MAT120 - Pin & Stretch Quick Reference

As requested by Nathan, here is a quick reference list of the major muscles you guys will pin & stretch!

Which I wish I had when I was a student. It should make studying a bit easier.

The best way to commit it to memory is to practice!

Tibialis Anterior

Cl. is supine. Start with the foot dorsiflexed. Pin the tib. ant. as distally as possible. As you move proximal towards the knee, bend the foot in plantar flexion.

Gastrocnemius

Cl. is prone. Start with the foot plantar flexted. Pin the muscle distally, as you move proximal towards the back of the knee, put the food into dorsiflexion. Make sure cl's foot is hanging off the edge of the table. Start by using your hand, then push the foot in with your leg.

Quadriceps Group

Cl. is supine and close to the edge of the table based on which leg you're working on (for example, if you're working R quads, cl. is towards the R edge of the table). Put a towel around cl's ankle like a hammock and hold at the top. Pull leg so the foot/knee are off the table. Start with the cl's leg straight. Pin the quads distally, as you work your way up towards the hip, slowly drop the foot in knee flexion.

Hamstring Group

Cl. is prone. Pin the tissue distally (be careful of the back of the knee). Bring the foot up in knee flexion as much as you can (but make sure you can still move your hand). As you move towards the hip, bring their foot down in knee extension.

Quadratus Lumborum (will add later)

Subscapularis

Cl. is supine with the arm abducted at 90 degrees and the elbow bent at 90 degrees. Pin the muscle anterior to the scap. Hold while horizontally adducting the cl's arm. GO SLOW, IT HURTS.

Rhomboids

Cl is either prone or supine (most likely prone). Have cl protract scap, then retract as you strip it. You can have them horizontally ab & adduct, just make sure the scap protracts/retracts. Cl's arm should be hanging off the table.

Levator Scapula

Supine. Cl's neck starts out rotated and laterally flexed to the side you're working on. Sit at the head of the table. Pin the attachment near the mastoid process. Do a combination of rotation/lat flex to the opposite side as you work your way to the other attachment site on the superior/medial border of the scap.

Or start with the cl's shoulder elevated, pin near the shoulder, and bring the shoulder down as you bring your thumb up towards the skull. You should be sitting on that side of the table for this one.

Let me know if I have to add/clarify anything!