Back Muscles & Movements Flashcards

1
Q

What movement do facets in the thoracic spine permit?

A

Rotation in coronal plane

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2
Q

What movements do facets in the lumbar spine permit?

A

flexion and extension in the saggital plane

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3
Q

How do IV discs influence movement?

A

The thicker the disc - the more movement allowed

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4
Q

What does hyper flexion cause?

A

stretches sciatic nerve, causes nucleus to project posteriorly

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5
Q

What does hyper extension cause?

A

facet joints to ‘close down’

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6
Q

Where do lateral flexion and rotation occur?

A

Mostly in lumbar spine, but a little in thoracic spine (limited by ribs)

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7
Q

What stops IV disc from herniating posteriorly?

A

The posterior longitudinal ligament

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8
Q

What are the superficial muscles of the back?

A

Trapezius, lat dorsi, rhomboids, levator scapulae

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9
Q

What innervates superficial muscles of the back?

A

anterior rami (except trapezius which is innervated by the 11th cranial nerve)

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10
Q

What are the deep muscles of the back?

A

Erector spinae and transversospinalis

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11
Q

What innervates deep muscles of the back?

A

posterior rami

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12
Q

What is the action of erector spinae?

A

prime movers that work in extension and flexion (although doesn’t initiate extension)

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13
Q

What is the significance of the lateral border of erector spinae?

A

It corresponds with the angle of the ribs - common site of fracture

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14
Q

What is the action of transversospinalis?

A

short muscle, stabiliser, more to limit movement

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15
Q

In which direction do veins and lymphatics pass from the back?

A

Anteriorly

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16
Q

What do posterior rami supply?

A

deep muscles of the back, facet joints and skin of the back

17
Q

What are the two types of low back pain?

A

compressive (where the nerve root is pinched), mechanical

18
Q

What is spondylosis?

A

loss of water in bones with age - may cause osteophytes and stenosis

19
Q

What are other causes of back pain?

A

tumor metastisis, aortic aneurism, infection

20
Q

What is ankylosing spondylitis?

A

leads to fusion of spine