Abstract

In manual healing massage techniques and kinesitherapy analytical exercises, there is no complete information on the targeted effects on separate parts of the m.serratus anterior. It is a protractor, a blade abductor, a helping muscle in the inspiratory breathing movements and participates in the training of the pectoral muscles. Its complex function defines it as muscle, which should be emphasized in shoulder girdle disease, postural abnormalities, pulmonary diseases, peripheral nerve damage, etc. Based on a study of the various techniques available for stretching, healing massage and analytical training, we offer a complex impact on m.serratus anterior. To perform the techniques, we use a tool to work on the muscles around the blade. М..serratus anterior has three parts: m.serattus anterior superior, m.serratus anterior intermedius et inferior. The fibers of the lower part are directed medial-caudal position, the fibers of the middle part are located more horizontally and the upper part moves in the medial direction towards the collarbone. The location of the individual parts and fibers helps to target the muscle. The healing massage methodology includes the following techniques: crunching is available for the serratus anterior muscle. For its crushing, the patient is in a lateral lying position, his arm is lifted and placed behind the head that opens the axillary well. The masseur is behind the patient's back. The well-defined muscles are treated with a pinching technique. In poorly expressed hypotrophic muscles, it is crushed by pressure on the ribs with the cushions of the spread fingers in the intercostal area. The innervation of the muscles starts with roots С5,6,7 , n.thoracicus longus which ends in the axilla under the medial third of v.axillaris and goes down along the serratum anterior muscle of the chest. To perform a therapeutic effect on the individual parts of the muscle, we instruct the patient to perform analytical exercises at the same time and then perform an autostretching at the time the therapist uses the muscle-processing tool. We urge the patient to perform inspiration to activate muscle function. Inspiratory muscle training is used to better strengthen the muscle.

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