Muscles Flashcards
Trapezius
ACTION
Upper: elevation of scapula, scapular upward rotation
With insertion fixed: bilateral: cervical extension, capital extension; unilateral: extension and lateral flexion of head and neck to same side, rotation of head and neck to opposite side (the above combine to turn the face toward the opposite, which Kendall utilizes in her unilateral MMT for the upper trapexius)
Middle: adduction of scapula
Lower: depression of scapula, adduction of scapula, scapular upward rotation
NERVE
CN XI/Spinal Accessory, (C3, C4)
Rhomboid Major and Minor
ACTION: scapular adduction, scapular downward rotation, scapular elevation
NERVE: dorsal scapular (C5)
Levator Scapulae
ACTION: scapular elevation, scapular adduction, scapular downward rotation, cervical rotation to same side (unilateral action), cervical side bending to same side (unilateral), assist cervical extension (bilateral action)
NERVE: Dorsal scapular (C3, C4)
Serratus Anterior
ACTION: scapular abduction, scapular upward rotation, keeps medial border of scapula drawn anteriorly close to thoracic wall; prevents ‘winging’
NERVE: Long Thoracic (C5-C7)
Pectoralis Minor
ACTION: scapular protraction (Kendall calls it anterior tilt of scapula), elevation of ribs in forced inspiration with scapula fixed by levator scapulae
NERVE: medial and lateral pectoral (C5-T1)
Latissimus Dorsi
ACTION: Shoulder extension, shoulder adduction, shoulder internal rotation, *hyperextension of spine (acting bilaterally with humeral attachment fixed), *anterior tilt of pelvis (acting bilaterally with humeral attachment fixed)
NERVE: thoracodorsal (C6-C8)
Pectoralis Major
ACTION:
Whole: shoulder adduction, shoulder internal rotation, elevation of thorax in forced inspiration (with upper extremities fixed)
Upper (clavicular): shoulder internal rotation, shoulder flexion, shoulder horizontal adduction
Lower (sternocostal): obliquelly adduct shoulder (toward opposite hip), shoulder extension
NERVE:
Upper fibers: lateral pectoral (C5-C7)
Lower fibers: medial and lateral (C6-T1)
Subscapularis
ACTION: shoulder internal rotation, stabilization of GH joint
NERVE: upper subscapular and lower subscapular (C5, C6)
Subclavius
ACTION: assist shoulder depression, depresses and moves clavicle forward
NERVE: nerve to subclavius (off brachial plexus) (C5, C6)
Deltoid
ACTION:
Anterior: shoulder flexion, shoulder internal rotation, abduction, shoulder horizontal adduction
Middle: shoulder abduction
Posterior: shoulder extension, shoulder external rotation, abduction, shoulder horizontal abduction
NERVE: axillary (C5, C6)
Supraspinatus
ACTION: shoulder abduction, stabilization of GH joint
NERVE: suprascapular (C5, C6)
Infraspinatus
ACTION: shoulder external rotation, stabilization of GH joint
NERVE: suprascapular (C5, C6)
Teres Minor
ACTION: shoulder external rotation, stabilization of GH joint
NERVE: axillary (C5, C6)
Teres Major
ACTION: shoulder extension (from a fixed position), shoulder adduction, shoulder internal rotation
NERVE: lower subscapular (C5, C6)
Coracobrachialis
ACTION: shoulder flexion, shoulder adduction
NERVE: musculocutaneous (C5-C7)
Biceps Brachii
ACTION: shoulder flexion (not in book), elbow flexion, forearm supination, stabilization of GH joint
NERVE: musculocutaneous (C5, C6)
Brachialis
ACTION: elbow flexion
NERVE: musculocutaneous (C5, C6)
note: some consider radial and C7 (due to small contribution to lateral part of muscle; we will not include it for testing purposes – just go with musculocutaneous and C5, C6)
Triceps Brachii
ACTION:
Whole: elbow extension
Long Head: also assists in shoulder extension and adduction
NERVE: radial (C6-C8)
Brachioradialis
ACTION: elbow flexion
NERVE: radial (C5, C6)
Anconeus
ACTION: elbow extension (weak)
NERVE: radial (C6-C8)
Supinator
ACTION: supination of forearm
NERVE: radial (C6, C7)
Pronator Teres
ACTION: pronation of forearm, assists elbow flexion
NERVE: median (C6, C7)
Pronator Quadratus
ACTION: pronation of forearm
NERVE: median (anterior interosseous) (C7, C8)
Extensor Carpi Radialis Longus
ACTION: wrist extension, radial (abduction) deviation, assist elbow flexion
NERVE: radial (C6, C7)
Extensor Carpi Radialis Brevis
ACTION: wrist extension, assit radial deviation
NERVE: radial (posterior interosseous) (C7, C8)
Extensor Carpi Ulnaris
ACTION: wrist extension, ulnar (adduction) deviation
NERVE: radial (posterior interosseous) (C7, C8)
Flexor Carpi Radialis
ACTION: wrist flexion, radial deviation (abduction), assist elbow flexion, assist forearm pronation
NERVE: median (C6, C7)
Palmaris Longus
ACTION: wrist flexion, tenses palmar fascia
NERVE: median (C7, C8)
Flexor Carpi Ulnaris
ACTION: wrist flexion, ulnar deviation (adduction), assist elbow flexion
NERVE: ulnar (C7-T1)
Extensor Digitorum
ACTION: MP extension (2-5 digits), IP extension in conjunction with the hand intrinsics (2-5 digits); without the intrinsics produces MP hyperextension, assist wrist extension
NERVE: radial (posterior interosseous) (C7, C8)
Extensor Indicis
ACTION: MP extension of index finger, IP extension in conjunction with the hand intrinsics in the index finder, assist wrist extension
NERVE: radial (posterior interosseous) (C7, C8)
Flexor Digitorum Superficialis
ACTION: PIP flexion (2-5 digits), assist MP flexion (2-5 digits), assist wrist flexion
NERVE: medial (C8, T1)
Flexor Digitorum Profundus
ACTION: DIP flexion (2-5 digits), assist MP and PIP flexion (2-5 digits), assist wrist flexion
NERVE: median (anterior interosseous) for digits 2 and 3 (C8, T1), ulnar for digits 4 and 5 (C8-T1)
Extensor Digiti Minimi
ACTION: little finger MP and IP extension IN CONJUNCTION WITH THE HAND INTRINSICS IN LITTLE FINGER, assist wrist extension
NERVE: radial (posterior interosseous) (C7, C8)
Abductor Digiti Minimi
ACTION: little finger abduction, assist little finger opposition, may assist little finger MCP flexion and IP extension
NERVE: ulnar (deep branch) (C8, T1)
Flexor Digiti Minimi Brevis
ACTION: little finger MP flexion, assist little finger opposition
NERVE: ulnar (deep branch) (C8, T1)
Opponens Digiti Minimi
ACTION: little finger opposition
NERVE: ulnar (deep branch) (C8, T1)
Palmaris Brevis
ACTION: corrugates skin on ulnar side of head
NERVE: ulnar (superficial branch) (C8, T1)
Lumbricales
ACTION: MP flexion and simultaneous IP extension, 4th lumbrical assist opposition of 5th digit
NERVE: median for 1st and 2nd lumbricales (C8, T1), ulnar for 3rd and 4th lumbricales (C8, T1)
Dorsal Interossei
ACTION: MP abduction at the index, middle and ring fingers, assist MP flexion, assist IP extension, the 1st assist thumb adduction
NERVE: ulnar (deep branch) (C8, T1)
Palmar Interossei
ACTION: MP adduction at the index, ring and little fingers, assist MP flexion, assist IP extension, assist opposition of digit 5 (3rd interoseus)
NERVE: ulnar (deep branch) (C8, T1)
Abductor Pollicis Longus
ACTION: thumb CMC abduction, thumb CMC extension radial deviation, assist wrist flexion (weak)
NERVE: radial (posterior interosseous) (C7, C8)
Extensor Pollicis Longus
ACTION: thumb IP extension, assist thumb MP extension, assist thumb CMC extension, assist radial deviation
NERVE: radial (posterior interosseous) (C7, C8)
Extensor Pollicis Brevis
ACTION: thumb MP extension, thumb CMC extension, thumb CMC abduction, assist radial deviation, assist wrist extension
NERVE: radial (posterior interosseous) (C7, C8)
Flexor Pollicus Longus
ACTION: thumb IP flexion, assist MP flexion, assist CMC flexion, assist wrist flexion
NERVE: median (anterior interosseous) (C7, C8)
Flexor Pollicis Brevis
ACTION: thumb MP flexion, thumb CMC flexion, assist thumb opposition
NERVE: median (lateral branch) to superficial head (C8, T1)
ulnar (deep branch) to deep head (C8, T1)
Abductor Pollicis Brevis
ACTION: thumb CMC abduction, thumb MP abduction, assist thumb opposition, assist thumb IP extension
NERVE: median (C7-T1)
Opponens Pollicis
ACTION: thumb CMC opposition (via simultaneous CMC flexion, abduction, and internal rotation)
NERVE: median (C7- T1)
ulnar (terminal branch) (C8-T1)
Adductor Pollicis
ACTION: thumb CMC adduction, assists thumb MP adduction, assists thumb MP flexion
NERVE: ulnar (deep branch) (C8-T1)
Rectus Capitis Posterior Major
ACTION: capital extension, rotation of head to same side, lateral bending of head to same side
NERVE: C1 spinal nerve (dorsal rami, suboccipital nerve)
Obliquus Externus Abdominis
ACTION: Flexion of trunk (bilaterally); rotation of trunk to opposite side; ipsilateral lateral bending of trunk; tilts pelvis posteriorly
NERVE: T7-T12 (ventral rami)
Obliquus Internus Abdominis
ACTION: Flexion of trunk (bilaterally); rotation of trunk to same side; ipsilateral bending of trunk
NERVE: T7-T12, L1 (ventral rami)
Transverse Abdominis
ACTION: constricts abdomen; forced expiration
NERVE: T7-T12, L1 (ventral rami)
Rectus Abdominis
ACTION: Flexion of spine; posterior tilt
NERVE: T7-T12 (ventral rami)
Psoas Major
ACTION: Hip flexion (origin fixed); trunk flexion (insertion fixed); assist lateral trunk flexion; may assist hip ER and ABD; with insertion fixed, tightness attributes to increase lordosis
NERVE: Lumbar Plexus L2-L4
Semispinalis Capitus
ACTION: capital extension, rotation of head to opposite side, lateral bending of head to same side
NERVE: C2-T1 spinal nerves (dorsal rami), Greater occipital nerve
Iliacus
ACTION: Hip flexion; flexes pelvis on femur
NERVE: Femoral Nerve L2-L3
Pectineus
ACTION: Hip adduction; assit hip flexion
NERVE: Femoral Nerve L2-L3; Obturator nerve-Accessory branch L3
Gracilis
ACTION: Hip adduction; knee flexion; medial rotation of knee
NERVE: Obturator Nerve (L2-L3)
Adductor Longus
ACTION: Hip adduction; assit hip flexion
NERVE: Obturator nerve (L2-L4)