Professional Documents
Culture Documents
Sample Support Materials
Sample Support Materials
featuring
NeuroMuscular
Therapy
American version
NMT Center
St. Petersburg, Florida
www.nmtcenter.com
The following four pages represent sample pages from our printed
support materials. We have selected one muscle (trapezius) to give
you an idea of how it is handled in the
1) Student manual
l e
Precaution: Listen carefully for communications from a prone patient.
Step 1: Compress the cervical portion of the trapezius between the thumb
and fingers. Manipulate its fibers between the thumb and fingers. Apply
p
friction to the occipital attachments.
Step 2: Compress the upper trapezius at its mid-belly region. Compres-
sion can also be applied along the fibers at thumb width intervals. Most
trigger points will be found at mid-fiber region. 'Uncoil' the upper
trapezius to find taut fibers by dragging 3 fingers on the anteriortssurface
m
against posterior thumb pressure. Keep your wrist low to assure
hand placement. Treat taut fibers with compression and thumb
a
Step 3: Grasp and compress the middle trapezius.
u
l f
humeral head 3-6" (rolled up towel, wedge) mayashorten
d en correct
tu glides.
S
or Elevation of the
the middle and
S
lower trapezius, allowing the fibers to be moreneasily grasped and lifted.
a
e M
Step 4: Grasp and compress the lower trapezius. Apply manipulation on
r s
the outer (diagonal) edge of lower trapezius, if tolerable, then lower the
humeral head, if elevated. ou
C
Step 5: Apply gliding strokes to attach- Cervical
Upper
ments in the lamina groove and to scapu- portion
lar and acromial attachments of the tra- of upper Middle
pezius.
Judith P. DeLany, NMT Center, St. Petersburg FL 2002 Revised 8/05 NMT for Torso and Pelvis p. 1
Trapezius Trigger Point Target Zones
Torso Region
e
Wilkins. A Waverly Company.
Serratus
posterior
superior
p l Rhomboid muscles
d en
ts
m
u
r St
o
sf
Iliocostalis thoracis
S a Iliocostalis
lumborum
er P o in t H
an
do
u t
Iliocostalis thoracis
g g
i
Tr
Judith P. DeLany, NMT Center, St. Petersburg FL 2002 Revised 8/05 Special Projects #1
U p p e r f i b e r s - medial third of nuchal line and ligamentum nuchae to the lateral third of clavicle; Trapezius
M i d d l e f i b e r s - spinous processes and interspinous ligaments of C6-T3 to the acromion and spine
of scapula;
L o w e r f i b e r s - spinous processes and interspinous ligaments of T3-T12 to the root of
the spine of the scapula Cervical
Upper
portion
Middle
Precaution: When a person is prone on the table it is
important to listen carefully for communications.
Step 3 & 4: Grasp, compress and manipulate the middle and then
l e
p
lower portion of trapezius. Lower portion is illustrated.
A support can be placed under the humerus and may help to
shorten the middle and lower fibers so that they may be n
more easily lifted. Distinguish the fibers of lower
a tio
m
trapezius from the vertical iliocostalis by feeling for r
st
on
their diagonal orientation.
em
Step 5: Glide along the attachments
a
Use thumbs or fingers to glide along attachment sites,
S
including the lamina. The pressure bar applications that
would normally be done on traps will be taught in a segment
devoted to pressure bar work.
ct o r M
an
u a l fo
r D
t ru
Step 6: Smooth and soothe the trapezius. s
In
Generally we want to flush as well as soothe the muscle after
doing the aggressive dry work such as lifting.
Trapezius
e
all attachments.
l
Step 6: Smooth and soothe the trapezius with applied effluerage.
p ch
ni q u es
a m o r Tra
d e of Te
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f
u al
an
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t o
c
t ru
s
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p. 1
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