Palpation LAB Bones and Muscles to look at:

Palpation Lab:

Palpation structures:

Occipital Bone Frontal Bone Mastoid Process C1 cervical level C2 Cervical level C3-C4 facet joint C6 joint U joint 1 st rib 2 nd rib T3 T7 Glenohumeral joint Spinalis capitis Semispinalis capitis Spinalis thoracis Rectus capitis posterior minor

Check Mark When Done

Palpation lab continued

Rectus capitis posterior major Oblique Capitis superior Oblique Capitis inferior Clavicle AC joint Medial angle of the scapulae Inferior angle of the scapulae Upper trapezius Levator scapulae Rotator cuff Deltoid Forearm muscles Biceps Triceps

Illustrations for Lab: Left mastoid process and also C1 segmental level Superior facets of C1 that will approximate with the occipital condyles.

P A

C2 spinal segmental level: C2 bifed spinous process with the DENS shown: Let’s look at the bones of the skull to remember…..

Occipital Bone Frontal Bone Sqamosal suture Parietomastoid suture

Facet joint, C2 facet inferior articular surface U joint from C3 to C7 in the cervical spine 1 st rib from the posterior aspect 2 nd rib from the posterior aspect

T7 thoracic spinous process T3 thoracic spinous process OCI OCS Semispinalis capitis Spinalis thoracis

AC joint; checking its position. Medial side of the shoulder blade Inferior glide of the scapulae Ligament support here is important

Muscles that you may want to check on during your assessment: Levator Scapulae muscle: C4 Upper trapezius; C3 and C4 ventral ramus and accessory nerve

Rotator cuff Muscles: lateral view; C5 myotome: Anterior deltoid; C5 myotome Deltoid; medial head Posterior deltoid head; C 5 myotome

Bicep Brachii Muscle: C6 Myotome Forearm extensors: C6 myotome Forearm flexors: C7 myotome Tricep muscle: C7 myotome