Fillable Body Map Body Map

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Body Map Body Map

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Associated Bodywork & Massage Professionals
MEMBER
Practitioner/Clinic Name: ____________________ Body Map
Contact Information: ________________________
Name: ___________________________________________ Date: ____________
Note the finding next to the muscle checked:
T = Tension, hypertonicity P = Pain S = Spasm I = Inflammation N = Numbness/tingling
Deltoid
Tricep
Soleus
Biceps Femoris
Iliotibial Tract
Semitendinosis
Lumbodorsal Fascia
External Abdominal
Obliques
Semispinalis Capitis
Anconeus
Extensor Carpi Ulnaris
Infraspinatus
Gluteus Maximus
Latissimus Dorsi
Tensor Fascia Latae
Semimembranosus
Adductor Magnus
Plantaris
Trapezius
Gastrocnemius
Calcaneal Tendon (Achilles)
Deltoid
Biceps Brachii
Brachialis
Brachioradialis
Flexor Carpi Radialis
Flexor Carpi Ulnaris
Frontalis
Temporalis
Procerus
Buccinator
Trapezius
Sternocleidomastoid
Depressor Anguli Oris
Orbicularis Oculi
Orbicularis Oris
Pectoralis Major
External Abdominal Obliques
Pronator Teres
Masseter
Extensor Digitorum
Communis Longus
Rectus Femoris
Gastrocnemius
Adductor Longus
Pectineus
Adductor Magnus
Vastus Medialis
Soleus
Patellar Ligament
Sartorius
Tensor Fascia Latae
Vastus Lateralis
Gracilis
Peroneus Longus
Cruciate Ligament
Tibialis Anterior
Iliopsoas
Serratus Anterior
Rectus Abdominis
Arm
❏
Biceps/Tricep Supinator ____
❏
Brachialis ____
❏
Coracobrachialis ____
❏
Deltoids: Ant/Lat/Post ____
❏
Pronator Teres ____
Hip/Leg
❏
Add Long/Brev Mag ____
❏
Biceps Femoris ____
❏
Gemellus Sup/Inf ____
❏
Gluteus Max/Med/Min ____
❏
Obturator Int/Ext ____
❏
Pectineus ____
❏
Piriformis ____
❏
Iliopsoas Major/Illacus ____
❏
Quadratus Femoris ____
❏
Rectus Femoris ____
❏
Sacrospinalis ____
❏
Sartorius/Gracilis ____
❏
Semi-Tend/Membranosus ____
❏
Tensor Fascia Latae ____
❏ Trochanteric ____
❏
Vastus Int/Med/Lat ____
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Chest
❏
Diaphragm ____
❏
Ext/Int Oblique ____
❏
Intercostals ____
❏
Pectoralis Major/Minor ____
❏
Rectus Abdominis ____
❏
Ribs ____
❏
Serratus Anterior ____
❏
Subclavius ____
❏
Transverse Abdominis ____
Foot
❏
Abd/Add Hallucis Brev ____
❏
Abductor Digiti Brevis ____
❏
Dors/Plan Interossei ____
❏
Flexor Digiti Minimi Brevis ____
❏
Flexor Digitorum Brevis ____
❏
Flexor Hallucis Brevis ____
❏
Lumbricals ____
❏
Quadratus Plantae ____
❏
Calcaneal Tendon(Achilles) ____
!
Neck
❏
Scalenes Anter/Med/Post ____
❏
Splenus Capitus ____
❏
Splenus Cervicus ____
❏
Sternocleidomastoid ____
❏
Supra Infra Hyoids ____
Head
❏
Auricularis Post/Sup ____
❏
Buccinator ____
❏
Masseter ____
❏
Orbicularis Oris/Oculi ____
❏
Pterygoid Med/Lat ____
❏
Transverse Nuchae ____
❏
Temporalis ____
Lower Leg
❏
Flex/Ext Digitorum Long/BR ____
❏
Flex/Ext Hallucis Long ____
❏
Gastrocnemius ____
❏
Peroneus Tert/Brev/Lon ____
❏
Plantaris/Popliteus ____
❏
Soleus ____
❏
Tibialis Post/Ant ____
!
Back
❏
Erector Spinae ____
❏
Iliocostalis ____
❏
Infraspinatus ____
❏
Interspinalis ____
❏
Intertransversarii ____
❏
Latissimus Dorsi ____
❏
Levator Scapula ____
❏
Longissimum ____
❏
Multifidus Rotatores ____
❏
Quadratus Lumborum ____
❏
Rhomboids: Major/Minor ____
❏
Serratus Post/Sup/Inf ____
❏
Spinalis/Semispinalis ____
❏
Subscapularis ____
❏
Supraspinatus ____
❏
Teres Major/Minor ____
❏
Trapezius ____
!
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Body Map Body Map

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Completed 19 December 2020

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