Deep Back POINA's Flashcards
What muscles are found in the superficial layer of the deep back?
splenius capitis & splenius cervicis
Splenius Capitis - Proximal Attachment
spinous processes of C7-T6
ligamentum nuchae
Splenius Capitis - Distal Attachment
mastoid process
superior nuchal line
(fibers run superolaterally)
Splenius Capitis - Nerve Innervation
posterior (or dorsal) rami of spinal nerves
Splenius Capitis - Muscle Action
Bilaterally:
head & neck extension
Unilaterally:
neck lateral flexion
head ipsilateral rotation
Splenius Capitis - Purposeful Activity
social interaction
driving
Splenius Cervicis - Proximal Attachment
spinous processes of C7-T6
ligamentum nuchae
Splenius Cervicis - Distal Attachment
transverse processes of C1-C4
Splenius Cervicis - Nerve Innervation
posterior (or dorsal) rami of spinal nerves
Splenius Cervicis - Muscle Action
Bilaterally:
head & neck extension
Unilaterally:
neck lateral flexion
head ispilateral rotation
Splenius Cervicis - Purposeful Activity
social interaction
driving
What muscle group is found in the intermediate layer of the deep back?
Erector Spinae
Name the muscles of the erector spinae group.
Iliocostalis
Longissimus
Spinalis
Erector Spinae - Proximal Attachment
common tendon (thoracolumbar fascia) that attaches to the…
posterior surface of the sacrum
iliac crest
spinous processes of T11-L5
Iliocostalis - Distal Attachment
lower rib angles
cervical transverse processes
Longissimus - Distal Attachment
between rib tubercles & angles to the thoracic transverse processes
mastoid process?
Spinalis - Distal Attachment
upper thoracic spinous processes
cranium
Erector Spinae - Nerve Innervation
posterior (or dorsal) rami of spinal nerves
Erector Spinae - Muscle Action
Bilaterally:
vertebral column extension
Unilaterally:
vertebral column ipsilateral flexion
Erector Spinae - Purposeful Activity
maintaining an upright posture for ADL (activities of daily living)
What muscle group is found in the deep layer of the deep back?
Transversospinalis
What muscles make up the Transversospinalis group?
Rotatores
Multifidis
Semispinalis Capitis
What are the 2 types of Rotatores muscles?
brevis & longus
Rotatores - Inferior Attachment
transverse process of vertebrae
Where is the Rotatores best developed?
thoracic region
Rotatores - Superior Attachment
spinous process of lumbar vertebrae through C2
spans 1-2 segments above origin
brevis: 1
longus: 2
Rotatores - Nerve Innervation
posterior (or dorsal) rami of spinal nerves
Rotatores - Muscle Action
Bilaterally:
vertebral column local extension
proprioception (sometimes?)
Unilaterally:
vertebral column contralateral rotation
Rotatores - Purposeful Activity
tai chi or yoga
(deep postural stability)
Multifidus - Inferior Attachment
arises from…
posterior sacrum
posterior superior iliac spine
aponeurosis of erector spinae
sacroiliac ligaments
mamillary processes of lumbar vertebrae
transverse processes of T1-T3
articular processes of C4-C7
Multifidis - Superior Attachment
entire length of spinous processes
spans 2-4 segments
fibers pass obliquely superomedially
Where is the Multifidus it’s thickest?
lumbar region
Multifidus - Nerve Innervation
posterior (or dorsal) rami of spinal nerves
Multifidus - Muscle Action
Bilaterally:
vertebral column local extension
Unilaterally:
vertebral column contralateral rotation
also stabilizes vertebrae during local movements of the vertebral column
Multifidus - Purposeful Activity
tai chi or yoga
(deep postural stability)
What are the other 2 segments of the Semispinalis Capitis?
cervicis & thoracis
Semispinalis Capitis - Inferior Attachment
transverse processes of C4-T12
Semispinalis Capitis - Superior Attachment
occipital bone
spinous processes in thoracic & cervical regions
spans 4-6 segments
fibers run superomedially
Semispinalis Capitis - Nerve Innervation
cervical posterior rami of spinal cervical nerves
Semispinalis Capitis - Muscle Action
Bilaterally:
head, neck, & thoracic spine extension
Unilaterally:
head, neck, & thoracic spine contralateral rotation
Semispinalis Capitis - Purposeful Activity
using a computer workstation
looking overhead