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Assessment – Nutrition-Focused Physical Exam to Detect Macronutrient Deficiencies
Published in Jennifer Doley, Mary J. Marian, Adult Malnutrition, 2023
With the patient sitting up, if able, inspect the scapular area (the shoulder blade) for prominent bones and a depression between the spine and the scapula. Patients who are unable to sit up can be gently rolled over for back examination. Inspect the trapezius, supraspinatus, and infraspinatus muscles for protruding bones and depression between the spine and scapula. Prior to palpation, ask the patient to extend the arm forward and press against the examiner’s hand in order to engage the scapulary muscles. Palpate around the engaged scapular muscles to assess for muscle loss. Engage the trapezius by asking the patient to shrug the shoulders against the resistance of the examiner’s hand. In well-nourished patients, the trapezius and the scapulary muscles will be well-defined with no apparent depressions or bony protrusions. In severely malnourished patients, the spine and the bone around the scapula will be prominently visible and significant depressions between the spine and scapula will be noted on palpation. See Figures 6.8–6.10.
Head and neck
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Lateral trapezius with spine of scapula – the flap is based on transverse cervical vessels, which should be preserved during ipsilateral ND (but not always); it incorporates bone from the spine of the scapula and a skin paddle over the acromioclavicular joint, which can be orientated horizontally or vertically. It is important to preserve the suprascapular nerve during dissection – it supplies supraspinatus, which initiates shoulder abduction.
Back and central nervous system
Published in Aida Lai, Essential Concepts in Anatomy and Pathology for Undergraduate Revision, 2018
Attachments of trapezius muscle– origin: ligamentum nuchae, supraspinous ligament up to T12– insertion: lateral third of clavicle, spine of scapula– nerve SS: spinal root of accessory n. (CNXI)– function: elevate and retract scapula and depress scapula
Postural deviations in individuals with chronic obstructive pulmonary disease (COPD)
Published in Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 2018
Annemarie L. Lee, Roger S. Goldstein, Christen Chan, Matthew Rhim, Karl Zabjek, Dina Brooks
All participants wore non-reflective shorts and non-reflective bras (females only). One researcher evaluated all participants. Forty-one adhesive reflective markers were placed on anatomical landmarks identified by palpation. These landmarks were: right and left tragus, right and left acromion, mid spine of scapula and inferior scapula angle, jugular notch, mid sternum and xiphoid process, spinous process of C7, T3, T5, T7, T9, T11, L1, L3, L5, S1, right and left iliac crest, anterior superior iliac spine and posterior superior iliac spine, greater trochanter, medial and lateral femoral condyles, medial and lateral malleoli, calcaneum and base of 5th metatarsal.
Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review*
Published in Topics in Stroke Rehabilitation, 2018
Kamal Narayan Arya, Shanta Pandian, Vinod Puri
Two current studies have been selected for the review on the role of taping technique in the management of the subluxation. In total, investigation on 74 subjects exhibited no potential effect on the reduction of the glenohumeral malalignment. Chatterjee et al.47 carried out an RCT on 30 acute stroke subjects with minimum of 5 mm subluxation in the affected limb using Tri pull taping technique three times/week. Three tape pieces were applied from 1.5 inches below the deltoid tuberosity to mid spine of scapula, two inches above the glenoid fossa and 1.5 inches above clavicle. The regime neither reduced the subluxation nor improved the motor recovery.
Prevalence of scapular dyskinesis in office workers with neck and scapular pain
Published in International Journal of Occupational Safety and Ergonomics, 2023
Mantana Vongsirinavarat, Sukhon Wangbunkhong, Prasert Sakulsriprasert, Haruthai Petviset
Different causes for neck pain have been recognized. Mechanical hypotheses including scapular dyskinesis (SD) are proposed to link the neck and scapular symptoms through the change of the normal kinetic chain of the upper quarter [4–6]. Since several muscles attach between the cervical spine and scapula, abnormal scapular positions, movements and altered muscle movements could contribute to abnormal loading of the cervical spine [6]. The increased incidence of SD was also associated with the increased ergonomic risk, which is considerably related to the musculoskeletal pain induced by work [7].