어깨 각 부위별 치료 point

어깨 각 부위별 치료 point

 

 

1.Shoulder movements

Movement	Degrees	Involve muscle
Abduction	0~60	1)Supraspinatus 2)Deltoid 3)Infraspinatus 4)Subscapularis 5)Teres minor
	60~120	1)Anterior serratus 2)Upper trapezius 3)Subclavius
	120~170	1)Spinal motion 2)Supraspinatus
Flexion	0~60	1)Anterior deltoid 2)Coracobrachialis 3)Pectoralis clavicular 4)Biceps
	60~120	1)Anterior serratus 2)Upper trapezius 3)Anterior deltoid
	120~170	1)Spinal straightening 2)Supraspinatus
Lowering	60~0	1)Teres major 2)Latissimus dorsi 3)Pectoralis sternal
	120~60	1)Rhomboid 2)Levator scapula 3)Lower trapezius 4)Pectoralis minor
Extension		1)Posterior deltoid 2)Latissimus 3)Teres major 4)Teres minor 5)Triceps long head
External rotation		1)Infraspinatus 2)Teres minor 3)Posterior deltoid
Internal rotation		1)Subscapularis 2)Pectoralis sternal 3)Latissimus 4)Anterior deltoid

 

2.각 근육별 치료 point

(1)Upper trapezius

 

1)Nerve supply : Spinal accessory and ventral ramus of C2, 3, 4

2)Neurolymphatic

가)Anterior : 3 inch of anterior upper arm

나)Posterior : Posterior arch of atlas to lateral mass

2)Neurovascular : On temporal sphenoidal suture just above zygomatic arch

 

(2)Lower trapezius

1)Nerve supply : Spinal accessory and ventral ramus of C2, 3, 4

2)Neurolymphatic

가)Anterior : 7th intercostal space on left

나)Posterior : Between T7, 8 near lamina on left

3)Neurovascular : 1 inch above lambda

 

(3)Serratus anticus

1)Nerve supply : Long thoracic C5, 6, 7

2)Neurolymphatic

가)Anterior : 3rd, 4th and 5th intercostal spaces near sternum

나)Posterior : T3, 4, 5 at lamina

3)Nerurovascular : Bregma

 

(4)Rotator cuff neurolymphatic

1)Supraspinatus

가)Anterior : Below coracoid process

나)Posterior : Posterior to TP of atlas

2)Infraspinatus

가)Anterior : 5th intercostal space near sternum on right

나)Posterior : T12 lamina, bilateral

3)Subscapularis

가)Anterior : 2nd intercostal space near stermum

나)Posterior : T2, 3 between TP

4)Teres minor

가)Anterior : 2nd intercostal space near sternum

다)Posterior : T3 lamina

 

(5)Dorsal scapular nerve(only motor, no sensory)

1)C5(predominate), C4, 6

2)Rhomboid

3)Levator scapular(C3,4)

4)Scalenus medius entrapment

가)Medial border of scapula 통증

나)Arm, forearm의 바깥쪽으로 방사통

다)화가나 전기공 등 고개를 뒤로 젖히고 위를 쳐다보며 일하는 작업에서 빈번

 

(6)Subclavis neurolymphatic

1)Anterior : Junction of the clavicle, sternum, 1st rib

2)Posterior : T1 lamina

 

(7)Rhomboids

1)Anterior :　６th intercostal space from mamilary line to sternum on left

2)Posterior : Between T6, 7 by lamina on left.