Muscles of the Back Flashcards
What 3 muscles is the Erector Spinae composed of?
Composed of three muscular columns (lateral to medial): iliocostalis, longissimus, and spinalis
(Erector spinae known as “antigravity” muscles)
Common origin for the Erector Spinae
dorsal sacrum, iliac crest, and spinous processes
Innervation of Erector Spinae
Dorsal rami of spinal nerves
Action of Erector Spinae
Unilateral: lateral flexion and rotation of vertebral column and head
Bilateral: extension of vertebral column and head
Origin of Iliocostalis
Common origin and ribs
Action of Iliocostalis
Unilateral: lateral flexion of vertebral column
Bilateral: extension of vertebral column
Depression of ribs
Insertion of Iliocostalis
Ribs Transverse processes (cervical)
Innervation of Iliocostalis
Dorsal rami of spinal nerves
Action of Latissimus Dorsi
Adduction of arm
Extension of arm
Medial rotation of arm
Origin of Latissimus Dorsi
Sacral and lumbar spines via thoracolumbar fascia
Ilium (iliac crest) via thoracolumbar fascia
Ribs (lower four)
Spinous processes of T6-12 vertebrae
Scapula (inferior angle)
Insertion of Latissimus Dorsi
Humerus (floor of intertubercular sulcus)
Innervation of Latissimus Dorsi
Thoracodorsal nerve
Action of Levator Scapulae
Elevation of scapula (e.g., shrugging shoulders)
Inferior rotation of scapula (directing glenoid fossa inferiorly)
Lateral flexion of neck (when scapula fixed)
Origin of Levator Scapulae
Transverse processes of C1-4 vertebrae
Insertion of Levator Scapulae
Scapula (superior angle and medial border)
Innervation of Levator Scapulae
Dorsal scapular nerve
Ventral rami of C3-4 spinal nerves
Action of Longissimus
Unilateral: lateral flexion of vertebral column and rotation of head to same side
Bilateral: extension of vertebral column and head
Depresses ribs
Origin of Longissimus
Iliac crest
Dorsal sacrum
Sacral and lumbar spinous processes
Supraspinous ligament
Insertion of Longissimus
Transverse processes (cervical and thoracic), ribs, and mastoid process
Innervation of Longissimus
Dorsal rami of spinal nerves
Action of Rhomboid Major
Retraction (adduction) of scapula
Elevation of scapula
Origin of Rhomboid Major
Spinous processes of T2-5 vertebrae
Insertion of Rhomboid Major
Scapula (medial border)
Innervation of Rhomboid Major
Dorsal scapular nerve
Action of Rhomboid Minor
Retraction (adduction) of scapula
Elevation of scapula
Origin of Rhomboid Minor
Spinous processes of C7-T1 vertebrae
Insertion of Rhomboid Minor
Scapula (medial border)
Innervation of Rhomboid Minor
Dorsal scapular nerve
Action of Semispinalis Capitis
Unilateral: rotation of head to opposite side
Bilateral: extension of head and neck
Origin of Semispinalis Capitis
Transverse processes of C7-T6 vertebrae
Insertion of Semispinalis Capitis
Occipital bone
Innervation of Semispinalis Capitis
Cervical spinal nerves (dorsal rami)
Action of Serratus Posterior Inferior
Depression of ribs 9-12
Origin of Serratus Posterior Inferior
Spinous processes of T11-L2 vertebrae
Insertion og Serratus Posterior Inferior
Ribs 9-12 (Inferior border)
Innervation of Serratus Posterior Inferior
Ventral rami of T10-11 spinal nerves (intercostal nerves)
Ventral ramus of T12 spinal nerve (subcostal nerve)
Action of Serratus Posterior Superior
Elevation of ribs 2-5
Origin of Serratus Posterior Superior
Spinous processes of C7-T3 vertebrae
Insertion of Serratus Posterior Superior
Ribs 2-5 (superior border)
Innervation of Serratus Posterior Superior
Ventral rami of T1-3 spinal nerves (intercostal nerves)
Action of Spinalis
Unilateral: lateral flexion of vertebral column
Bilateral: extension of vertebral column
Origin of Spinalis
Spinous processes and nuchal ligament
Insertion of Spinalis
Spinous processes (cervical and thoracic) and occipital bone
Innervation of Spinalis
Dorsal rami of spinal nerves
Action of Splenius Capitis
Unilateral: rotation of head to same side
Bilateral: extension of head and neck
Origin of Splenius Capitis
Nuchal ligament
Vertebra prominens (C7 spinous process)
Spinous processes of T1-3 vertebrae
Insertion of Splenius Capitis
Temporal bone (mastoid process) Occipital bone (superior nuchal line)
Innervation of Splenius Capitis
Dorsal rami of C3-5 spinal nerves
Thoracolumbar Fascia - Structure/Function
Located in the back
Deep fascia
Has three layers: anterior, middle, and posterior
Latissimus dorsi attached to posterior layer
Thoracolumbar fascia invests (surrounds) deep muscles of back and trunk, and is continuous with deep fascia on back of neck
Action of Trapezius
Upper fibers: elevation of scapula; superior rotation of scapula (glenoid cavity directed superiorly)
Middle fibers: retraction (adduction) of scapula
Lower fibers: depression of scapula
Origin of Trapezius
Occipital bone (superior nuchal line)
Nuchal ligament
Vertebra prominens (spinous process of C7 vertebra)
Spinous processes of T1-12 vertebrae
Insertion of Trapezius
Clavicle (lateral)
Scapula (spine and acromion)
Innervation of Trapezius
Accessory nerve (CN XI)
Location of Nuchal Ligament
Midline of posterior neck
Covers spinous processes of C2-6 vertebrae
Nuchal Ligament is attached to what structures?
Attached structures include trapezius and splenius capitis muscles
Action og Splenius Cervisis
Unilateral: rotation of head to same side
Bilateral: extension of head and neck
Origin of Splenius Cervisis
Spinous processes of T3-6 vertebrae
Insertion of Splenius Cervisis
Transverse processes of C1-3 vertebrae
Innervation of Splenius Cervisis
Dorsal rami of C3-5 spinal nerves
Action of Multifidus
Stabilize vertebrae
Bilateral: extension of vertebral column
Unilateral: lateral flexion of vertebral column
Unilateral: rotation of vertebral column
Origin of Multifidus
Sacrum (posterior)
Aponeurosis of erector spinae muscle
Lumbar vertebrae: mammillary processes
Thoracic vertebrae (T1-3): transverse processes
Cervical vertebrae (C4-7): articular processes
Insertion of Multifidus
All vertebrae (spinous processes)
Innervation of Multifidus
Dorsal rami of spinal nerves
Action of Rotatores
rotation of the superior vertebrae to opposite side
(Functionally, they probably serve a proprioceptive role rather than
biomechanical role)
Origin of Rotatores
Transverse process of vertebrae
Insertion of Rotatores
Base of spinous process (Inferior to vertebrae of origin)
Innervation of Rotatores
Dorsal rami of spinal nerves