Recommendations for sensor locations in shoulder or neck muscles
Muscle

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Name
Trapezius
Subdivision
Trapezius Ascendens (lower)
Muscle Anatomy
Origin
Spinous processes of sixth to twelfth thoracic vertebrae.
Insertion
Apex of spine of scapula.
Function
With the origin fixed: stabilization (together with descending fibers) of the adduction of the scapula (performed chiefly by the transversal fibers).
Rotation of the scapula so the glenoid cavity faces cranially (performed together with the descending fibers with stabilization by the transversal fibers).
In addition the ascending fibers depress the scapula.
Recommended sensor placement procedure
Starting posture
Erect sitting, with the arms hanging vertically.
Electrode size
Maximum size in the direction of the muscle fibers: 10 mm.
Electrode distance
20 mm
Electrode placement
- location
The electrodes need to be placed at 2/3 on the line from the trigonum spinea to the 8th thoracic vertebra.
- orientation
In the direction of the line between T8 and the acromion.
- fixation on the skin
(Double sided) tape / rings.
- reference electrode
On the proc. spin. of C7 or on / around the wrist.
Clinical test
Take care that the elbow extensors and shoulder muscles give necessary fixation to use the arm as a lever in this test. Depression, lateral rotation of the inferior angle, and adduction of the scapula. To obtain this position of the scapula in order to place emphasis on the action of the ascending fibres and to obtain leverage for the test, the arm is placed diagonally overhead with the shoulder laterally rotated. Apply pressure against the forearm in downward direction.
Remarks
The SENIAM guidelines include a separate sensor placement procedure for the trapezius descendens and trapezius transversalis muscle.