Deep Back Muscles Flashcards
Which group of back muscles are the deep back muscles in?
Intrinsic or Extrinsic
Intrinsic
How many groups of deep back muscles are there?
3
superficial, intermediate and deep
How many muscles are in the SUPERFICIAL group of deep back muscles?
2
Which muscles are in the SUPERFICIAL group of deep back muscles?
(2)
Splenius capitis
Splenius cervicis
How many muscles are in the INTERMEDIATE group of deep back muscles?
3
Which muscles are in the INTERMEDIATE group of deep back muscles?
(3)
Iliocostalis (lumborum, thoracis, cervicis)
Longissimus (thoracis, cervicis, capitis)
Spinalis (thoracis, cervicis, capitis)
How many muscles are in the DEEP group of deep back muscles?
6
Which muscles are in the DEEP group of deep back muscles?
6
Semispinalis (thoacis, cervicis, capitis)
Multifidus
Rotatores
Interspinales
Interansversarii
Levatores costarum
Which muscles are DEEPEST in the DEEP group of deep back muscles?
(3)
Interspinales
Interansversarii
Levatores costarum
What does the term capitis refer to?
Head
What does the term cervicis refer to?
Cervical spine
What does the term thoracis refer to?
Thoracic spine
What does the term lumborum refer to?
Lumbar spine
What is the ORIGIN of splenius CAPITIS?
2
Spinous processes of C7 - T4
Nuchal ligament
What is the INSERTION of splenius CAPITIS?
2
Mastoid process
Lateral part of the superior nuchal line of the occipital bone
What is the fibre orientation of splenius CAPITIS?
Splay SUPEROLATERLLY from the midline of the spine
What is the FUNCTION of splenius CAPITIS?
3
Unilaterally = Ipsilateral rotation of the head
Bilaterally = Extension of the head and cervical spine
What is the sensorimotor INNERVATION of splenius CAPITIS?
Dorsal rami of C3 and C4
What is the ARTERIAL supply of splenius CAPITIS?
Muscular branches of the aorta
What is the ORIGIN of splenius CERVICIS?
1
Spinous processes of T3 - T6 vertebra
What is the INSERTION of splenius CERVICIS?
1
Transverse processes of C1 - C4
What is the fibre orientation of splenius CERVICIS?
Travel SUPEROLATERALLY from the midline of the spine.
What is the FUNCTION of splenius CERVICIS?
2
Unilaterally = ipsilaterally rotate the cervical spine
Bilaterally = Extension of the cervical spine
What is the sensorimotor INNERVATION of splenius CERVICIS?
Dorsal rami of C5 - C8
common variants include C4 - T6
What is the ARTERIAL supply of splenius CERVICIS?
2
Occipital arteries
or
Transverse cervical arteries
(occasionally supplied by both)
What is the most LATERAL muscle of the INTERMEDIATE group of deep back muscles?
Iliocostalis
Which other name is given to the INTERMEDIATE group of deep back muscles?
Erector spinae group
What is the ORIGIN of iliocostalis CERVICIS?
1
Posterior aspect of ribs 3 - 6
What is the INSERTION of iliocostalis CERVICIS?
1
Transverse processes of C4 - C6
What is the ORIGIN of iliocostalis THORACIS?
1
Posterosuperior borders of the angle of ribs 1 - 6
What is the INSERTION of iliocostalis THORACIS?
Posterosuperior border of ribs 6 - 12
What is the ORIGIN of iliocostalis LUMBORUM?
3
Deep thoracolumbar fascia
Iliac crest
Sacrum
What is the INSERTION of iliocostalis LUMBORUM?
PosterioINFERIOR aspect of ribs 6 - 12
Overall, where does iliocostalis span from and to?
FROM: Ilium
TO: Superior ribs and cervical vertebra
What is the sensorimotor INNERVATION of iliocostalis?
Dorsal rami of spinal nerves C4 - L5
innervation is derived segmentally
What is the ARTERIAL supply of iliocostalis?
2
Intercostal arteries
Lumbar arteries
What is the ORIGIN of longissimus CAPITIS?
1
Transverse processes of T1 - T5
What is the INSERTION of longissimus CAPITIS?
Posterior margin of the mastoid process
What is the ORIGIN of longissimus CERVICIS?
Transverse processes of T1 - T5
What is the INSERTION of longissimus CERVICIS?
Transverse processes of C2 - C6
What is the ORIGIN of longissimus thoracis?
Transverse processes of L1 - L5
What is the INSERTION of longissimus thoracis?
Transverse processes of T1 - T12
Overall, where does longissimus span from and to?
FROM: Thoracolumbar fascia on the midline of the lumbar vertebra
TO: Transverse processes of all thoracic vertebrae
What is the fibre orientation of longissimus?
LONGITUDINAL
This is a long thick muscles that travels along the length of the vertebral column
What is the FUNCTION of longissimus?
2
Unilaterally = Assists other erector spinae muscles in ipsilateral lateral flexion
Bilaterally = Assists in extension of the spine
What is the INNERVATION of longissimus?
Dorsal rami of spinal nerves along the length of the spine
What is the ARTERIAL supply of longissimus?
2
Lateral sacral artery
(Segmentally) Perforating branches of the posterior intercostal arteries
What is the most MEDIAL muscle of the erector spinae muscle group?
Spinalis
What is the ORIGIN of spinalis CAPITIS?
Spinous processes of C1, C3 and C4
What is the INSERTION of spinalis CAPITIS?
2
Inferior nuchal line
Nuchal ligament
What is the ORIGIN of spinalis CERVICIS?
Spinous processes of C4 - C7
What is the INSERTION of spinalis CERVICIS?
Spinous processes of C3 - C5
What is the ORIGIN of spinalis THORACIS?
Spinous processes of T7 - L1
What is the INSERTION of spinalis THORACIS?
Spinous processes of T1 - T6
What is the FUNCTION of spinalis muscles?
2
Unilaterally = Assist the erector spinae group in ipsilateral lateral flexion
Bilaterally = Assist in the extension of the spine
What is the INNERVATION of spinalis?
(Segmentally)
Dorsal rami of spinal nerves along the length of the spine
What is the ARTERIAL SUPPLY of spinalis?
Lateral sacral artery
(Segmentally) Posterior intercostal arteries
On which vertebral bone feature do semispinalis muscles originate on?
Transverse process(es)
How do semispinalis and splenius muscles differ in their course?
The semispinalis muscles originate on the transverse processes, and course medially to attach closer to the midline of the spine.
This is in contrast to the splenius muscles, which begin on the midline of the spine and course laterally.
What is the ORIGIN of semispinalis CAPITIS?
Transverse processes of C7 - T6
What is the INSERTION of semispinalis CAPITIS?
Between the superior and inferior nuchal lines of the skull
What is the ORIGIN of semispinalis CERVICIS?
Transverse processes of T6 - T12
What is the INSERTION of semispinalis CERVICIS?
Spinous processes of C1 - C5
What is the fibre orientation of semispinalis?
Superomedially from the transverse processes
It is a long thin muscle
What is the FUNCTION of semispinalis?
3
Unilaterally = Ipsilateral flexion and Rotation
Bilaterally = Assists in extension of the spine
What is the INNERVATION of semispinalis?
Greater occipital nerve
What is the ARTERIAL supply of semispinalis?
There is no specific artery, but they derive supply largely from the OCCIPITAL artery
What is the ORIGIN of multifidus?
3
Sacrum
Iliac crest
Erector Spinae aponeurosis
What is the INSERTION of multifidus?
Spinous processes of each vertebra
What is the fibre orientation of multifidus?
Short, thick fibres which traverse each intervertebral space
What is the FUNCTION of multifidus?
Primarily: PROPRIOCEPTION for the vertebral column
Very weak rotation
Very weak Extension
Very weak Lateral flexion
What is the sensorimotor INNERVATION of multifidus?
Dorsal rami of spinal nerves along the vertebral column
What is the ARTERIAL supply of multifidus?
Varies regionally
What is the ORIGIN of rotatores?
Transverse processes of all vertebrae
What is the INSERTION of rotatores?
Spinous processes of the superiorly located vertebra
It usually spans 1 (rotatores brevis) or 2 (rotatores longus
What is the fibre orientation of rotatores?
Narrow, strap like muscles
What is the FUNCTION of rotatores?
Rotate the spine
Proprioception for vertebral column
What is the INNERVATION of the rotatores muscle?
Dorsal rami of spinal nerves in each region of the spine
What is the ARTERIAL supply of rotatores?
Varies regionally
What is the function of the DEEPEST muscles in the deep group of back muscles i.e. interspinales, intertransversarii and levatores costarum ?
Maintain upright posture (as in continuous biofeedback with antigravity muscles)
Proprioception
Minimal agonist action