Wednesday, December 16, 2009
Rotator cuff tendons & Biceps target area palpation
1. Sitting: HBB (Hand behind back)- Adduction & medial rotation of the arm brings the tendon from frontal plane to sagittal plane.
2. Tendon emerge under the anterior edge of acromion
1. Pr. Lying: prop up the patients on the elbows
2. Lateral rotation of the shoulder- ask the patient to hold to sides of the couch
3. Adduct the shoulder by shifting the affecting the elbow for 2-3 inches
Locating the tendon- The insertion of Infraspinatus tendon is just below the lateral end of the spine of scapula
1. Sitting or ½ Lying: Therapist palpates for Bacipital tendon by repeatedly IR & ER of the arm. Just medial to the proximal tendon there is lesser tuberosity & the subscapularis (tendon feels as hard as the bone). The tendon extends down to the shaft of humerus distally.
2. Put patient’s hand on her thigh & apply the massage to specific points
3. Caution: Avoid the massage to the medial edge of the deltoid fibers & over the bacipital tendon
4. Bicep’s Long head:
1. Patient Sitting or ½ Lying: patients hand on thigh
2. Palpation along the tendon: Resist the elbow flexion & palpate the tendon stiffen near the medial border
3. Palpation across the tendon: Therapist palpates for Bacipital tendon by repeatedly IR & ER of the arm.
Text book of orthopedic medicine