Rhomboid Major
ART Rhomboid Major
ART
Satellite trigger point Rhomboid Major
Satellite trigger point. Scalenes Levator scapulae Middle Trapezius Infraspinatus Latissimus dorsi
Trigger Point S & S Rhomboid Major
Trigger Point S & S Popping and grinding noises during movement of the scapula aching pain at rest rounded shoulders or slumped posture the inability to stand upright
Trigger point needling Rhomboid Major
Trigger point needling The TP is localized and fixed against the chest wall between the fingers of the palpating hand. For injection the needle is directed almost tangential to the surface. The needle is aimed toward a rib to avoid penetrating an intercostal space
action Rhomboid Major
action adducts scapula and elevation of medial border inferior fibers aid in rotating the glenoid cavity inferior stabilize medial boarder of SG
antagonists Rhomboid Major
antagonists Deltoid Supraspinatus Infraspinatus Teres major and minor Subscapularis
insertion Rhomboid Major
insertion Attaches to the lower 2/3 of the medial or vertebral border of the scapula to the inferior angle
nerve Rhomboid Major
nerve Dorsal Scapular Nerve C4 C5
origin Rhomboid Major
origin Attaches to the spinous processes of T2 through T5
palpation Rhomboid Major
palpation Subjects hand placed in the small of the back (relax trapezius) the rhomboids can be palpated through trapezium when the hand is moved backwards. Felt/seen between the medial border of the scapula and the vertebral column
trigger point Rhomboid Major
trigger point
Alternative Rhomboid strength test
If a position of medial rotation of the humerus and elevation of the scapula is permitted during testing of the middle trapezius, it ceases to be a trapezius test. Thehumerus is medially rotated, and the scapula is elevated, depressed anteriorly, and adducted by rhomboid action rather than by middle trapezius action. A comparison of this photograph with the one on the facing page gives an example of what is meant by obtaining the specific action in which a muscle is the prime mover. The marked difference that often exists between strength of the rhomboids and of the trapezius is dramatically demonstrated by careful testing. Patient: Prone. Fixation: Same as for middle trapezius, except the middle deltoid does not assist as an intervening muscle and the elbow extensors are necessary intervening muscles. Test: Adduction and elevation of scapula, with a downward rotation (medial rotation of the inferior angle). The position of the scapula is obtained by placing the shoulder in 90° abduction and in sufficient medial rotation to move the scapula into the test position. The palm of the hand faces in a caudal direction. Pressure: Against the forearm, in a downward direction toward the table.
Trigger Point Activating Rhomboid Major
Trigger Point Activating Hanging wallpaper lifting boxes over your head pull-ups extensive work at a computer
length test Rhomboid Major
length test
strength test Rhomboid Major
strength test Individual Position: The individual is standing with their hand placed on their hip. Practitioner Position: The practitioner is standing beside the individual with their hand placed on the elbow of the side being tested. Description of Muscle Test: The individual is requested to push their shoulder backward while the practitioner applies a forward resistance
synergist Rhomboid Major
synergist Pectoralis major and minor Subclavius Serratus anterior Latissimus dorsi Trapezius Rhomboid minor Levator scapulae
Rhomboid Major
what muscle?