\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{Siffi (Siffi)} \pdfinfo{ /Title (back-muscles.pdf) /Creator (Cheatography) /Author (Siffi (Siffi)) /Subject (Back Muscles Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{8C4EA3} \definecolor{LightBackground}{HTML}{F7F3F9} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Back Muscles Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Siffi (Siffi)} via \textcolor{DarkBackground}{\uline{cheatography.com/122609/cs/23344/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}Siffi (Siffi) \\ \uline{cheatography.com/siffi} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 16th January, 2021.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Rhomboids}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802491_IMG20210116130640.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Rhomboid Major:}} \{\{nl\}\} {\bf{Origin:}} Supraspinatous ligament of the 2nd-5th Tx \{\{nl\}\} {\bf{Insertion:}} Medial border of the Scapula \newline {\bf{Rhomboid Minor:}} \{\{nl\}\} {\bf{Origin:}} Lower Ligmentum Nuchae, Spinous Processes of 7th Cx - 1st Tx \{\{nl\}\} {\bf{Insertion:}} Medial end of the Spine of the Scapula \newline {\bf{Nerve:}} Dorsal Scapula Nerve (C4-C5) \newline {\bf{Action:}} Scapular retraction and stabilisation} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Rhomboids palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802532_IMG20210116130650.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Deep to traps - rhomboid fibres feel more oblique} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Trps}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592395174_rhomboids.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- SML C7-T5 \newline - Upper traps can cause satellite Trps in Rhomboid Minor \newline - Causes a snapping Scapula} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Posterior Superior}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802745_IMG20210116131125.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} Aponeurosis of the nuchal ligament + SPs of 7th Cx vertebra and 2-3 Tx VB and their supraspinus ligaments \newline {\bf{Insertion:}} Upper borders and external surfaces of 2-5th Ribs \newline {\bf{Nerve:}} 2-5th Intercostal nerves \newline {\bf{Action:}} Elevation of the ribs - respiration} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Posterior Superior - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802783_IMG20210116131134.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Pt's arm off bench (draws scapula laterally) \newline - Deep to rhomboids, ask patient to inhale} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592395442_serattus pois.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- T1-T4 SML \newline - Lying on a tennis ball over interscapular region with arms across chest \newline - Mimics C8-T1 Radioculopathy \newline - Aggravated by breathing/coughing} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Posterior Inferior}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802916_IMG20210116131345.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{{\bf{Origin:}} SP of the lower 2 Tx and upper 2/3 Lx and their supraspinatous ligaments (aponeurosis) \newline {\bf{Insertion:}} Outer surfaces of the lower 4 ribs \newline {\bf{Nerve:}} Ventral Rami 9th-12th Tx spinal nerves \newline {\bf{Action:}} Accessory muscles of respiration} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Posterior Inferior - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610802990_IMG20210116131353.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Bottom of rib cage \newline - Pt exhales} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592395636_serratus posterion inf.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- T/L SML + Manipulable Lesions of lower 4 ribs} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Iliocostalis + Longissimus Thoracis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610803233_IMG20210116131757.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Longissimus and Iliocostalis}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Origin:}} Fascicles attach to sites that are in relation to the ribs \{\{nl\}\} {\bf{Iliocostalis Cervicis:}} Posterior Tubercles of the 4-6th Cx \{\{nl\}\} {\bf{Insertion:}} 3rd-6th ribs \{\{nl\}\} {\bf{Iliocostalis Thoracis}} \{\{nl\}\} {\bf{Origin:}} TVPs of 7th Cx VB and superior borders of the angles of the upper 6 ribs \{\{nl\}\} {\bf{Insertion:}} Upper borders of the angles of lower six ribs \{\{nl\}\} {\bf{Iliocostalis Lumborum:}} \{\{nl\}\}{\bf{Lumbar:}} {\bf{Origin:}} First four Lx TVP and posterior surface of middle layer of thoracolumbar fascia \{\{nl\}\} {\bf{Insertion:}} Medial end of the iliac crest and dorsal segment of iliac crest, L4 and L1 fascicle \{\{nl\}\} {\bf{Thoracic}} {\bf{Origin:}} Lower eight/nine ribs \{\{nl\}\} {\bf{Insertion:}} Medial and dorsal end of iliac crest} \tn % Row Count 15 (+ 15) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Nerve:}} Intersegmental lateral branches of the dorsal rami} \tn % Row Count 17 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Action:}} Extends vertebral column} \tn % Row Count 18 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Longissimus and Iliocostalis - Palpation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1610803364_IMG20210116131814.jpg}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- get patient to raise feet slightly to activation \newline - Extend head if further up at scapula level \newline - Should feel ropy} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{TrPs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1592402057_Trps.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{17.67cm}}{- Patient runs hand up and down back - iliocostalis + side to side - lower rectus abdominus \newline - Causes Buttock pain} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Interscapular Pain}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014536_LS.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Scalenes}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014577_dsfdsf.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Infraspinatus}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014629_infraspin.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Lats}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014664_lats.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Anterior}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014707_serats.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Multifidus Thoracis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593014754_mukltis.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Rhomboids}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593015191_rhomboid.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Lower Traps}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593015236_lower traps.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Iliocostalis Thoracis}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593015284_ilioscos].png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{17.67cm}}{\bf\textcolor{white}{Serratus Posterior Superior}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{17.67cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/siffi_1593015321_serratus.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{17.67cm}{p{1.727 cm} p{1.727 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{17.67cm}}{\bf\textcolor{white}{Sympathetic Intrafusal Tension Syndrome}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{- Muscles of the upper back more affected by this} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{- Tone changes due to activation of the sympathetic nervous system} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{17.67cm}}{{\bf{Treatment:}} Patient education, decrease caffeine, increase water \{\{nl\}\} {\bf{Myofascial distortion:}} TrP therapy in a relaxed posture, heat afterwards \{\{nl\}\} Treat associated manipulable lesions \{\{nl\}\} {\bf{CV Exercise:}} 3-5 x week, 15-20 mins per session {\bf{Muscle tension and pain diary}} - pain and tension out of 10 and timing \{\{nl\}\} {\bf{Progressive tension relaxation:}} Patient fires middle traps for 10 seconds without moving scapula for 10 seconds - patient relaxes muscle for a few breaths - Contract again with half the tension for 10 seconds then relaxes, then half the tension again then relax \{\{nl\}\} {\bf{Abdominal Breathing Relaxation exercise:}} Breath through nose in a slow breath , don't hold breath in but hold for 3 following each exhalation, 3-5 breaths when patient feels stress} \tn % Row Count 19 (+ 16) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{17.67cm}}{{\bf{Once control of tension is regained, stretching starts}}} \tn % Row Count 21 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \end{document}