Intrinsic Back Muscles and Suboccipitals POINA Flashcards
Includes intermediate layer as well
Intermediate Back Muscles
Serratus Posterior Superior and Inferior
Serratus Posterior Inferior
PA: spinous process of T12-L3
DA: Ribs 9-12
Action: Rib depression with exhalation
Nerve: Ventral rami
Serratus Posterior Superior
PA: spinous process of C7-T3
DA: Ribs 2-4
Action: Forced breathing, rib elevation with inhalation
Innervation: Ventral rami
Innervation of all deep back muscles
Dorsal rami
Intrinsic muscles: superficial
Splenius (capitis and cervicis)
Intrinsic muscles: intermediate
Erector spinae group: spinalis, longissimus, iliocostalis
Intrinsic muscles: deep back
Transversospinalis group
Multifidi
Rotatores (brevis and longus)
Semispinalis (thoracis, cervicis, capitis)
Splenius Purposeful Action
Social interaction, driving
Splenius Main Action
Unilateral: lateral flexion and ipsilateral rotation
Bilateral: extend neck and head
Splenius Proximal Attachment
Nuchal ligament and SP of C7-T6
Splenius Distal Attachment
Capitis: mastoid process, superior nuchal line
Cervicis: TP of C1-4 (LIKE LEVATOR)
Splenius Innervation
Dorsal rami of spinal nerves
Erector Spinae Purposeful Action
Maintaining upright posture
Erector Spinae Main Action
Unilateral: ipsilateral flexion
Bilateral: Extend vertebral column
E(rector)xtend and side bend
Erector Spinae Proximal Attachment
Thorocolumbar fascia, iliac crest, SP(inae) of lumbar and last 2 thoracic vertebrae
Erector Spinae Distal Attachment
Iliocostalis: lower rib angles and cervical TP
Longissimus: between rib tubercles and angles to thoracic TP
Spinalis: upper thoracic SP and cranium
Erector Spinae Innervation
Dorsal rami of spinal nerves
Rotatores Purposeful Action
Tai chi/yoga, deep postural stability
Rotatores Main Action
Unilateral: contralateral rotation of vertebral column
Bilateral: Extend vertebral column, proprioception
Rotatores Inferior Attachment
TP of vertebrae (best developed in thoracic)