stretching lower limb muscle wise

1. STRETCHING-UPPER
LIMB
MUSKAN RASTOGI
B.P.T

2. Deltoid (anterior part of
the deltoid muscle)
Stretching Technique
▪Patient is lying on back
and therapist uses the
thenar of hand to press up,
away from muscle
insertion.
▪Stretch is improved by
pressing down on upper
arm with other hand.

3. Deltoid
(Medial part of the deltoid muscle)
Stretching Technique
▪Patient is lying on side and
therapist uses the thenar of
hand to press immediately
above insertion towards the
body of muscle.
▪The stretch effect is improved
by pressing upper arm down in
front of chest.

4. Deltoid
(Posterior part of the deltoid
muscle)
Stretching Technique
▪ Patient is lying on back with arm
raised up beside head and shoulder
joint flexed to approximately 135
degrees
▪ The therapist, using the thenar of one
hand, stretches the muscle beginning
proximal to the insertion and pressing
along the body of the deltoid. The
stretch will be more effective if the
arm is pressed downward on the
elbow using the other hand.

5. Supraspinatus
Stretching Technique
Patient is lying on side with arm
drawn behind back and internally
rotated. Therapist further extends
and adducts arm by applying
pressure at elbow while the other
hand presses upon the body of the
muscle towards the origin.

6. Infraspinatus
Stretching Technique
▪Patient is lying on side with
shoulder joint abducted to
135' and elbow flexed about
90' .
▪Therapist uses the thenar of
the hand to stretch along the
body of the muscle away from
the insertion while internally
rotating and pulling down on
the elbow with the other
hand.

7. Teres minor
Stretching Technique
Patient is lying on back with
shoulder joint flexed about 120"
and elbow flexed 90". Therapist
uses the thenar of the hand to
stretch along the body of the
muscle away from the insertion
while internally rotating and pulling
down on the elbow with the other
hand.

8. Latissimus dorsi
Stretching Technique
Patient is lying on side with
shoulder joint abduct~
elbow flexed about 90' .
Therapist
presses against the body of the
muscle with the thenar of the
hand
while pulling on the elbow
gradually
down and towards external
rotation
with the other hand.

9. Subscapularis
Stretching Technique
▪ Patient is lying on back with
upper arm next to body and
the elbow flexed about 90
degree.
▪ Therapist puts the hypothenar
of the hand next to the lesser
tubercle and below the
coracoid process and pushes
towards the body of the
muscle while the other hand
grasps the elbow and with
forearm and externally rotates
patient's upper arm.

10. Long head of the biceps
brachii
Stretching Technique
▪Patient is lying on back
with arm abducted about
45' and elbow straight.
▪ Therapist applies
pressure at the lower
muscle-tendon junction
towards the body of the
muscle with the
hypothenar of the hand
while keeping the arm
internally rotated.

11. Coracobrachialis
Stretching Technique
• Patient is lying on back with upper arm
abducted approximately 45°.
• Therapist applies pressure at the
muscle-tendon junction towards the
body of the coracobrachialis muscle
with the hypothenar of the hand while
using other hand to press down on the
upper arm.

12. Brachialis
Stretching Technique
▪Patient is lying on back;
arm resting at side with
elbow flexed about 45°.
▪Therapist presses with the
thenar of the hand above
muscle-tendon junction
into body of muscle while
gradually pulling the
forearm down.

13. Pectoralis major (Clavicular part)
Stretching Technique
Patient is lying on back with elbow
flexed 90° and shoulder abducted
45°. Therapist applies pressure with
the hypothenar of the hand towards
the body of muscle away from
insertion while using the other hand
to grasp the elbow and forearm to
press arm down.

14. Stern part of pectoralis major
Stretching Technique
▪ Patient is lying on back
with elbow flexed 90° and
upper arm abducted 90°
and externally rotated.
▪ Therapist applies pressure
with the thenar of the
hand towards the body of
muscle away from
insertion and lets it slide
medially in stretching
massage while using the
other hand to press arm
down to horizontal
abduction.

15. Abdominal part of pectoralis major
Stretching Technique
▪ Patient is lying on back,
elbow flexed 90°, upper
arm abducted 135°, and
externally rotated.
▪ Therapist applies pressure
with the thenar of the
hand towards the body of
muscle away from
insertion and lets it slide
medially in stretching
massage while using the
other hand to grasp the
elbow and forearm to
press arm down.

16. Long head of the triceps brachii
Stretching Technique
▪ Patient is lying on back with
shoulder raised up beside
head to about 1350
▪ Therapist presses with the
hand above muscle-tendon
junction into body of muscle
while pressing gradually
down the arm and holds the
elbow in full flexion with the
other hand.

17. Medial head of the triceps brachii
Stretching Technique
▪Patient is lying on back
and shoulder flexed to
about 90°.
▪Therapist presses along
the body of muscle away
from insertion with the
thenar of the hand while
pressing elbow into flexion
with the other hand.

18. Lateral head of the triceps
brachii
Stretching Technique
▪Patient is lying on back
and shoulder flexed to
about 90' .
▪Therapist presses along
the body of muscle away
from insertion with the
thenar of the hand while
pressing elbow into flexion
with the other hand.

19. Articularis cubiti (Subanconeus)
Stretching Technique
▪Patient is lying on back,
shoulder and elbow joints
flexed about 90°.
▪Therapist presses with the
thumb of the hand down to
the body of muscle while
increasing elbow flexion
with the other hand.

20. Anconeus
Stretching Technique
▪Patient is lying on back
with shoulder and elbow
joints flexed to 90°.
▪ Therapist presses with
the thumb of the hand the
body of muscle away from
insertion while increasing
elbow flexion with the other
hand.

21. Brachioradialis
Stretching Technique
▪Patient is lying on back
and elbow flexed 45'.
▪Therapist presses with the
thenar of the hand along
body of muscle while using
the other hand to internally
rotate and extend the
elbow joint.

22. Pronator teres
Stretching Technique
▪Patient is lying on back
and elbow flexed to 45°.
▪Therapist uses the thenar
of the hand to press
immediately above
insertion across or towards
the body of muscle while
using other hand to extend
the elbow joint and
externally rotate forearm.

23. Flexor carpi radialis
Stretching Technique
▪ Patient is lying on back with the arm
straight and beside the body.
▪ Therapist uses the hypothenar of
the hand to press from muscle
tendon junction towards the body
of muscle while using other hand to
press down on palm and externally
rotate the forearm starting from the
second metacarpal bone.

24. Flexor carpi ulnaris
Stretching Technique
▪ Patient lies on stomach with
the arm straight and beside
the body.
▪ Therapist applies pressure
with thenar of the hand
towards the body of muscle
away from insertion while
using the other hand to
extend wrist and internally
rotate the forearm starting
from the fifth metacarpal
bone.

25. Palmaris longus
Stretching Technique
▪Patient lies on back with
forearm extended at side.
▪Therapist applies pressure
with thenar of the hand
towards the body of
muscle away from insertion
while using the other hand
to extend wrist and 2-5
metacarpophalangeal
joints and externally rotate
the forearm.

26. Flexor digitorum
superficialis
Stretching Technique
▪ Patient is lying on back with
the elbow extended at side.
▪ Therapist applies pressure with
the thenar of the hand towards
the body of muscle away from
insertion while using the other
hand to extend the wrist, 2-5
metacarpophalangeal and
proximal phalangeal joints,
allowing the distal joints to
remain flexed, and externally
rotates the forearm.

27. Flexor digitorum profundus
(perforatus)
Stretching Technique
Therapist applies pressure
with the thenar of the hand
towards the body of
muscle away from insertion
while using the other hand
to extend the wrist and
fingers 2-5 and externally
rotate the forearm.

28. Flexor pollicis longus
Stretching Technique
Therapist applies pressure
with the thenar of the hand
towards the body of
muscle away from insertion
while using the other hand
to extend the thumb and
wrist and externally rotate
the forearm.

29. Pronator quadratus
Stretching Technique
Therapist grasps the thumb and
radius with thumb and thenar of
one hand and the little finger and
styloid process of ulna with the
other hand respectively bones and
rotates hands away from each
other.

30. Supinator
Stretching Technique
▪Patient is lying on back
with the elbow flexed about
45°.
▪Therapist applies pressure
with the thenar of the hand
across the body of muscle
while using the other hand
to internally rotate and
extend the forearm.

31. Extensor carpi radialis
longus
Stretching Technique
▪ Patient lies on back with
the arm straight and
beside the body.
▪ Therapist applies pressure
with the thenar of the
hand towards the body of
muscle away from
insertion while the other
hand is used to grasp the
second and third
metacarpal bones and
flex the wrist and
internally rotate the
forearm.

32. Extensor carpi ulnaris
Stretching Technique
▪ Patient is lying on
stomach and arm
extended at side.
▪ Therapist applies pressure
towards the body of
muscle from the tendon-
muscular junction with the
thenar of the hand while
using the other hand to
grasp the fifth metacarpal
and flex the wrist and
externally rotate the
forearm.

33. Extensor digitorum
Stretching Technique
▪Patient is lying on back
with the elbow extended at
side and fingers in tight
fist.
▪Therapist applies pressure
with the thenar of the hand
towards the body of
muscle away from insertion
while using the other hand
to grasp the fist, flex the
wrist and internally rotate
forearm.

34. Extensor digiti minimi
Stretching Technique
▪ Patient is lying on
stomach with the elbow
extended at side and the
little finger flexed.
▪ Therapist applies pressure
with the thenar of the
hand towards the body of
muscle away from
insertion while using the
other hand to grasp the
flexed little finger, flex the
wrist and externally rotate
forearm.

35. Abductor pollicis longus
Stretching Technique
Therapist applies pressure with the
thenar of the hand towards the
body of muscle away from insertion
while using the other hand to grasp
the thumb, flex the
metacarpophalangeal and wrist
joints and internally rotate the
forearm.

36. Extensor pollicis longus
Stretching Technique
Therapist applies pressure
with the
thenar of the hand towards
the
body of muscle away from
insertion
while using the other hand
to flex
the thumb, flex the wrist and
internally rotate the
forearm.

37. Extensor pollicis brevis
Stretching Technique
Therapist applies pressure with
the
thenar of the hand towards the
body of muscle away from
insertion
while using the other hand to flex
the metacarpophalangeal joint of
the thumb to bend the wrist
towards the ulnar side, flex wrist
and rotate forearm internally.

38. Extensor indicis
Stretching Technique
Therapist applies pressure with
the
thenar of the hand towards the
body of muscle away from
insertion
while using the other hand to flex
the index finger, bend the wrist
towards the ulnar side, flex the
wrist and internally rotate the
forearm.

39. Abductor pollicis brevis & Flexor
pollicis brevis
Stretching Technique
Therapist applies pressure
with the
thumb towards the body of
muscle
away from insertion while
using the
other hand to extend the
thumb.

40. Opponens pollicis
Stretching Technique
Therapist applies pressure with
the
thumb towards the body of
muscle
away from insertion while using
the
other hand to abduct and
extend
the metacarpophalangeal joint
of
the thumb.

41. Adductor pollicis
Stretching Technique
Therapist applies pressure
with the
thumb of the hand towards
the
body of muscle away from
insertion
while using the other hand
to
abduct and extend the
thumb.

42. Abductor digiti minimi
Stretching Technique
Therapist applies pressure
with the
thumb of the hand towards
the
body of muscle away from
insertion
while using the other hand
to
slightly extend and then
adduct the
little finger.

43. Flexor digiti minimi brevis
Stretching Technique
Therapist applies pressure
with the
thumb of the hand towards
the
body of muscle away from
insertion
while using the other hand
to
extend the little finger.

44. Opponens digiti minimi
Stretching Technique
Therapist applies pressure
with the
thumb of the hand towards
the
body of muscle away from
insertion
while using the other hand
to
extend the
metacarpophalangeal
joint of the little finger.

45. Palmaris brevis
Stretching Technique
Therapist grasps patient's
hand at the side of thumb
producing counterforce
while using the thumb of
the other hand to stretch
along body of muscle away
from origin.

46. Lumbricales
Stretching Technique
▪Therapist grasps flexed
fingers and extends
metacarpophalangeal and
wrist joints.
▪The thumb of the other
hand is used to stretch
along bodies of muscles
away from insertions.

47. Palmar interossei
Stretching Technique
▪ Therapist interlocks own
fingers with that of
patient's, which are in
flexion, and extends
metacarpophalangeal
joints
▪ Therapist uses other
hand to stretch along
bodies of muscles away
from insertions

48. Dorsal interossei
Stretching Technique
▪Therapist grasps flexed fingers
and extends metacarpals while
keeping the thumb abducted.
▪ Therapist uses the other hand
to press along the bodies of the
muscles between metacarpals.