bony Anatomy

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 25

    Muscular Anatomy

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 26

    Label the Muscles

    A

    B

    C

    D

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 27

    Label the Muscles

    D

    E

    F

    G

    A

    B

    C

    Image: (Biel, 2010)

  • Endeavour College of Natural Health www.endeavour.edu.au 28

    Review and Preparation

    o Complete these pages in the Trail Guide Workbook:

    92-93

    96-99

    106,107, 110, 111

    o Preview next weeks

    muscles on the

    trail guide video/DVD

    Image: Microsoft

  • Endeavour College of Natural Health www.endeavour.edu.au 29

    References

Recommended

View more >