Shoulder and Back Muscles Flashcards
what is an active open chain?
movement of distal segment of bone about a fixed proximal segment (movement of insertion)
what type of muscle contraction occurs in an active open chain?
concentric
what is an active closed chain?
movement of the proximal segment of bone about a fixed distal segment (movement of origin)
what does the shoulder girdle contain?
20 muscles
3 bony articulations
3 soft tissue surfaces (fx joints)
what is the shoulder girdle used for?
stabilization for hand use lifting, pushing elevation of the body forced inspiration & expiration weight bearing
what does the shoulder use for stability?
soft tissue
what are the bones of the shoulder complex?
sternum
clavicle
scapula
humerus
what are the articulations of the shoulder?
sternoclavicular
acromioclavicular
glenohumeral
what are the false (fx) joints of the shoulder?
scapulothoracic
super humeral
bicipital groove
What are the scapular movements?
- elevation
- depression
distal end of clavicle & acromion move up and down - protraction
- retraction
clavicle & scapula move anterior and posterior - upward & downward rotation
how does scapular upward rotation occur?
ocurring at scapula during flexion or abduction of humerus
glenoid fossa moves superiorly
inferior angle moves laterally, anteriorly, up
how does scapular downward rotation occur?
occurring at scapula when hand goes to small of back
glenoid fossa moves inferiorly and medially
what are the muscle groups of the shoulder complex?
group 1: muscles connecting shoulder to trunk, neck, skull
group 2: muscles connecting scapula to humerus
group 3: muscles connecting humerus to trunk
what is the significance of the serratus anterior?
most important muscle for shoulder stability
what the the origin, insertion and fx of the serratus anterior?
origin: 1st-9th rib
insertion: medial border of scapula
fx: scapular protraction, upward rotation
what is the origin, insertion, nerve and fx of the upper traps?
origin: occipital bone
insertion: lateral 1/3 of calvicle
nerve: spinal accessory
fx: raise shoulder
what is the origin, insertion, nerve, fx of the middle traps?
origin: spinous process C7-T5
insertion: medial margin, acromion
nerve: spinal accessory C2-C4
fx: scapular adduction, move shoulder posteriorly
what is the origin, insertion, nerve, fx of the lower traps?
origin: thoracic vertebrae
insertion: medial portion, spine of scapula
nerve: spinal accessory
fx: pull scapula inferior & medially (addiction, depression)