China
Africa
Explore chapters and articles related to this topic
Head
Published in Harold Ellis, Adrian Kendal Dixon, Bari M. Logan, David J. Bowden, Human Sectional Anatomy, 2017
Harold Ellis, Adrian Kendal Dixon, Bari M. Logan, David J. Bowden
Obliquus capitis inferior (25) forms the lower outer limb of the suboccipital triangle. The vertebral artery (41), on emerging from the foramen transversarium of the atlas, enters this triangle on its ascending course to the foramen magnum.
The Gallbladder (GB)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Obliquus capitis superior muscle: The obliquus capitis superior muscle, along with its counterpart, the obliquus capitis inferior muscle, as well as the rectus capitis posterior major and minor muscles, are important in posture, and may function as kinesiological monitors, or organs of proprioception, for head position. The obliquus capitis superior muscle extends and laterally bends the atlanto-occipital joint.
Dorsal dry needling to the pronator quadratus muscle is a safe and valid technique: A cadaveric study
Published in Physiotherapy Theory and Practice, 2023
Albert Pérez-Bellmunt, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, César Hidalgo-García, Joseph M. Donnelly, Simón A Cedeño-Bermúdez, César Fernández-de-las-Peñas
Although this study supports accurate and safe placement of a solid filiform needle in the PQ, we should recognize some limitations. First, dissections were conducted in 10 single forearms. Due to the sample size, no sex differences in needle placement were calculated. It would be interesting to investigate if wrist anthropometric data can influence these results. Second, as with most approaches, manual identification of anatomical landmarks is a requisite for a successful needle insertion into a targeted muscle, although we used the ulnar styloid process, an easy landmark to be identified by clinicians. Third, all needling insertions were conducted once by an experienced clinician. We do not know the reliability of this dry needling approach or the potential risks associated when applied by unexperienced clinicians. Kearns et al. (2021) evaluated the influence of the clinical experience on the accuracy and safety of needle placement on the obliquus capitis inferior and reported that greater clinical experience improves accuracy but did not eliminate risk of potentially striking the spinal cord. Finally, the external validity of this study should be applied with caution due to using cadavers and not live individuals. For instance, in a live patient, dry needling would be able to elicit referred pain from the PQ or producing a local twitch response to guide the intervention during the advancement of the needle.
Dry needling as a novel intervention for cervicogenic somatosensory tinnitus: a case study
Published in Physiotherapy Theory and Practice, 2022
Aaron Womack, Raymond Butts, James Dunning
The physical examination (PE) was conducted by a physical therapist with 20 years of experience, certified in spinal manipulation and dry needling. Additionally, the therapist was a fellow-in-training in an accredited manual physical therapy fellowship program. The patient demonstrated full cervical AROM, and cervical myotome, dermatome, and cranial nerve screening were negative. While palpation of the cervical paraspinals, upper trapezius, splenius capitis, semispinalis capitis, obliquus capitis superior, obliquus capitis inferior, rectus capitis posterior major and rectus capitis posterior minor muscles seemed to provoke the patient’s headache and tinnitus, the sternocleidomastoid, masseter, temporalis, and frontalis muscles did not. Additionally, she did not present with temporomandibular joint pain or increased tinnitus with active jaw movement. The patient reported occasional, diffuse pain in the posterior occipital region, but she was not tender to palpation in that region during the PE. Although the patient presented with lower cervical and upper thoracic pain, palpation and passive joint mobility testing of the lower cervical and upper thoracic region had no effect on her headache or tinnitus symptoms.
Musculoskeletal ultrasound imaging and clinical reasoning in the management of a patient with cervicogenic headache: a case report
Published in Physiotherapy Theory and Practice, 2021
Muscle energy techniques focusing on contracting the left obliquus capitis inferior muscle to possibly have a de-rotation effect on atlas within the AA joint (Sillevis and Wyss, 2015). The patient was supine with the head in a slight extension and some left rotation with the patient looking left while the remainder of the neck remained in the midline. In this position, a 6-s light resistance was applied to the left temple to facilitate a contraction of the left obliquus capitis inferior muscle. This was followed by a 6 sresistance to the right temple to facilitate a similar left rotation of atlas by contraction of the right rectus capitis anterior muscle. This alternating sequence was repeated 6 times and palpation of the sub-occipital region was performed to ensure that contraction in the sub-occipital region was achieved. After this the head was placed in more extension and left rotation and the above-described sequence was repeated (Sillevis and Wyss, 2015). Figure 6 identifies the position of atlas after this intervention. The SC2TC1 left changed from 6.42 cm to 5.84 cm confirmed with ultrasound imaging, therefore indicating a more symmetrical positioning of atlas. Although this represents a 9% change in length, it has to be noted that there are no previous reports on the standard error of measurement using MSK US imaging. There is no information available in the literature to identify if this change in measure meets the minimal clinical important difference when using MSK US imaging for facet motion assessment.