Deep Back POINAS Flashcards
Splenius Capitis and Cervicis (Purposeful Activities)
Social Interaction, driving
Splenius Capitis and Cervicis (Main Action)
Unilaterally: laterally flexes the neck and rotates the head to side of active muscles
Bilaterally: extend the head and neck
Splenius Capitis and Cervicis (Proximal Attachment)
Nuchal ligament and spinous processes of C7-T6 vertebrae
Splenius Capitis and Cervicis (Distal Attachment)
Splenius Capitis: Fibers run superolaterally to mastoid process of temporal bone and lateral thhird of superior nuchal line of occipital bone
Splenius Cervicis: TP of C1-C4 vertebrae
Splenius Capitis and Cervicis (Nerve Innervation)
Posterior rami of spinal nerves
What do Ventral Nerve Roots control?
Motor
What do Dorsal Nerve Roots control?
Sensory
What do Ventral Rami control?
Innervate ventral body wall, superficial back, and all limb parts
What do Dorsal Rami control?
Innervate skin and deep muscles of back
Erector Spinae Group (Purposeful Activities)
Maintaining an upright posture for ADLs/IADLs
Erector Spinae Group (Main Actions)
Unilaterally: Laterally flex the vertebral column to the ipsilateral side
Bilaterally: extend the vertebral column
EXTENSION AND SIDEBEND
Erector Spinae Group (Proximal Attachments)
Common tendon (thoracolumbar fascia) that attaches to the posterior surface of the sacrum, iliac crest, and spinous processes of the lumbar and last two thoracic vertebrae (L5-T11)
Erector Spinae Group (Distal Attachments)
Iliocostalis: lower rib angles and cervical TP
Longissimus: between rib tubercles and angles to thoracic TP
Spinalis: upper thoracic SP and to cranium
Erector Spinae Group (Nerve Innervation)
Dorsal rami of Spinal Nerves
Which group of muscles is known as the Chief extensors of the vertebral column?
Erector Spinae Group
Which muscle of the Erector Spinae Group is the longest?
Longissimus
Where is the Longissimus Lumborum?
Doesn’t exist
Which muscle of the Erector Spinae Group attaches to every SP of every vertebrae?
Spinalis
(Does not go anymore lateral than the TP of each vertebrae)
What Muscles make up the Transversospinalis Group?
Rotatores, Multifidus, Semispinalis
What is the purpose of the Tranversospinalis Group?
They attach to the transverse processes and help rotate and extend the spine
Rotatores (Purposeful Activties)
Tai Chi or Yoga (deep postural stability)
Rotatores (Main Actions)
Unilaterally: Rotates the vertebral column to the opposite side (contralaterally)
Bilaterally: Extend the vertebral column locally. May function as organs of proprioception
Rotatores (Inferior Attachment)
Rotatores: TP of vertebrae (thoracic the best)
Rotatores (Superior Attachment)
SP of lumbar vertebrae through second cervical vertebrae (rotatores span 1-2 vertebrae)
Brevis goes 1
Longus goes 2
Rotatores (Nerve Innervation)
Dorsal rami of Spinal Nerves
Multifidi (Purposeful Activities)
Tai Chi or yoga (deep postural stability)
Multifidi (Main Actions)
Unilaterally: Rotates the vertebral column to the opposite side (contralaterally)
Bilaterallly: Extend the vertebral column
Stabilizes vertebrae during local movements of the vertebral column
Multifidi (Inferior Attachment)
Multifidus: arises from the posterior sacrum, PSIS, aponeurosis of erector spinae, SI ligaments, mammilary processes of the lumber vertebrae, TP of T1-T3, articular processes of C4-C7
STAAMP
Multifidi (Superior Attachment)
Multifidus: thickest in lumbar region; fibers pass obliquely superomedially to entire length of SP, located 2-4 segments superior to proximal attachment
Multifidi (Nerve Innervation)
Dorsal rami of Spinal Nerves
Semispinalis thoracis, cervicis, and capitis (Purposeful Activities)
Using a computer workstation, looking overhead
Semispinalis thoracis, cervicis, and capitis (Main Actions)
Extends the head, neck, and thoracic spine
Rotates them contralaterally
Semispinalis thoracis, cervicis, and capitis (Inferior Attachment)
TP of C4 to T12
Semispinalis thoracis, cervicis, and capitis (Superior Attachment)
Fibers run superomedially to occipital bone and SP in thoracic and cervial regions, spanning 4-6 segments
Semispinalis thoracis, cervicis, and capitis (Nerve Innervation)
Cervial dorsal rami of Spinal Cervical Nerves
Suboccipitals (Purposeful Activity)
Scanning a computer monitor, reading a book
Rectus capitis posterior major (Main Actions)
Rock and tilts the head back into extension
Rotates the head to the same side (ipsilaterally)
Rectus capitis posterior major (Proximal Attachment)
Spinous process of vertebra C2 (axis)
Rectus capitis posterior major (Distal Attachment)
Lateral inferior nuchal line of occipital bone
Rectus capitis posterior minor (Main Actions
Rock and tilts the head back into extension
Rotate the head to the same side (ipsilaterally)
Rectus capitis posterior minor (Proximal Attachment)
Posterior tubercle of posterior arch of vertebra C1 (atlas)
Rectus capitis posterior minor (Distal Attachment)
Medial part of inferior nuchal line of occipital bone
Obliquus capitis superior (Main Actions)
Rock and tilts the head back into extension
Laterally flex the head to the same side (ipsilaterally)
Obliquus capitis superior (Proximal Attachment)
Transverse process of vertebra C1 (atlas)
Obliquus capitis superior (Distal Attachment)
Occipital bone between superior and inferior nuchal lines
Obliquus capitis inferior (Main Actions)
Rotate the head to the same side (ipsilaterally)
Obliquus capitis inferor (Proximal Attachment)
Spinous process of vertebra C2 (axis)
Obliquus capitis inferior (Distal Attachment)
Transverse process of vertebra C1 (atlas)
Suboccipitals (Nerve Innervations)
Dorsal ramus of C1
Which Suboccipital muscles are responsible for tilting the head?
Rectus capitis posterior major
Rectus capitis posterior minor
Oblique capitis superior
Which Suboccipital muscles are responsible for turning the head? which other muscle is responsible?
- Rectus capitis posterior major
- Rectus capitis posterior minor
- Oblique capitis inferior
- Upper Trapezius
Which sole Suboccipital muscle is responsible for side bending the neck?
Oblique Capitis Superior
Which Suboccipital muscle does not attach to the occipital bone/head?
Oblique Capitis Inferior
Which suboccipital muscles make up the Suboccipital Triangle?
Obliquus capitis superior
Rectus capitis posterior major
Obliquus capitis inferior
Which 2 vital structures does the triangle encompass?
Vertebral artery
Suboccipital Nerve (C1)
Which Nerves innervate the skin over the neck and occipital bones?
Greater Occipital
Lesser Occipital
Posterior Rami Nerves C3-C7
If the head is rotating to the left, which muslces are involved?
Right side: Sternocleidomastoid, semispinalis capitis, upper trap
Left side: Obliquus capitis inferior, Rectus capitis posterior major and minor, Longissimus capitis, Splenius capitis