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  • 1. Complete Trigger Points for Shoulder Girdle Muscles By: Mr. Shamsul Azhar Founder of MMT Physiotherapist
  • 2. Contents:- Deltiod Supraspinatus Pectoral Major Infraspinatus Pectoral Minor Levator Scapula Teres Major Latissimus Dorsi Teres Minor Bisep Rhomboid Major Trisep Rhomboid Minor Upper Trapezius Middle Trapezius Lower Trapezius
  • 3. Deltiod • • Diagram 1 Diagram 2
  • 4. Deltiod Name: RP 33 Locations: Parallel with middle finger and on the deltiod bulky area. Related disease: Capsulatis, rotator cuff injury and post humeral head fracture. Application: Use tip of thumb, press deeply and slowly hold 10 sec, repeat until the pain reduce or disappear.
  • 5. Pectoral Major • • Diagram 2 Diagram 1
  • 6. Pectoral Major Name: RA 16 Locations: Parallel with nipple and on the middle chest area. Related disease: Pectoral muscle injury, tightness and ribs pain . Application: Use ball of thumb, press 0.5 to 1kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 7. Pectoral Minor • • Diagram 1 Diagram 2
  • 8. Pectoral Minor Name: SM 33 Locations: Parallel with rip no 3 and medial shoulder Related disease: Kyposis pain, tightness and 1st and 2nd ribs pain . Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 9. Teres Major • • Diagram 1 Diagram 2
  • 10. Teres Major Name: RL 17 Locations: Parallel with vertebra T7 and beside lateral scapula border. Related disease: Tightness, fibrositis and post teres muscle injury. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 11. Teres Minor • • Diagram 1 Diagram 2
  • 12. Teres Minor Name: RL 18 Locations: Parallel with vertebra T5 and beside lateral scapula border. Related disease: Tightness, fibrositis, post teres muscle injury and capsulitis. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 13. Rhomboid Major • • Diagram 1 Diagram 2
  • 14. Rhomboid Major Name: RM 18 Locations: Parallel with vertebra T5 and between medial scapula border & spinous process. Related disease: Fibrositis, post rhomboid muscle injury, facet & costotranversus joints pain. Application: Use ball of thumb or knuckle, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 15. Rhomboid Minor • • Diagram 1 Diagram 2
  • 16. Rhomboid Minor Name: RM 19 Locations: Parallel with vertebra T3 and between medial scapula border & spinous process. Related disease: Fibrositis, post rhomboid muscle injury, facet & costotranversus joints pain. Application: Use elbow, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 17. Upper Trapezius • • Diagram 1 Diagram 2
  • 18. Upper Trapezius Name: SL 30 Locations: Parallel with vertebra T1 and between neck and shoulder. Related disease: Stress, fibrositis, muscle spasm, shoulder pain and neck pain. Application: Use elbow, press 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 19. Middle Trapezius • • Diagram 1 Diagram 2
  • 20. Middle Trapezius Name: RM 20 Locations: Parallel with vertebra T1 and between medial scapula border & spinous process. Related disease: Tightness, fibrositis, facet joint pain, stress and thoracic pain. Application: Use knuckle, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 21. Lower Trapezius • • Diagram 1 Diagram 2
  • 22. Lower Trapezius Name: RM 17 Locations: Parallel with vertebra T7 and between medial scapula border & spinous process. Related disease: Tightness, fibrositis, rib pain, thoracic spondilosis and post muscle injury. Application: Use elbow, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 23. Supraspinatus • • Diagram 1 Diagram 2
  • 24. Supraspinatus Name: RP 19 Locations: Parallel with vertebra T3 and on middle of the scapula crease Related disease: Impingement syndrome, supraspinatus tendonitis, post muscle injury and subarcomial bursitis. Application: Use knuckle, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 25. Infraspinatus • • Diagram 1 Diagram 2
  • 26. Infraspinatus Name: RP 18 Locations: Parallel with vertebra T5 and below and middle of scapula crease. Related disease: Tendonitis, fibrositis and muscle tightness. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 27. Levator Scapula • • Diagram 1 Diagram 2
  • 28. Levator Scapula Name: RM 20 Locations: Parallel with vertebra T1 and between medial scapula border & spinous process. Related disease: Fibrositis, neck pain, facet arthritis and spondilosis. Application: Use elbow, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 29. Latismus Dorsi • • Diagram 1 Diagram 2
  • 30. Latismus Dorsi Name: Ex. RL4 Locations: Same level with vertebra T9 and parallel with lateral scapula border. Related disease: Tightness, fibrositis and post muscle injury. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 31. Biceps • • Diagram 1 Diagram 2
  • 32. Biceps Name: RP 35 Locations: Anterior - middle of the forearm. Related disease: Tightness, tendonitis and post muscle and humerus injury. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 33. Trisep • • Diagram 1 Diagram 2
  • 34. Trisep Name: RA 33 Locations: Posterior-middle of the forearm. Related disease: Tightness, post muscle injury. Application: Use ball of thumb, press 1 to 2 kg and hold 10 sec, repeat until the pain reduce or disappear.
  • 35. Contact Us SMT Manual Therapy Center PO Box No 9, Jalan Kebun Nenas 2G/KS 7, Bandar Putera, 41000 Klang Selangor Darul Ehsan Malaysia. Tel :60133518732 :60331694185 Email: Shamsul@therapist.net Website:www.medicmassage.net