Length Tension Testing Book 2, Upper Quadrant: A Workbook of Manual Therapy Techniques

Length Tension Testing Book 2, Upper Quadrant

Length Tension Testing Book 2, Upper Quadrant

A Workbook of Manual Therapy Techniques

Second edition

Paolo Sanzo, DScPT, MSC, BSCPT, FCAMT Murray MacHutchon, BMRPT, FCAMT

Copyright © 2015 Paolo Sanzo and Murray MacHutchon

15 16 17 18 19 5 4 3 2 1

Excerpts from this publication may be reproduced under licence from Access Copyright, or with the express written permission of Brush Education Inc., or under licence from a collective management organization in your territory. All rights are otherwise reserved, and no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, digital copying, scanning, recording, or otherwise, except as specifically authorized.

Brush Education Inc.

www.brusheducation.ca

[email protected]

Photographer: Allan Dickson Photography

Model: Melinda Vaillant

Cover design: Dean Pickup

Interior design: Carol Dragich, Dragich Design

Printed and manufactured in Canada

Library and Archives Canada Cataloguing in Publication

Sanzo, Paolo, 1969–, author

Length tension testing : a workbook of manual therapy techniques / Paolo Sanzo, DScPT, MSC, BSCPT, FCAMT, Murray MacHutchon, BMRPT, FCAMT. — Second edition.

Originally published in 2007. Includes bibliographical references.

Contents: Book 1. Lower quadrant — Book 2. Upper quadrant. Issued in print and electronic formats. ISBN 978-1-55059-596-3 (pbk. : bk. 2).— ISBN 978-1-55059-594-9 (mobi : bk. 1).—ISBN 978-1-55059-597-0 (pdf : bk. 2).—ISBN 978-1-55059-599-4 (epub : bk. 2)

1. Physical therapy. I. MacHutchon, Murray, author II. Title.

RM700.S36 2015     615.8′2     C2014-907343-7

C2014-907344-5

We acknowledge the financial support of the Government of Canada through the Canada Book Fund for our publishing activities.

Acknowledgements

Together we are thankful for all the dedicated and hard working physiotherapists who have volunteered countless hours to make the Orthopaedic Division of the Canadian Physiotherapy Association a success and recognized all over the world.

We are also thankful to our ever-loving families who are supportive in all of our endeavors.

Contents

Introduction

The Cervical Spine

Trapezius (Upper Fibers) – Technique 1

Trapezius (Upper Fibers) – Technique 2

Trapezius (Middle Fibers) – Technique 1

Trapezius (Middle Fibers) – Technique 2

Trapezius (Lower Fibers) – Technique 1

Trapezius (Lower Fibers) – Technique 2

Rectus Capitis Posterior Major – Technique 1

Rectus Capitis Posterior Major – Technique 2

Rectus Capitis Posterior Minor – Technique 1

Rectus Capitis Posterior Minor – Technique 2

Superior Oblique – Technique 1

Superior Oblique – Technique 2

Inferior Oblique – Technique 1

Inferior Oblique – Technique 2

Scalene Anterior – Technique 1

Scalene Anterior – Technique 2

Scalene Medius – Technique 1

Scalene Medius – Technique 2

Scalene Posterior – Technique 1

Scalene Posterior – Technique 2

Sternocleidomastoid – Technique 1

Sternocleidomastoid – Technique 2

Levator Scapulae – Technique 1

Levator Scapulae – Technique 2

Splenius Capitis – Technique 1

Splenius Capitis – Technique 2

Splenius Cervicis – Technique 1

Splenius Cervicis – Technique 2

The Temporomandibular Joint

Medial Pterygoid – Technique 1

Medial Pterygoid – Technique 2

Medial Pterygoid – Technique 3

Lateral Pterygoid – Technique 1

Lateral Pterygoid – Technique 2

Masseter – Technique 1

Masseter – Technique 2

Masseter – Technique 3

Masseter – Technique 4

Temporalis – Technique 1

Temporalis – Technique 2

The Thoracic Spine

Rhomboid Major and Minor – Technique 1

Rhomboid Major and Minor – Technique 2

Erector Spinae – Technique 1

Erector Spinae – Technique 2

The Shoulder

Deltoid (Anterior Fibers) – Technique 1

Deltoid (Anterior Fibers) – Technique 2

Deltoid (Middle Fibers) – Technique 1

Deltoid (Middle Fibers) – Technique 2

Deltoid (Posterior Fibers) – Technique 1

Deltoid (Posterior Fibers) – Technique 2

Supraspinatus – Technique 1

Supraspinatus – Technique 2

Infraspinatus – Technique 1

Infraspinatus – Technique 2

Subscapularis

Teres Minor

Teres Major

Pectoralis Major and Pectoralis Minor – General Test

Pectoralis Major – Technique 1 (Clavicular Fibers)

Pectoralis Major – Technique 2 (Sternal Fibers)

Pectoralis Major – Technique 3 (Sternocostal Fibers)

Pectoralis Minor – Technique 1

Pectoralis Minor – Technique 2

Subclavius

The Elbow

Biceps Brachii – Technique 1

Biceps Brachii – Technique 2

Coracobrachialis

Brachialis

Triceps Brachii

Supinator

Pronator Teres

Brachioradialis

The Wrist and Hand

Extensor Carpi Radialis Longus

Extensor Carpi Radialis Brevis

Extensor Carpi Ulnaris

Extensor Digitorum

Extensor Digiti Minimi

Extensor Indicis

Flexor Carpi Radialis

Flexor Carpi Ulnaris

Palmaris Longus

Flexor Digitorum Superficialis

Flexor Digitorum Profundus

Extensor Pollicis Longus

Extensor Pollicis Brevis

Abductor Pollicis Longus

Flexor Pollicis Longus

References

About the Authors

Introduction

Assessment

The assessment of length tension in muscle involves the use of clinical reasoning and interpretation of the subjective and objective assessment findings. These findings include:

• the referral pattern of pain;

• positional findings on observation;

• changes in active and passive range of motion;

• findings on