Upper body palpation
0.0 / 5
- Created by: Abby_P
- Created on: 04-01-21 16:16
Sitting
1) Arms abducted 90* with elbow bent 90*
2) Move palms facing upwards and contract back
(Lower fibres)
1) Lie prone
2) Bring arms straight in front of bed
1) Arms abducted 90* with elbow bent 90*
2) Move palms facing upwards and contract back
(Lower fibres)
1) Lie prone
2) Bring arms straight in front of bed
Trapezius
1 of 31
Sitting
1) Place arm in small of back
2) Place palpating fingers superior to superior angle of scapula
3) Patient elevates scapula
1) Place arm in small of back
2) Place palpating fingers superior to superior angle of scapula
3) Patient elevates scapula
Levator scapulae
2 of 31
Supine
1) Bring arm straight up in the air pointing to the ceiling
2) Resist patient reaching towards the ceiling (push down)
3) Palpate on the ribs cage inferior to the axilla (armpit)
1) Bring arm straight up in the air pointing to the ceiling
2) Resist patient reaching towards the ceiling (push down)
3) Palpate on the ribs cage inferior to the axilla (armpit)
Serratus anterior
3 of 31
Sitting
1) Place palpating fingers just distal to acromion process
2) Resist patient abducting arm
1) Place palpating fingers just distal to acromion process
2) Resist patient abducting arm
Deltoid
4 of 31
Supine
1) Sternal head – Resist bringing arm across to opposite hip
2) Clavicular head – Resist bringing arm across body over head (mixture of flexion & adduction)
1) Sternal head – Resist bringing arm across to opposite hip
2) Clavicular head – Resist bringing arm across body over head (mixture of flexion & adduction)
Pectoralis major
5 of 31
Prone
1) Place palpating fingers superior to spine of scapula
2) Patient abducts arm against resistance
3) Feel is tendon (very important tendon) deep to deltoid
- Locate acromion process then drop off distally & laterally
1) Place palpating fingers superior to spine of scapula
2) Patient abducts arm against resistance
3) Feel is tendon (very important tendon) deep to deltoid
- Locate acromion process then drop off distally & laterally
Supraspinatus
6 of 31
Prone
1) Lie in spincter position? (elbows close with arms out in a V)
OR
1) One forearm hanging over the edge of the bed
2) Patient rotates arm laterally against resistance
3) Palpate just below spine of scapula
- Wider on scapula then narrows towards i
1) Lie in spincter position? (elbows close with arms out in a V)
OR
1) One forearm hanging over the edge of the bed
2) Patient rotates arm laterally against resistance
3) Palpate just below spine of scapula
- Wider on scapula then narrows towards i
Infraspinatus
7 of 31
Prone
1) Lie in spincter position? (elbows close with arms out in a V)
OR
1) One forearm hanging over the edge of the bed
2) Patient laterally rotates arm against resistance
3) Palpate in between infraspinatus & teres major (bigger)
1) Lie in spincter position? (elbows close with arms out in a V)
OR
1) One forearm hanging over the edge of the bed
2) Patient laterally rotates arm against resistance
3) Palpate in between infraspinatus & teres major (bigger)
Teres minor
8 of 31
Prone
1) One forearm hanging over the edge of the bed
2) Put arm in between knees for resistance and allow client to medially rotate arm
3) Palpate from lateral border of inferior angle towards humerus
• Feel tendon underneath armpit next to tendon of lat
1) One forearm hanging over the edge of the bed
2) Put arm in between knees for resistance and allow client to medially rotate arm
3) Palpate from lateral border of inferior angle towards humerus
• Feel tendon underneath armpit next to tendon of lat
Teres major
9 of 31
Supine
1) Patient has one arm up towards the ceiling
2) Passively protract the scapula
3) Palpate deep underneath armpit, more medially to latissimus dorsi
1) Patient has one arm up towards the ceiling
2) Passively protract the scapula
3) Palpate deep underneath armpit, more medially to latissimus dorsi
Subscapularis
10 of 31
Prone
1) Arms by side of body
2) Extend arm (can do with resistance)
Sitting
1) Place arm on physio’s shoulder
2) Push down (to extend & adduct)
1) Arms by side of body
2) Extend arm (can do with resistance)
Sitting
1) Place arm on physio’s shoulder
2) Push down (to extend & adduct)
Latissimus dorsi
11 of 31
Sitting
1) Resist elbow flexion with hand supinated
1) Resist elbow flexion with hand supinated
Biceps brachii
12 of 31
Sitting
1) Resist elbow flexion with hand pronated
2) Palpate muscle on the lateral side of arm in between biceps & triceps
- Should feel prominent edge
1) Resist elbow flexion with hand pronated
2) Palpate muscle on the lateral side of arm in between biceps & triceps
- Should feel prominent edge
Brachialis
13 of 31
Sitting
1) Resist elbow flexion with hand in a neutral position
2) Can palpate along length of forearm
1) Resist elbow flexion with hand in a neutral position
2) Can palpate along length of forearm
Brachioradialis
14 of 31
Sitting
1) Resist elbow extension
1) Resist elbow extension
Triceps brachii
15 of 31
Sitting
1) Resist pronation of the forearm in a 90* elbow flexion position
2) Palpate just distally to the biceps tendon in the posteroanterior forearm
- Careful not to confuse muscle with flexors
1) Resist pronation of the forearm in a 90* elbow flexion position
2) Palpate just distally to the biceps tendon in the posteroanterior forearm
- Careful not to confuse muscle with flexors
Pronator teres
16 of 31
Sitting
1) Start in elbow flexion with hand pronated
2) Sink fingers deep in dip medial to radius
3) Resist supination of forearm
• Deep to extensors on lateral (little finger side) side of forearm
1) Start in elbow flexion with hand pronated
2) Sink fingers deep in dip medial to radius
3) Resist supination of forearm
• Deep to extensors on lateral (little finger side) side of forearm
Supinator
17 of 31
Sitting
1) Resist radial deviation
2) See prominent tendon near radius on wrist
3) Palpate muscle from tendon running up forearm
1) Resist radial deviation
2) See prominent tendon near radius on wrist
3) Palpate muscle from tendon running up forearm
Flexor carpi radialis
18 of 31
Sitting
1) Cup hand as though holding something with arm supinated
2) See prominent tendon in centre of wrist
3) Palpate muscle from tendon running up forearm
1) Cup hand as though holding something with arm supinated
2) See prominent tendon in centre of wrist
3) Palpate muscle from tendon running up forearm
Palmaris longus
19 of 31
Sitting
1) Resist ulnar deviation
2) See prominent tendon near ulnar on wrist
3) Palpate muscle from tendon running up forearm
1) Resist ulnar deviation
2) See prominent tendon near ulnar on wrist
3) Palpate muscle from tendon running up forearm
Flexor carpi ulnaris
20 of 31
Sitting
1) Forearm fully supinated
2) Place fingers on proximal medial forearm
3) Patient moves fingers at MCP joints (pretend to type)
• Makes up main body of forearm
• Can also feel in dip next to ulna
1) Forearm fully supinated
2) Place fingers on proximal medial forearm
3) Patient moves fingers at MCP joints (pretend to type)
• Makes up main body of forearm
• Can also feel in dip next to ulna
Flexor digitorum superficialis
21 of 31
Sitting
1) Forearm fully supinated
2) Place fingers on proximal medial forearm just distal & posterior to medial epicondyle
3) Patient moves fingers at IP & MCP joints
• Can also feel in dip next to ulna
1) Forearm fully supinated
2) Place fingers on proximal medial forearm just distal & posterior to medial epicondyle
3) Patient moves fingers at IP & MCP joints
• Can also feel in dip next to ulna
Flexor digitorum profundus
22 of 31
Sitting
1) Forearm fully supinated
2) Patient flexes and relaxes thumb
3) Palpate deep the tendon & muscle on radial side of forearm
1) Forearm fully supinated
2) Patient flexes and relaxes thumb
3) Palpate deep the tendon & muscle on radial side of forearm
Flexor pollicis longus
23 of 31
Sitting
1) Flex elbow 90*
2) Resist ulnar deviation from a neutral position
3) Palpate muscle just above shaft of ulna
4) See prominent tendon on ulna side of wrist
1) Flex elbow 90*
2) Resist ulnar deviation from a neutral position
3) Palpate muscle just above shaft of ulna
4) See prominent tendon on ulna side of wrist
Extensor carpi ulnaris
24 of 31
Sitting
1) Flex elbow 90* with hand in neutral position
2) Keep flexing little finger
• Tendon should be lateral to tendon of extensor digitorum
• Smaller & sits below extensor digitorum (in neutral hand position)
1) Flex elbow 90* with hand in neutral position
2) Keep flexing little finger
• Tendon should be lateral to tendon of extensor digitorum
• Smaller & sits below extensor digitorum (in neutral hand position)
Extensor digiti minimi
25 of 31
Sitting
1) Flex elbow 90* with hand in a neutral position
2) Flex fingers at IP & MCP joints (pretend to type)
3) Palpate muscle about a third of the way along forearm from elbow
4) See tendons at knuckles
1) Flex elbow 90* with hand in a neutral position
2) Flex fingers at IP & MCP joints (pretend to type)
3) Palpate muscle about a third of the way along forearm from elbow
4) See tendons at knuckles
Extensor digitorum
26 of 31
Sitting
1) Flex elbow 90*
2) Resist radial deviation from a neutral position
3) Palpate muscle crossing forearm from low to high towards wrist
1) Flex elbow 90*
2) Resist radial deviation from a neutral position
3) Palpate muscle crossing forearm from low to high towards wrist
Extensor carpi radialis longus & Extensor carpi radialis brevis
27 of 31
Sitting
1) Keep hand pronated
2) Extend the index fingers while keeping the other fingers flexed
1) Keep hand pronated
2) Extend the index fingers while keeping the other fingers flexed
Extensor indices
28 of 31
Sitting
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the medial border of the anatomical snuffbox
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the medial border of the anatomical snuffbox
Extensor pollicis longus
29 of 31
Sitting
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the lateral border of the anatomical snuffbox
1) Lie the forearm on the bed with hand pronated
2) Keep extending & relaxing the thumb
3) Palpate the tendon on the lateral border of the anatomical snuffbox
Extensor pollicis brevis
30 of 31
Sitting
1) Abduct the thumb
2) Palpate muscle at thenar eminence
3) Tendon is next to extensor pollicis brevis tendon (seems like 1 tendon)
1) Abduct the thumb
2) Palpate muscle at thenar eminence
3) Tendon is next to extensor pollicis brevis tendon (seems like 1 tendon)
Abductor pollicis longus
31 of 31
Other cards in this set
Card 2
Front
Sitting
1) Place arm in small of back
2) Place palpating fingers superior to superior angle of scapula
3) Patient elevates scapula
1) Place arm in small of back
2) Place palpating fingers superior to superior angle of scapula
3) Patient elevates scapula
Back
Levator scapulae
Card 3
Front
Supine
1) Bring arm straight up in the air pointing to the ceiling
2) Resist patient reaching towards the ceiling (push down)
3) Palpate on the ribs cage inferior to the axilla (armpit)
1) Bring arm straight up in the air pointing to the ceiling
2) Resist patient reaching towards the ceiling (push down)
3) Palpate on the ribs cage inferior to the axilla (armpit)
Back
Card 4
Front
Sitting
1) Place palpating fingers just distal to acromion process
2) Resist patient abducting arm
1) Place palpating fingers just distal to acromion process
2) Resist patient abducting arm
Back
Card 5
Front
Supine
1) Sternal head – Resist bringing arm across to opposite hip
2) Clavicular head – Resist bringing arm across body over head (mixture of flexion & adduction)
1) Sternal head – Resist bringing arm across to opposite hip
2) Clavicular head – Resist bringing arm across body over head (mixture of flexion & adduction)
Back
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