Class 9 - THE MUSCLES OF THE NECK AND THE BACK COPY Flashcards
Landmark of the neck (cervical) region
Sternocleidomastoid (SCM)
Anterior region of the neck is divided into two triangles by the SCM
Anterior triangle
Posterior triangle
Muscles of the anterior of the neck assist in…
Deglutition and speech
Two groups of muscles in relation to the hyoid bone
Suprahyoid muscles
Infrahyoid muscles
Suprahyoid muscles form…
The floor of the mouth
Suprahyoid muscles action
Elevate the hyoid bone, the floor of the mouth and the tongue when swallowing
Four suprahyoid muscles
- Digastric
- Stylohyoid
- Mylohyoid
- Geniohyoid
Suprahyoid muscles actively…the mandible when…
Depress the mandible when we need to open the mouth wider
Digastric origin
Anterior belly from inner side of inferior border of mandible
Posterior belly from temporal bone
Digastric insertion
Body of hyoid via an intermediate tendon
Digastric action
Elevates hyoid bone
RMA: Depresses mandible (opening mouth)
Digastric innervation
Anterior belly: mandibular division of trigeminal (V) nerve
Posterior belly: facial (VII) nerve
Stylohyoid origin
Styloid process of temporal bone
Stylohyoid insertion
Body of hyoid bone
Stylohyoid action
Elevates hyoid bone and draws it posteriorly
Stylohyoid innervation
Facial (VII) nerve
Mylohyoid origin
Inner surface of mandible
Mylohyoid insertion
Body of hyoid bone
Mylohyoid action
Elevates hyoid bone and floor of mouth and depresses mandible
Mylohyoid innervation
Mandibular division of trigeminal (V) nerve
Geniohyoid origin
Inner surface of mandible
Geniohyoid insertion
Body of hyoid bone
Geniohyoid action
Elevates hyoid bone, draws hyoid bone and tongue anteriorly. Depresses mandible
Geniohyoid innervation
First cervical spinal nerve (C1)
Infrahyoid muscles look like
Ribbons or straps inferior to the hyoid bone
Infrahyoid muscles action
Depress the hyoid bone and move the larynx when swallowing and talking
Four infrahyoid muscles
- Omohyoid
- Sternohyoid
- Sternothyroid
- Thyrohyoid
Omohyoid origin
Superior border of scapula and superior transverse ligament
Omohyoid insertion
Body of hyoid
Omohyoid action
Depresses hyoid bone
Omohyoid innervation
Branches of spinal nerves C1-C3
Sternohyoid origin
Medial end of clavicle and manubrium of sternum
Sternohyoid insertion
Body of hyoid bone
Sternohyoid action
Depresses hyoid bone
Sternohyoid innervation
Branches of spinal nerves C1-C3
Sternothyroid origin
Manubrium of sternum
Sternothyroid insertion
Thyroid cartilage of larynx
Sternohyoid action
Depresses thyroid cartilage of larynx
Sternothyroid innervation
Branches of spinal nerves C1-C3
Thyrohyoid origin
Thyroid cartilage of larynx
Thyrohyoid insertion
Greater horn of hyoid bone
Thyrohyoid action
Depresses hyoid bone
RMA: elevates thyroid cartilage
Thyrohyoid innervation
Branches of spinal nerves C1-C2 and descending hypoglossal (XII) nerve
The head is attached to the vertebral column at the…
Atlanta-occipital joint
Suboccipital muscles
Deep muscles in the back of the head attached between the occipital bone and C1-C2
Bilateral contraction of the neck muscles allows for…
Balance
Unilateral contraction of the neck muscles allow for…
Rotation
Flexion
Extension
Lateral flexion
Sternocleidomastoid (SCM) origin
Sternal head: manubrium of sternum
Clavicular head: medial third of clavicle
Sternocleidomastoid (SCM) insertion
Mastoid process of temporal bone and lateral hand of superior nuchal line of occipital bone
Sternocleidomastoid (SCM) bilateral action
Flex cervical portion of vertebral column, extend head at AOJ
Sternocleidomastoid (SCM) unilateral action
Lateral flexion of neck and head to same side
Rotate head opposite to contracting muscle
Lateral flexion to opposite side of contracting muscle
Sternocleidomastoid (SCM) posterior fibre action
Assist in extension of head
Sternocleidomastoid (SCM) RMA
Elevates sternum during forced inhalation
Sternocleidomastoid (SCM) innervation
Accessor (XI) nerve, C2 and C3
Semispinalis capitis origin
Articular process of C4-C6 and transverse processes of C7-T7
Semispinalis capitis insertion
Occipital bone between superior and inferior nuchal lines
Semispinalis capitis action
Together: extend head and vertebral column
Singly: rotate head to opposite side of contracting muscle
Semispinalis capitis innervation
Cervical spinal nerves
Splenius capitis origin
Ligamentum nuchae and spinous processes of C7-T4
Splenius capitis insertion
Occipital bone and mastoid process of temporal bone
Splenius capitis action
Extend head
Acting together: muscle of each region (cervical and thoracic) extend vertebral column of their respective regions
Splenius capitis innervation
Cervical spinal nerves
Longissimus capitis origin
Articular processes of T1-T4
Longissimus capitis insertion
Mastoid process of temporal bone
Longissimus capitis action
Acting together: extend head and vertebral column
Acting singly: laterally flex and rotate head to same side as contracting muscle
Longissimus capitis innervation
Cervical spinal nerves
Spinalis capitis origin
Arises with semispinalis capitis (often absent or very small)
Spinalis capitis insertion
Occipital bone
Spinalis capitis action
Extends head and vertebral column
Spinalis capitis innervation
Cervical spinal nerves
Superior attachments of the posterior neck and back
Splenius capitis
Splenius cervicis
Splenius cervicis origin
Spinous processes of T3-T6
Splenius cervicis insertion
Transverse processes of C1-C2 or C1-C4
Splenius cervicis action
Acting together: extend head
Acting singly: laterally flex and/or rotate head to same side as contracting muscle
Splenius cervicis innervation
Inferior cervical spinal nerves
Erector spinae muscle group is most…
Medial and superficially located group of muscles in the back
Erector spinae muscle group consist of…
Iliocostalis muscles (lateral)
Longissimus muscles (intermediate)
Spinalis muscles (medial)
Erector spinae muscle group actions
Principal extensor of the spine, maintain erect posture.
Acting unilaterally they laterally flex the spine
Iliocostalis group consist of…
Iliocostalis cervicis
Iliocostalis thoracis
Iliocostalis lumborum
Iliocostalis cervicis origin
Ribs 1-6
Iliocostalis cervicis insertion
Transverse processes of C4-C6
Iliocostalis action
Acting together: extend and maintain erect posture of vertebral column and their respective region
Acting singly: laterally flex vertebral column of their respective regions to same side as contracting muscle
Iliocostalis cervicis innervation
Cervical and thoracic spinal nerves
Iliocostalis thoracis origin
Ribs 7-12
Iliocostalis thoracis insertion
Ribs 1-6
Iliocostalis thoracis action
Acting together: extend and maintain erect posture of vertebral column and their respective region
Acting singly: laterally flex vertebral column of their respective regions to same side as contracting muscle
Iliocostalis thoracis innervation
Thoracic spinal nerves
Iliocostalis lumborum origin
Iliac crest
iliocostalis lumborum insertion
Ribs 7-12
Iliocostalis lumborum action
Acting together: extend and maintain erect posture of vertebral column and their respective region
Acting singly: laterally flex vertebral column of their respective regions to same side as contracting muscle
Iliocostalis lumborum innervation
Lumbar spinal nerves
Longissimus group (intermediate) consists of…
Longissimus capitis
Longissimus cervicis
Longissimus thoracis
Longissimus capitis origin
Articular processes of C4-C7 and transverse processes of T1-T4
Longissimus capitis insertion
Mastoid process of temporal bone
Longissimus capitis action
Acting together: both longissimus capitis muscles extend head and vertebral column
Acting singly: rotate head to same side as contracting muscle
Longissimus capitis innervation
Middle and inferior cervical spinal nerves
Longissimus cervicis origin
Transverse processes of T4-T5
Longissimus cervicis insertion
Transverse processes of C2-C6
Longissimus cervicis action
Acting together: longissimus cervicis and longissimus thoracis muscles extend the head and vertebral column
Acting singly: laterally flex vertebral column of their respective regions
Longissimus thoracis origin
Transverse processes of lumbar vertebrae
Longissimus thoracis insertion
Transverse processes of all thoracic and superior lumbar vertebrae and ribs of 9 and 10
Longissimus thoracis action
Acting together: longissimus cervicis and longissimus thoracis muscles extend the head and vertebral column
Acting singly: laterally flex vertebral column of their respective regions
Longissimus thoracis innervation
Thoracic and lumbar soprano nerves
Spinalis group (medial) consists of…
Spinalis capitis
Spinalis cervicis
Spinalis thoracis
Spinalis group muscles run…
Closest to the spinous processes
Spinalis cervices origin
Ligamentum nuchae and spinous process of C7
Spinalis cervicis insertion
Spinous process of axis
Spinalis cervicis action
Acting together: extend vertebral column of respective region and extend head
Spinalis cervicis innervation
Inferior cervical and thoracic spinal nerves
Spinalis thoracis origin
Spinous processes of T10-L2
Spinalis thoracis insertion
Spinous processes of superior thoracic vertebrae
Spinous thoracis action
Acting together: extend vertebral column of respective region and extend head
Spinalis thoracis innervation
Thoracic spinal nerves
Transversus spinalis group run from…
Transverse processes to spinal processes above
Transversus spinalis group muscle fibres are..
Oblique in direction
Transversus spinalis group are…than the…
Deeper than the erector spinae group
Transversus spinalis group are…and…of the spine
Extensors and rotators
Transversus spinalis group contains…
- Semispinalis capitis
- Semispinalis cervicis
- Semispinalis thoracis
- Multifidus
- Rotatores
Rotatores muscles are arranged…
Along the whole extension of the vertebral column
Rotatores muscles extend from the…to the…
The transverse process of one vertebra to the laminate of superior vertebrae two to three segments above
Semispinalis thoracis origin
Transverse processes of T6-T10
Semispinalis thoracis insertion
Spinous processes of C6-T4
Semispinalis actions
Acting together: extend vertebral column
Acting singly: rotate head to side opposite of contracting muscle
Semispinalis thoracis innervation
Thoracic spinal nerves
Multifidus origin
Sacrum
Ilium
Transverse processes of L1-L5, T1-T12, and C4-C7
Multifidus insertion
Spinous process of a more superior vertebra
Multifidus action
Acting together: extend vertebral column
Acting singly: weakly flex and rotate vertebral column to side opposite to contracting muscle
Multifidus innervation
Cervical, thoracic, and lumbar spinal nerves
Rotatores origin
Transverse processes of all vertebrae
Rotatores insertion
Spinous process of vertebra superior to the one or origin
Rotatores actions
Acting together: weakly extend vertebral column
Acting singly: weakly rotate vertebral column to side opposite to contracting muscle
Rotatores innervation
Cervical, thoracic and lumbar spinal nerves
Segmental muscles (deepest)
Main postural muscles
Stabilizing the vertebral column by “locking” the vertebrae to each other
Segmental muscles unite the…and…of…
Spinous and transverse processes of consecutive adjacent vertebrae
Segmental muscles include
Intertransversarii
Interspinalea
Scalene muscles origin
Extended from the transverse processes of C2-C7
Scalene muscles insertion
The anterior and middle insert in the first rib
The posterior in the second rib
Scalene muscle actions
Acting bilaterally: flex the head and elevate ribs during forced inspiration
Acting unilaterally: laterally flex and rotate the head
Scalene muscles include:
- Anterior scalene
- Middle scalene
- Posterior scalene