Muscles (PA,DA, F, I) Flashcards
What is the motor innervation for The Extrinsic Muscles of the Back (what layers)?
Anterior rami of Spinal Nerves + CNXI
Superficial and Intermediate
What is the motor innervation for The Intrinsic Muscles of the Back (what layers)?
Posterior rami of spinal nerves
Deep layer
Trapezius (Superficial)
PA: External occipital protuberance, Nuchal lig. and S.P C7-T12
DA: Scapula (spine + acromion) and lateral 1/3 of clavicle
F:
Fixed Scapula: Bilateral Neck Extension, Unilateral Ipsilat. Lat. Flex. and Contralat. Axial Rot. of head+neck
Upper: Elevation, Up. Rot
Middle: Retraction
Lower: Depression, Up. Rot
I: Spinal accessory n.
Latissimus Dorsi (Superficial Superficial)
PA: S.P T7-T12, Tx-Lx fascia, iliac crest
DA: Intertubercular groove of humerus
F:
Back: Bilaterally spine extension, Unilaterally Ipsi Lat Flexion of Lx spine
Scapula: Down. Rot, Depression
Shoulder: Medial Rot, ADD
I: Thoracodorsal n. (C6-C8)
Rhomboids (Superficial Intermediate)
PA: S.P C6-T4
DA: Medial Border of Scapula
F: Scapula: Retraction, Elevation, Down. Rot (Major)
I: Dorsal Scapular n. (C5)
Levator Scapulae (Superficial Intermediate)
PA: T.P C1-C4
DA: Sup. Angle of Scapula
F: Cx Spine (secondary): Bilaterally Extension, Unilaterally Ipsilat. Lat. Flex
Scapula (Primary): Elevation, Retraction (-)
I: Anterior rami of C3-C5
Serratus Posterior Superior (Superficial Deepest)
PA: Nuchal lig., S.P C7-T3
DA: Superior border ribs 2-4
F: Elevation of upper ribs (accessory respi) and proprioception
I: Anterior rami T2-T5
Serratus Posterior Inferior (Superficial Deepest)
PA: Tx-Lx Fascia and S.P T11-L2
DA: Inferior border ribs 8-12
F: Depression of lower ribs (accessory respi) and proprioception
I: Anterior rami T9-T12
Erector Spinae - Iliocostalis, Longissimus, Spinalis (Intrinsic intermediate)
PA: Ilium/Sacrum, vertebral processes/Supraspinous lig.
DA: Iliocostalis: Lower ribs & Cx T.P
Longissimus: Ribs, Cx-Tx T.P,
Mastoid process
Spinalis: Upper Tx S.P and
cranium
F: Bilaterally Extension of spine,
Unilaterally Lat. Flexion of spine (mostly iliocostalis)
Transversospinalis group - Semispinalis, Rotatores, Multifidus
PA: T.P
DA: S.P except semispinalis capitis
F: Bilaterally Extension of spine, Unilaterally Contra. Rot spine
I: Porterior rami
Intrinsic Muscles of the Back - Interspinalis, Intertransversarii, Levatores Costarum
I.S: Extension of Spine Assist
I.T: Ipsilat. Lat. Flex of spine Assist
L.C: Rib elevation, Ipsilat. Lat. Flex of spine Assist
I: Posterior rami
Splenius
Capitis
PA: Nuchal lig., S.P C7-T2
DA: Mastoid Process + Occiput
Cervicis
PA: S.P T3-T6
DA: T.P C1-C3 or C4
F: Bilaterally Extension of head + neck, Unilaterally Ipsilat. Lat. Flex + Rot of neck and head
Rectus Capitis Posterior
Minor
PA: Post. Tubercule C1
DA: Occiput
F: Bilaterally Extension of head
Major
PA: S.P C2
DA: Occiput
F: Bilaterally Extension of head, Unilaterally Ipsilat. Rot. of the head
I: Suboccipital nerve (post ramus of C1
Obliquus Capitis
Superior
PA: T.P C1
DA: Occiput
F: Bilaterally Extension of head, Unilaterally Ipsilat. Lat. Flex of head
Inferior
PA: S.P C2
DA: T.P C1
F: Unilaterally Ipsilat. Rot of neck
I: Suboccipital nerve (post ramus C1)
Sternocleidomastoid
PA: Mastoid Process
DA: Sternum, Clavicle
F: Bilaterally Extension of head+neck, Flexion of head (sternal head), Unilaterally Contralat. Rot and Ipsilat. Lat. Flexion
I: Spinal accessory (CN XI)
Rectus Capitis Lateralis & Anterior
PA: T.P C1
DA: Occipital Bone
F (Lateralis): Ipsilat. Lat Flex of head
F (Anterior): Flexion + Ipsilat. Rot of head
I: Anterior rami of C1-C2
Longus Capitis
PA: Transverse processes of ~C3–C6
DA: Base of skull (occipital bone)
F: Flexion of head
I: Anterior rami of C1–C3
Longus Colli
PA: Vert. Bodies of C5-T3
DA: Vert. Bodies & T.P of Cx Vert.
F: Flexion of Cx Spine
I: Anterior rami of C2-C6
Scalenes
Anterior
PA: T.P C3-C6
DA: Rib 1
Middle
PA: T.P C5-C7
DA: Rib 1
Posterior
PA: T.P C5-C7
DA: Rib 2
F: Elevation of ribs (1 or 2) during inspi, Flex of Cx Spine and Ipsilat. Lat. Flexion
I: Anterior rami of C3-C8
External Intercostal
From: Superior rib
To: Obliquely anteroinferior
F: Elevates ribs + sternum in Forceful Inspi
Internal Intercostal
From: Inferior rib
To: Superior rib
F: Depresses ribs during forceful expi
Innermost Intercostal
From: Inferior rib
To: Superior rib
F: Depresses ribs during forceful expi
Transversus Thoracis
PA: Sternum body and Xiphoid Process
DA: Ribs 2-6
F: Depresses ribs during forceful expi
Diaphragm
Peripheral Attachments: Circumference of Inferior Thoracic Aperture (Costal Margin, Xiphoid process, Ribs 6-12, L1-3 Vert)
Central Attachment: to itself via Central Tendon
F: Quiet Respiration
I: Phrenic Nerve anterior rami C3-C5