Vastus Lateralis: Difference between revisions

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{{Qualityalert_Anatomy}}
 
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'''Original Editor '''- {{Andeela Hafeez| Andeela Hafeez}}
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== Description  ==
== Description  ==


The vastus lateralis muscle is on the side of the thigh. This muscle is the largest of the quadriceps group (often called quads) which also includes the rectus femoris, the vastus intermedius, and the vastus medialis. Taken together, the muscles of the legs allow strength and stability. They provide power for and absorb the impact of daily activities such as walking, running, and jumping.<ref>http://www.healthline.com/human-body-maps/vastus-lateralis-muscle</ref>
The vastus lateralis muscle is on the side of the thigh. This muscle is the largest of the quadriceps group (often called quads) which also includes the rectus femoris, the vastus intermedius, and the vastus medialis. Taken together, the muscles of the legs allow strength and stability. They provide power for and absorb the impact of daily activities such as walking, running, and jumping.<ref>http://www.healthline.com/human-body-maps/vastus-lateralis-muscle</ref>  


== Anatomy  ==
== Anatomy  ==
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=== Origin  ===
=== Origin  ===


Upper intertrochanteric line, base of greater trochanter, lateral linea aspera, lateral supracondylar ridge and lateral intermuscular septum
Upper intertrochanteric line, base of greater trochanter, lateral linea aspera, lateral supracondylar ridge and lateral intermuscular septum  


=== Insertion  ===
=== Insertion  ===


Lateral quadriceps tendon to patella, via ligamentum patellae into tubercle of tibia<ref>http://www.lumen.luc.edu/lumen/meded/grossanatomy/dissector/mml/vasl.htm</ref>
Lateral quadriceps tendon to patella, via ligamentum patellae into tubercle of tibia<ref>http://www.lumen.luc.edu/lumen/meded/grossanatomy/dissector/mml/vasl.htm</ref>  


=== Nerve Supply  ===
=== Nerve Supply  ===


Posterior division of femoral nerve (L3,4)
Posterior division of femoral nerve (L3,4)  


=== Blood Supply  ===
=== Blood Supply  ===


&nbsp; &nbsp; &nbsp;&nbsp;Lateral circumflex femoral artery&nbsp;<ref>http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/lower-body/vastus-lateralis</ref>
&nbsp; &nbsp; &nbsp;&nbsp;Lateral circumflex femoral artery&nbsp;<ref>http://www.rad.washington.edu/academics/academic-sections/msk/muscle-atlas/lower-body/vastus-lateralis</ref>  


== Function  ==
== Function  ==
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can abnormally displaced patella  
can abnormally displaced patella  


=== Functional contributations ===
=== Functional contributations ===


In everyday life, the quadricep muscle group as a whole functions to allow a person to squat, bend backwards, walk up or down stairs, and move from a standing to a seated position (or vice-versa). These muscles are not active while standing with the knees locked, but become active during the heel-strike and toe-off phases of walking.<ref name="www">http://www.triggerpointtherapist.com/blog/knee-pain-trigger-points/vastus-lateralis-trigger-points-quadriceps/</ref>
In everyday life, the quadricep muscle group as a whole functions to allow a person to squat, bend backwards, walk up or down stairs, and move from a standing to a seated position (or vice-versa). These muscles are not active while standing with the knees locked, but become active during the heel-strike and toe-off phases of walking.<ref name="www">http://www.triggerpointtherapist.com/blog/knee-pain-trigger-points/vastus-lateralis-trigger-points-quadriceps/</ref>  


<br>
<br>  


== Techniques  ==
== Techniques  ==
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=== Palpation  ===
=== Palpation  ===


have client supine
have client supine  


place palpating hand distal to greater trochanter
place palpating hand distal to greater trochanter  


ask the client to contract quadriceps femoris group&nbsp;
ask the client to contract quadriceps femoris group&nbsp;  


continute palpating distally towards patella
continute palpating distally towards patella  


=== Length Tension Testing / Stretching  ===
=== Length Tension Testing / Stretching  ===
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&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;[[Image:Lying quad stretch.jpg|200x200px]]  
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;[[Image:Lying quad stretch.jpg|200x200px]]  


=== Strengthing ===
=== Strengthing ===


*'''Leg extension'''
*'''Leg extension'''
Sit on the leg extension machine with your back against the pad and feet under the pads. Place the pads just above the feet.<br>Curl the legs up until you reach the top position.<br>Lower weight back to starting position. Lower legs should be vertical to the floor.
 
Sit on the leg extension machine with your back against the pad and feet under the pads. Place the pads just above the feet.<br>Curl the legs up until you reach the top position.<br>Lower weight back to starting position. Lower legs should be vertical to the floor.  


*'''Hack squats'''
*'''Hack squats'''
Lay back in the hack squat machine with shoulders place on the pads.<br>Place feet about shoulder width apart (or where comfortable) with toes pointed out slightly.<br>Squat down until there is about a 90 degree angle in the knee joint as shown in the illustration.<br>Push back up until you are back in the starting position.<br>Repeat for recommended reps.
 
Lay back in the hack squat machine with shoulders place on the pads.<br>Place feet about shoulder width apart (or where comfortable) with toes pointed out slightly.<br>Squat down until there is about a 90 degree angle in the knee joint as shown in the illustration.<br>Push back up until you are back in the starting position.<br>Repeat for recommended reps.  


== Trigger Point Referral Pattern  ==
== Trigger Point Referral Pattern  ==
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[[Image:Vastus lateralis01.jpg|150x150px]]  
[[Image:Vastus lateralis01.jpg|150x150px]]  


== Management ==
== Management ==


*A tennis ball may be used by a person to treat their TrPs by laying on the side and placing the tennis ball between the outer thigh and the surface of the bed/floor.<ref name="WWW">http://www.triggerpointtherapist.com/blog/knee-pain-trigger-points/vastus-lateralis-trigger-points-quadriceps/</ref>
*A tennis ball may be used by a person to treat their TrPs by laying on the side and placing the tennis ball between the outer thigh and the surface of the bed/floor.<ref name="WWW">http://www.triggerpointtherapist.com/blog/knee-pain-trigger-points/vastus-lateralis-trigger-points-quadriceps/</ref>  
*Release by massage
*Release by massage


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<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1-7FJ7kkHKrOcU4ZsOMeCOgQWJBX0bpQKs7bguYF0-19OYxYtR!!|charset=UTF-8|short|max=10</rss>  
<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1-7FJ7kkHKrOcU4ZsOMeCOgQWJBX0bpQKs7bguYF0-19OYxYtR!!|charset=UTF-8|short|max=10</rss>  
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== References<br> ==
== References<br> ==


<references />  
<references />  


[[Category:Anatomy]] [[Category:Thigh]] [[Category:Muscles]]
[[Category:Anatomy]] [[Category:Thigh]] [[Category:Muscles]]

Revision as of 06:39, 24 May 2015

Original Editor - Template:Andeela Hafeez

Top Contributors - Andeela Hafeez, Abbey Wright, Evan Thomas, Joao Costa, WikiSysop, Lucinda hampton and Kim Jackson

Description[edit | edit source]

The vastus lateralis muscle is on the side of the thigh. This muscle is the largest of the quadriceps group (often called quads) which also includes the rectus femoris, the vastus intermedius, and the vastus medialis. Taken together, the muscles of the legs allow strength and stability. They provide power for and absorb the impact of daily activities such as walking, running, and jumping.[1]

Anatomy[edit | edit source]

The vastus lateralis is an anterior muscle of the thigh, part of the quadriceps femoris group.

Origin[edit | edit source]

Upper intertrochanteric line, base of greater trochanter, lateral linea aspera, lateral supracondylar ridge and lateral intermuscular septum

Insertion[edit | edit source]

Lateral quadriceps tendon to patella, via ligamentum patellae into tubercle of tibia[2]

Nerve Supply[edit | edit source]

Posterior division of femoral nerve (L3,4)

Blood Supply[edit | edit source]

      Lateral circumflex femoral artery [3]

Function[edit | edit source]

Actions[edit | edit source]

 extension at knee

can abnormally displaced patella

Functional contributations[edit | edit source]

In everyday life, the quadricep muscle group as a whole functions to allow a person to squat, bend backwards, walk up or down stairs, and move from a standing to a seated position (or vice-versa). These muscles are not active while standing with the knees locked, but become active during the heel-strike and toe-off phases of walking.[4]


Techniques[edit | edit source]

Palpation[edit | edit source]

have client supine

place palpating hand distal to greater trochanter

ask the client to contract quadriceps femoris group 

continute palpating distally towards patella

Length Tension Testing / Stretching[edit | edit source]

Stand on one leg and pull the other foot up behind your bottom
Keep your knees together and push your hips forwards to increase the stretch
Hold for between 10 and 30 seconds

                                                  Quad stretch.jpg

  • Laying

Lay on your front and pull one foot up to meet your buttocks
Hold for between 10 and 30 seconds

                                               Lying quad stretch.jpg

Strengthing[edit | edit source]

  • Leg extension

Sit on the leg extension machine with your back against the pad and feet under the pads. Place the pads just above the feet.
Curl the legs up until you reach the top position.
Lower weight back to starting position. Lower legs should be vertical to the floor.

  • Hack squats

Lay back in the hack squat machine with shoulders place on the pads.
Place feet about shoulder width apart (or where comfortable) with toes pointed out slightly.
Squat down until there is about a 90 degree angle in the knee joint as shown in the illustration.
Push back up until you are back in the starting position.
Repeat for recommended reps.

Trigger Point Referral Pattern[edit | edit source]

Pain may be felt over the full length of the lateral anterior (outside and front) thigh as well as behind the knee. Pain is also sometimes reported to feel like explosions up and down the thigh.A person with TrPs in the lateralis may have a stuck patella with pain that wraps up and around the lateral border of the patella and even up the thigh. TrPs in this muscle also make it painful to lie on the affected side and if done so, will disturb sleep.[6]

Vastus lateralis01.jpg

Management[edit | edit source]

  • A tennis ball may be used by a person to treat their TrPs by laying on the side and placing the tennis ball between the outer thigh and the surface of the bed/floor.[7]
  • Release by massage

Recent Related Research (from Pubmed)[edit | edit source]

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References
[edit | edit source]