ITM thoracic outlet Test
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| A. night, when lifts arm over head, after activitiesB. contract relax: relax hypertonic muscle- pulse muscle energy: relaxation of hypertonic muscle- proprioceptive neuromuscular facilitation: strengthen weaken muscleC. prone-arm off side of table, locate superior axillary border of scapula, slide off laterally onto teres minor, compress into & across its tube-shaped belly, reach up & grasp bellyD. lesser tubercle of humerusE. lateral rotation, extension of humerusF. prone-lay both hands along either side of lumbar vertebrae, locate region of lower erector spinae by having client alternately raise & lower their feet slightly, notice strong, round erector fibers tighten & relaxG. carcinoma of upper lobe of lung (pancoast's tumor), full abduction of upper extremity, hypertonic pectoralis minor or anterior & medial scalenesH. supraspinatus, infraspinatus, teres minor, subscapularisI. massage to release hypertonic musculature & trigger points & strengthen weakened musculature. METs to stretch & strengthen where necessaryJ. subscapular fossa of scapulaK. lateral lip of bicipital (intertubercular) groove of humerusL. to 2nd ribM. transverse processes of cervical vertebrae C2-C7N. greater tubercle of humerus (lateral side, middle facet)O. lateral flexion of spineP. check position, ask client to depress scapula, bring shoulder down toward hipQ. middle layer, thoracolumbar aponeurosis, lumbar & thoracic transverse processesR. greater tubercle of humerus (superior facet)S. raise first 2 ribs during forced inspiration "or" assist neck flexionT. hyperabduction test |
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