Spinal Bio I Muscle Test Flashcards
40% of body weight
Skeletal/Voluntary/Striated/Somatic Muscles
Controlled Consciously
Skeletal/Voluntary/Striated/Somatic Muscles
Act through contraction only- pull attachments closer together
Skeletal/Voluntary/Striated/Somatic Muscles
Work in antagonistic pairs
Skeletal/Voluntary/Striated/Somatic Muscles
Pull the same joint in opposite directions
Antagonistic Pairs of Skeletal/Voluntary/Striated/Somatic Muscles
Actually working together
Antagonistic pairs Skeletal/Voluntary/Striated/Somatic Muscles
Called Synergy
Antagonistic Pairs
Attach to skeleton by Tendons
Skeletal/Voluntary/Striated/Somatic Muscles
Attach muscle to skeleton by collagen bands or cords
Tendon
Attach to skeleton by Aponeuroses
Skeletal/Voluntary/Striated/Somatic Muscles
Broad, Flattened Tendon
Aponeuroses
Several muscles attach to its margins
Aponeuroses
Thin connective tissue skin
Fascia
Wide variation in size and shape
Skeletal/Voluntary/Striated/Somatic Muscles
Have Blood and Nerve Supply
Skeletal/Voluntary/Striated/Somatic Muscles
Dilate during exercise
Extensive Capillary Bed
Increased blood flow and supply during activity
Extensive Capillary Bed
Called Pumping up
Extensive Capillary Bed
Myoglobin stores O2 in muscle tissues
Skeletal/Voluntary/Striated/Somatic Muscles
Common foramen for nerves and blood vessels
Neurovascular Hilus
Located in the middle or at the ends of a muscle
Neurovascular Hilus
Arteries and Veins enter together
Neurovascular Hilus
What enters and exits thru the Neurovascular Hilus?
Nerves
May supply one muscle fiber or several
Motor Neurons
Fewer fibers/neuron= more precise control
Motor Nerves
More fibers/ Neurons= less precise control
Motor Nerves
Neuromuscular Spindles AKA
Contraction
Neuromuscular Spindles
Sensory Nerves
Tendon end organs
Sensory nerves
Stretch Receptors AKA
Tendon End Organs
Send Information back to the CNS
Sensory Nerves
Information back to the CNS AKA
Proprioception
6 Components of Muscle Names
- Attachment
- Shape/ Size
- Position
- Construction
- Action
- Combination
Iliocostalis describes
Attachment
Rhomboideus Major/Minor describes
Shape/Size
Serratus Posterior Superior describes
Position
Multifidi Describes
Constriction
Levator Scapulae Describes
Action
Rectus Capitus Posterior Major Describes
Combination
3 Components of Muscle Descriptions
- Origin
- Insertion
- Action
Stabilized attachment (s)
Origin
Usually Proximal or Inferior
Origin
Usually bony, may be ligamentous
Origin
Insertion
Moving Attachment (s)
Insertion
Must span one or may span more than one joint
Insertion
Usually Distal or Superior
Insertion
Motion caused by muscle contraction is…
Action
General: Pull insertion toward origin
Action
4 Subcategories of Action
- Unilateral
- Bilateral
- Reverse Origin/ Insertion (OI)
- Isometric
Bilateral Trunk Muscles (action)
Unilateral
One side only contracts (action)
Unilateral
Opposite muscle relaxes (synergy of antagonists) (action)
Unilateral
Both sides contract simultaneously (action)
Bilateral
Only significant if different than the unilateral action (action)
Bilateral
Origin/ Insertion = most common/ conventional usage (action)
Reverse Origin/ Insertion (O I)
Both Attachments may be mobile (action)
Reverse Origin/ Insertion (O I)
(O I) Explain/Define
Origin considered as insertion
Only significant if this produces relevant actions (action)
Reverse Origin/ Insertion (O I)
Muscle contraction w/o net motion (action)
Isometric
Always Bilateral action (action)
Isometric
Usually postural and/or balance (action)
Isometric
May be the most important muscle action (for many spinal muscles)
Isometric
How are Spinal Muscles organized?
Into 5 Layers
Layer I includes (basic)
2 arm muscles
Layer II includes (basic)
3 shoulder muscles
Layer III includes (basic)
2 Respiration muscles
2 Head/ Neck muscles
Layer VI includes (basic)
1 Extensive Postural Muscle
Layer V includes (Basic)
4 Sub Groups
- Transversospinal Muscles (5)
- Sub-Occipital muscles (4)
- Anterior/ Pre-Vertebral Muscles (7)
- Lateral Muscles (3)
What are the 4 Sub Groups of Layer V?
- Transversospinal Muscles (5)
- Sub-Occipital muscles (4)
- Anterior/ Pre-Vertebral Muscles (7)
- Lateral Muscles (3)
2 Muscles of Layer I
- Trapezius
2. Latissimus Dorsi
AKA Trapezium
Trapezius
Shield Shaped Muscle
Trapezius
Triangular Membranous Muscle
Trapezius
Latissimus Dorsi
Covers Upper Trunk and Neck
Trapezius
Central Aponeurosis (Upper Thoracic)
Trapezius
These are…..
- EOP to the medial superior nuchal line
- Nuchal ligament down to C7
- SP and Supraspinous Ligament C7-T12
- Midline from EOP to T12
Origins of Trapezius
4 Origins of Trapezius
- EOP to the medial superior nuchal line
- Nuchal ligament down to C7
- SP and Supraspinous Ligament C7-T12
- Midline from EOP to T12
Inserts on the Lateral Portion of the Clavicle, Acromion and Superior/Inferior borders of the Scapula
Trapezius
Trapezius Insertion can be divided into how many sections? What are they?
- Superior
- Middle
- Inferior
Braces the shoulder during arm motions?
Action of Trapezius
Insertion of Trap. Elevates Scapula?
Superior
Insertion of Trap. Retracts Scapula?
Middle
Insertion of Trap. Depresses Scapula?
Inferior
O I: Unilateral- Lateral Flexion/ Contralateral Rotation (action)
Trapezius Action
O I: Bilateral- Extension of head and neck (action)
Trapezius Action
Innervated by Accessory Nerve (CN XI) (C3,4 n)
Trapezius
Most Lateral Muscle of the Back
Latissimus Dorsi
Covers Lower Trunk
Latissimus Dorsi
Forms the Posterior Margin of the Axilla
Latissimus Dorsi
Origin: deep to Trap. from T7/6- T12
Latissimus Dorsi
SP/ Supraspinous Ligament T5/6 - T12
Latissimus Dorsi origin
Ribs 9-12
Latissimus Dorsi Origin
Thoracolumbar Fascia
Latissimus Dorsi Origin
Broad, Flat Diamond- Shaped Tendon
Thoracolumbar Fascia
Attaches to PSIS’s and Iliac Crests
Thoracolumbar Fascia
Attaches to the Median and Intermediate Sacral Crests
Thoracolumbar Fascia
Attaches to Lumbar SP’s and MP’s
Thoracolumbar Fascia
Attaches muscles of Several Layers
Latissimus Dorsi
Insertion is Proximal, Medial Humerus
Latissimus Dorsi
Adduction/ Extension/ Internal Rotation of the arm
Latissimus Dorsi Action
Innervated by Throacodorsal Nerves (C6-8)
Latissimus Dorsi
Triangular area of the Dorsal Thorax
Triangle of Auscultation
Not covered by Trapezius, Latissimus Dorsi, or Scapula
Triangle of Auscultation
Forms a Sound Window (distinct lung sounds)
Triangle of Auscultation
Boundaries of Triangle of Auscultation
Lateral Border= medial edge of scapula
Medial Border= lateral edge of trapezius
Inferior Border= superior edge of Lat. Dorsi
Floor= Rhomboideus muscles of Layer II
Lateral Border= medial edge of scapula
Medial Border= lateral edge of trapezius
Inferior Border= superior edge of Lat. Dorsi
Floor= Rhomboideus muscles of Layer II
Are Boundaries for what?
Triangle of Auscultation
3 Muscles of Layer II
- Levator Scapulae
- Rhomboideus Major
- Rhomboideus Minor
Deep Posterior Axioappendicular/ Extrinsic Shoulder Muscles…
Layer II
Elevates Shoulder Blade
Levator Scapulae
Band like muscle of the lateral neck
Levator Scapulae
Palpates directly under the Trapezius
Levator Scapulae
Originates form 4 separate tendons
Levator Scapulae
Fuses into 1 solid muscle belly
Levator Scapulae
C1-C4 Posterior TP
Levator Scapulae Origin
Superomedial corner of the scapula
Levator Scapulae Insertion
Assists the Trapezius in Elevating the Scapula
Levator Scapulae
O I: Unilateral- Lateral Flexion/ Ipsilateral Rotation
Levator Scapulae
O I: Bilateral- Extension of the Cervical Spine
Levator Scapulae
Innervated by Dorsal Scapular Nerve (C5) and Cervical Nerve (C3,4)
Levator Scapulae
Innervation of Levator Scapulae
Dorsal Scapular Nerve- C5
Cervical Nerve- C3,4
Innervation of Latissimus Dorsi
Thoracodorsal Nerve- C6-8
Innervation of Trapezius
Accessory Nerve- CN XI, {C3,4 nerve?}
Chiropractic Significance: Muscle Palpation/ Analysis
Levator Scapulae Splenius Capitus Splenius Cervicus Intermediate Column- Longissimus Multifidi Intertransversarii Rectus Capitus Posterior Major and Minor Superior Oblique Psoas Major Scalenus Medius
Small Rhomboid (4 equal sides)
Rhomboideus Minor
Thin Membranous Muscle
Rhomboideus Major and Minor
Deep to the Trapezius
Rhomboideus Major and Minor
Attached to the Deep Thoracic Aponeurosis
Rhomboideus Minor
Parallel, Inferolateral Muscle Fibers
Rhomboideus Major and Minor
C7- T1 SP/ Supraspinous Ligament
Rhomboideus Minor Origin
Superior 1/3 of Medial Scapula
Rhomboideus Minor Insertion
Assist the Rhomboideus Major
Rhomboideus Minor Action
Innervation Dorsal Scapular Nerve (C4,5)
Rhomboideus Major and Minor
Innervation of Rhomboideus Minor
Dorsal Scapular Nerve (C4,5)
Larger Rhomboid Shaped muscle
Rhomboideus Major
Arises from the Deep Thoracic Aponeurosis
Rhomboideus Major
2 Muscles Separated only by Fascia
Rhomboideus Major and Minor
T2- T5 SP/ Supraspinous Ligament
Rhomboideus Major Origin
Inferior 2/3 of the Medial Scapula
Rhomboideus Major Insertion
Retraction, Rotation of the Scapula
Rhomboideus Major Action
Innervation of the Rhomboideus Major
Dorsal Scapular Nerve (C4,5)
4 Muscles of Layer 3
- Serratus Posterior Superior
- Serratus Posterior Inferior
- Splenius Capitus
- Splenius Cervicus
Shape (serrated Lateral edge)/ Postion
Serratus Posterior Superior and Inferior
Deep to the Rhomboids
Serratus Posterior Superior
Flat Fasciculated Muscle
Serratus Posterior Superior and Inferior
Splenius Cervicus
4 Parallel Inferolateral Fasciculi
Serratus Posterior Superior
A true muscle of the Thoracic Wall
Serratus Posterior Superior and Inferior
Lower Nuchal Ligament & C7- T3 SP
Serratus Posterior Superior Origin
Posterolateral Margins of R2-R4/5
UO->UI, LO->LI
Serratus Posterior Superior Insertion
Elevate Ribcages during deep respiration and Proprioception of Thoracic Wall
Serratus Posterior Superior
Innervated by 2-5 Intercostal Nerves
Serratus Posterior Superior
Serratus Posterior Superior Innervation
2-5 Intercostal Nerves
Deep to the Latissimus Dorsi
Serratus Posterior Inferior
4 Parallel, Superolateral Fasciculi
Serratus Posterior Inferior
T11- L2 SP’s
Serratus Posterior Inferior Origin
Posterolateral margins of R8/9- R12
UO->UI, LO->LI
Serratus Posterior Inferior Insertion
Pull ribcage down during deep expiration and Proprioception of Thoracic Wall
Serratus Posterior Inferior Aciton
Innervated by Anterior Rami of T9-T12 Spinal Nerves
Serratus Posterior Inferior
Serratus Posterior Inferior Innervation
Anterior Rami of T9-T12 Spinal Nerves
2 Intrinsic Back muscles
- Splenius Capitus
2. Splenius Cervicus
Shape (splenius=bandage)/ attachemnt
Splenius Capitus & Cervicus
Thin Flat Superolateral Band
Splenius Capitus
Deep to the Serratus Posterior Superior and Trapezius muscles
Splenius Capitus
Lower Origins underlay the Serratus Posterior Superior
Splenius Capitus
Origins are deep to the Levator Scapulae
Splenius Capitus
Insertions are superficial to the levator origins
Splenius Capitus
Insertions are just lateral to the Trapezius origins
Splenius Capitus
Lower Nuchal Ligament & C7-T4 SP’s
Splenius Capitus Origin
Lateral Superior Nuchal Line to the Mastoid Process
Splenius Capitus Insertion