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Table 1. The ISP2, SSP1 and the structures corre- The signaling points
lation in the cadavers.
In the volunteers, ISP1 could be palpated
Points Muscles Vessels Nerves (N) at the base of U in the anterior axillary fold of

the pectoralis major muscle. In the cadaver,
ISP2 biceps brachii brachial median
SSP1 infraspinatus suprascapular ISP1 was located at the 3rd part of the axil-
lary artery (AA, Figure 8). This point was

confirmed by pressing in the volunteer, which
led to a diminishing of the radial arterial pulse
Points considered to be both massage points
(Table 2).
and SPs
ISP3 could be palpated at the bicipital
In the volunteers, the radial arterial pulse aponeurosis and brachial arterial pulse in the

could be palpated at the Poed Pratu Lom Point volunteers. In the cadaver, ISP3 corresponded
(ISP2). After removing the arm skin from the to where the median cubital vein and bra-

cadavers, the Poed Pratu Lom Point was seen chial vessels were situated in the cubital fossa
between the short head of the biceps brachii under the bicipital aponeurosis. Deeper dis-
muscle (SBB) and the medial head of the tri- section showed the articular capsule, namely

ceps brachii muscle (MeTB), where the bra- the humeroulnar and humeroradial ligaments
chial vessels and median nerve (MN) de- of the elbow joint (Figure 9 and Table 2).
scended to the elbow joint. This was con- In the volunteers, the flexor carpi radia-

firmed by pressing on this point in volun- lis (FCR) tendon could be palpated at ISP4.
teers, which led to a decrease in the radial At superficial level dissection in the cadaver,
arterial pulse (Table 1). ISP4 was seen between the medial border of

The BSP or SSP1 could be palpated at the FCR and palmaris longus (PL) tendons
the lateral margin of the scapula in the vol- and the lateral border of the brachioradialis

unteers. Removing the skin from the cadaver (Bra) tendon. At an intermediate level, ISP4
showed that BSP and SSP1 were at the in- was located at the superior part of the flexor
ferior border of the infraspinatus muscle at a digitorum superficialis (FDS) muscle, where

location adjacent to the superior border of the median nerve (MN) descends through the
the teres minor muscle, where the supras- deep surface of the FDS. After deeper dis-

capular vessels and the suprascapular nerve section, ISP4 location was found to correspond
pierce and supply the infraspinatus muscle to the anterior interosseous artery (AIA), and
(Figure 7 and Table 1). the anterior interosseous nerve (AIN), which