ITM thoracic outlet Test
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| A. infraspinous fossa of scapulaB. area behind clavicle between the insertion of trapezius and SCMC. supine-cradle arm in flexed position, slowly sink your thumbpad onto subscapular fossa, adjust arm & scapula as you progressD. check position, ask client to depress scapula, bring shoulder down toward hipE. static compression, longitudinal stripping, sustained pulling, holding, release trigger points, myofascial releaseF. to 2nd ribG. blood vessels running to or from arm are inpinged or impaired at thoracic outletH. pects -I. lateral flexion of spineJ. check position, ask client to laterally rotate their shoulderK. middle layer, thoracolumbar aponeurosis, lumbar & thoracic transverse processesL. positive results: pain, numbness, tingling down arm- indicates: possible thoracic outlet syndrome (pressure on brachial plexus)M. extension of spineN. palpate in the triangle & strum across fibers, check position, with forearm off side of table, ask client to alternately raise their elbow one inch toward ceiling & relax, should feel muscle contractO. medial rotation & adduction of humerusP. greater tubercle of humerus (lateral side, middle facet)Q. supine-stand at the head of table, cradle head, passively flex it, lay your fingerpads along anterior & lateral sides of neck between SCM & trapeziusR. supine-arm abducted, sit facing client, locate medial shaft of clavicle & move inferiorly onto clavicular fibers, follow fibers laterally as they blend with deltoid & attach to greater tubercleS. raise first 2 ribs during forced inspiration "or" assist neck flexionT. posterior ribs, cervical transverse processes |
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