0110 Evidence Informed Palpation and Muscle Testing

DAY 1: UPPER BODY (7hrs)

9-10am - Intro to palpation and muscle testing, theory and techniques

• HIPMNRS assessment principle (History, Inspection, Palpation, Motion, Neurovascular Ref. Special tests)
• Palpation Review ‘first contact and confidence’ – what the evidence suggests
• Unfixed cadaver video – what anatomy really looks like!
• Types and applications for muscle testing styles, common errors
• Deciding what to test, modifying/creating tests based on need

10-11am – Head and Neck

• Scalenes, Splenius capitis, Semispinalis capitis, Suboccipitals, Muscles of facial expression, Muscles of mastication, Mandible – TMJ, Zygomatic arch/cheeks, Masseter/Parotids, Salivary glands and lymph nodes, Suprahyoid muscles, SCM and Mastoid processes, Temporal and carotid pulse, Scalp and hair, Ears and eyelids, Upper trapezius, Levatorscapulae, Occipitalis and EOP, Oral cavity (gloved hand), Facet joints/Articular pillars, SPs and upper rib motion

11am-12pm – Torso and T-spine

• Trapezius, Rhomboids, Latissimus dorsi, Quadratus lumborum, SPs and TPs T1-L5, Erector spinae, Upper ribs, Scapulae, Sternum/clavicle, Supraclavicular fossa, Axilla (anterior/posterior), Lymph nodes, Pectoralis major/minor, Sternoclavicular joint, Sternocostal joints, Abdominal muscles, Diaphragm, Abdominal viscera, Abdominal aorta, Ilium and sacrum

12-1pm - Lunch

1-2pm – Q&A, review key concepts and cadaver anatomy videos

2-3pm – Shoulder and Arm

• Thoracic outlet, Scalenes, Deltoid muscle, Supraspinatus, Infraspinatus, Teres minor, AC and SC joint, GH joint/rotator cuff, Teres major, Latissimus dorsi, Subscapularis, Serratus anterior, Triceps brachii, Pectoralis major and minor, Coracoid process, Coracobrachialis, Biceps brachii and brachialis, Bicipital groove, Radial groove

3-4pm - Forearm, Wrist and Hand

• Wrist flexors, Pronator teres, Lateral epicondyle, Wrist extensors, Thumb extensors, Medial epicondyle, Ulnar groove, Interossei, Thenar/hypothenar pad, Carpal tunnel, Tunnel of Guyon (ulnar), Anatomic snuff box, Metacarpals 1-5, Thumb (#1), Finger (#2-5), Scaphoid, Lunate, Triquetrum, Pisiform, Dorsal (Lister’s) tubercle, Trapezium, Trapezoid, Capitate, Hamate (hook), Ulnar/radial styloids, Collateral ligaments, Triangular fibrocartilage

4-5pm – Review

• High value special tests by region
• Differential diagnosis by tissue type
• Questions, key concept, other resources and final thoughts