1. Musculoskeletal Anatomy Class #1 Dr. Jordan www.drrobertjordan.com

2. Define the following Terms Anatomy Physiology Musculoskeletal Anatomy Kinesiology Touch Palpation You have 10mins

3. Definitions Anatomy – the study of the structure Physiology – the study of function Musculoskeletal anatomy - study pertaining to the muscular and skeletal structures Kinesiology – “the study of muscles and body movement” - Tabers Cyclopedic Medical Dictionary Touch – “to perceive by tactile sense; to feel with hands, to palpate” – Tabers Cyclopedic Medical Dictionary Palpation - “examination by application of hands or fingers to the external surface of the body to detect…..abnormalities” - Tabers Cyclopedic Medical Dictionary

4. Palpation Palpation – requires receptive hands and fingers, open eyes, listening ears, calm breath and a quiet mind 1. Locating a structure 2. Awareness of the characteristics 3. Assessing the quality or condition (to determine how to treat it) B. Making contact 1.Responsive and receptive fingers and hands 2. Laying one hand on top of another for greater sensitivity and stability 3. Smaller structures are best located with one or two fingertips 4. Larger structures are best located using whole hand 5. Closing your eyes occasionally will enhance awareness

5. Palpation C. Working Hard vs. Working Smart 1. Working hard – searching too earnestly leads to diminished mental and physical awareness. This leads to frustration, shallow breaths and insensitive hands 2. Working smart – self-palpation first, read the information aloud, be patient D. Less is more E. Rolling and Strumming F. Movement and Stillness G. Movement as a palpation tool 1. Passive movement 2. Active movement 3. Resisted movement H. Three Principles of Palpation 1. Move slowly 2. Avoid excess pressure 3. Focus – on what you are feeling

6. Tissues and Structures that are palpated A. Skin B. Bone C. Muscle D. Tendon E. Ligament F. Fascia G. Artery and Vein H. Bursa I. Nerve J. Lymph Node

7. Planes & Positions V. Planes of the Body (p. 21) A. Sagittal plane B. Frontal (or coronal) plane C. Transverse plane VI. Positions and Directions (p. 21-30) A. Superior / Inferior B. Cranial / Caudal C. Anterior / Posterior D. Medial / Lateral E. Proximal / distal

8. Overview and Identification of Superficial Muscles A. Muscle function – principle function of skeletal muscles is to create movement between two bones. The action of the muscle is called contraction. B. Normal Muscle – has three attributes. Therapists assess the first two attributes through palpation. This is considered OBJECTIVE information as it can be verified independent of the client. The client must communicate the third attribute of tenderness to the therapist. This is considered SUBJECTIVE information as the therapist relies entirely on the client. 1. Smooth 2. Soft 3. Non- tender

9. Palpation of Superficial Muscles and Actions Muscles to be palpated: Supine: 1. Frontalis2. Temporalis3. Masseter 4. Sternocleidomastoid (SCM) 5. Deltoid6. Pectoralis Major 7. Biceps Brachii8. Tbialis Ant. 9. Rectus Abdominus 10. Abdominal Obliques 11. Quadriceps 12. Adductors 13. Forearm Flexors Prone: 1. Suboccipitals2. Upper Trapezius 3. Levator Scapula4. Rhomboids & Middle Trapezius 5. Latissimus Dorsi6. Triceps 7. Forearm Extensors 8. Erector Spinae 9. Gluteus Maximus 10. Hamstrings 11. Iliotibial band 12. Gastrocnemius & Soleus (Calf) 13. Peroneals

10. Homework A. Trail Guide Student Handbook 1. Identify Regions of the Body, p. 6 2. Identify Planes, Directions, Positions and Movements #1, p. 7 3. Identify Planes, Directions, Positions and Movements #2, p. 8 4. Identify Muscles, p. 16-18