Levator Scap Length Test/Stretch

Levator Scapulae Length Test/Stretch Purpose: To assess/increase muscle length of the levator scapulae. Origin: Transverse processes of C1-C4. Insertion: Vertebral border of the scapula from superior angle to root of spine. Action: Elevation and downward rotation of the scapula. Step 1: 0:53 With patient lying supine, lift the head of the table to create cervical flexion. Step 2: 1:05 Use the hand opposite the side you are stretching to cradle the patient’s head and bring them into CONTRALATERAL SIDEBEND and CONTRLATERAL CERVICAL ROTATION. IE. When stretching the right LS, sidebend left and rotate left. NOTE: This stretch will not require excessive lateral flexion or rotation if you maintain proper cervical flexion. Step 3: 1:36 Use your ipsilateral hand to apply an inferior force through the medial spine of the scapula to create scapular depression and upward rotation. Ask your patient to identify the location and intensity of the stretch to ensure that your technique is effective. When assessing muscle length, compare to the opposite side by noting differences in the fully lengthened position. When stretching the levator scapulae to increase muscle length, hold the stretch for a cumulative 90-150 seconds. Evidence: Leal & Dennison, 2011. ISC 21.1.3 pp.19