Back Muscles Flashcards
thoracolumbar fascia explain
- deep fascia
- thin in thoracic
- thick in lumbar
- strengthen lumbar area and surround intrinsic back muscles
trapezius innervation
spinal accessory nerve (Cranial nerve XI)
sensory: ventral rami of C3 and C4
levator scapulae action
- elevation of scapula
- rotates inferiorly
action of erector spinae muscles
- bilateral: extension of spine
- unilateral: lateral flexion of spine to same side of contracting muscle
- Contracts during flexion of spine to control movement against gravity
Where are the intermediate back muscles found and what are they called?
- they are located on entire length of spine
- erector spinae muscles (iliocostalis, longissimus, spinalis)
semispinalis insertion
-occipital bone, in the medial part of area between superior and nuchal lines
latissimus dorsi innervation
-thoracodorsal nerve
latissimus dorsi actions
- adduction of arm at shoulder
- extension of arm at shoulder
- medial rotation of arm
Where are the superficial intrinsic back muscles found and what are they?
only found in cervical and upper thoracic regions
splenius capitis and splenius cervicis
trapezius insertion
- lateral 1/3rd of clavicle
- acromion
- spine of scapula
semispinalis capitis origin
-transverse processes of C4-T12
describe the occipital region (where antomically located/surrounded/near what structures)
- deep to trapezius
- roof is the semispinalis muscle
- floor is the posterior atlanto-occipital membrane and the posterior arch of the atlas
- contains the vertebral artery and suboccipital nerve
action of splenius capitis
bilateral contraction- extension of head and neck
unilateral contraction- lateral flexion and rotation of head and neck to same side of contracting muscle
splenius cervicis origin
-spinous processes of T3-T6 vertebrae
What are and what is purpose of intrinsic back muscles. What is the subdivision of the intrinsic back muscles?
- extend from pelvis to skull
- act to maintain posture and control movements of vertebral column
- subdived into superficial, intermediate, and deep layers
splenius capitis innervation
dorsal rami of cervical spinal nerves
rhomboid major and minor action
- retract scapula
- inferiorly rotate
innervation of erector spinae muscles
innervated by dorsal rami of spinal nerves
serratus posterior inferior insertion
-lower 4 ribs (ribs 9-12)
What is the greater occipital nerve and where is it located?
- dorsal ramus of C2 spinal nerve
- curves around inferior border of obliquus capitis inferior-> ascends over suboccipital triangle->pierces semispinalis capitis and trapezius to reach scalp (it does not pierce splenius capitis)
- divides into branches that supply skin of posterior part of scalp (run with branches of occipital artery)
origin of erector spinae muscles(iliocostalis, longissimus, and spinalis)
all 3 columns originate from a broad tendon that attaches to:
- iliac crest
- sacrum
- sacroiliac ligaments
- inferior lumbar spinous processes
latissimus dorsi insertion
-floor of intertubercular groove of humerus
levator scapulae origin
-transverse processes of upper 4 cervical vertebrae (C1-C4)
rhomboid minor insertion
-medial border of scapula at level of root of spine
rhomboid major and minor innervation
dorsal scapular nerve
trapezius actions
elevation scapula
retraction scapula
(superiorly) rotates scapula and depresses
ERRAttach Sounds
What is the nerve innervation of intrinsic back muscles?
innervated by dorsal rami of spinal nerves
action of suboccpital triangle muscles
- mostly postural, acting directly or indirectly on head
- extension of head on C1
- rotation of head with C1 on C2
- also more proprioceptive in nature