Spine - Contractile (Week 4) Flashcards

1
Q

Extrinsic Back Muscles

A

Latissimus Dorsi, Trapezius, Levator Scapulae, Rhomboids (Thoracolumbar Fascia)

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2
Q

General anchored attachments of muscles of spine

A

Pelvis

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3
Q

Overall Function of Intrinsic Superficial/Intermediate Back Muscles

A

Angular Movements, Can apply compressive force to IVJs and facets, produce power, resist gravity

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4
Q

Intrinsic Superficial Back Muscles

A

Splenius Capitis, Cervicis

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5
Q

Splenius Capitis Attachments

A

D: Mastoid Process, Occiput
P: Lower 1/2 Nuchal ligament, spinous processes of C7-T3/4, supraspinous ligament

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6
Q

Splenius Capitis A/NS

A

Unilateral: Lateral Flexion, Ipsilateral Rotation
Bilateral: Neck Extension
NS: Posterior rami of spinal nerves

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7
Q

Cervicis Attachments

A

D: Transverse processes of C1-C3/4
P: Spinous processes of T3/4-T6

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8
Q

Cervicis A/NS

A

Unilateral: Lateral Flexion, Ipsilateral Rotation
Bilateral: Neck Extension
NS: Posterior rami of spinal nerves

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9
Q

Intrinsic Intermediate Back Muscles

A

Erector Spinae Group (Spinalis, Longissimus, Iliocostalis)

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10
Q

Erector Spinae Group Med. to Lat.

A

Spinalis, Longissimus, Iliocostalis

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11
Q

Spinalis Regions/Attachments

A

Regions: Capitus, cervicis, thoracis, spans serveral vertebral segments
D: Upper thoracic spinous processes, cranium
P: supraspinous ligament, lumbar/thoracic spinous processes

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12
Q

Spinalis Action/NS

A

A: unilateral lat. flexion, bilateral back/neck extension
NS: posterior rami spinal nerves

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13
Q

Longissimus Regions/Att.

A

Regions: capitis, cervivis, thoracis
D: ribs, mastoid process
P: broad tendon, supraspinous ligament, sacroiliac ligaments, median sacral crest, posterior iliac crest, lumbar/thoracic spinous processes

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14
Q

Longissimus A/NS

A

Unilateral: lateral flexion
Bilateral: back and neck extension
NS: posterior rami spinal nerves

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15
Q

Iliocostalis Regions/Att.

A

Regions: cervicis, thoracis, lumborum, spans many vertebral segments
D: angles of ribs, cervical thoracic processes
P: broad tendon, supraspinous ligament, sacroiliac ligaments, median sacral crest, posterior iliac crest, lumbar/thoracic spinous processes

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16
Q

Iliocostalis A/NS

A

Unilateral: lateral flexion, rotation
Bilateral: back and neck extension
NS: posterior rami spinal nerves

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17
Q

Deep Intrinsic Transversospinalis Muscles
(General Function/Characteristics)

A

Span from spinous processes to transverse processes
Sits closer to axis of movement, spans lesser segments than erector spinae
More involved in preventing shear/accessory movements
Run in oblique direction

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18
Q

Transversospinalis Group

A

Semispinalis, Multifidus, Rotatores

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19
Q

Semispinalis Regions/Att.

A

Regions: capitis, cervicis (well developed), thoracis, spans 4-6 segments
D: occiput, nuchal ligament
P: transverse processes of C4-T12

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20
Q

Semispinalis A/NS

A

Unilateral: rotation of cervical region
Bilateral: extension of vertebral column
NS: posterior rami spinal neves

21
Q

Multifidus Regions/Att.

A

Regions: cervical, thoracic, lumbar (well developed), spans 2-4 segments
D: whole length of spinous processes of vertebrae
P (Lumbar): posterior sacrum, PSIS, erector spinae aponeurosis, sacroiliac ligaments
P (Thoracic): all thoracic transverse processes
P (Cervical): articular processes

22
Q

Multifius A/NS

A

A: stabilise vertebrae during local movement of vertebral column/trunk
NS: posterior rami spinal nerves

23
Q

Rotatores Regions/Att.

A

Regions: thoracic (well developed), spans 1-2 segments
D: lamina of vertebrae
P: transverse processes of vertebrae below

24
Q

Rotatores A/NS

A

A: stabilise vertebrae during local movements of vertebrae/trunk, proprioceptive
NS: posterior rami spinal nerves

25
Q

Deep Minor Group

A

Interspinalis, Intertransversarii

26
Q

Deep Minor Group A/NS

A

A: stabilise vertebrae
NS: posterior rami of spinal nerves

27
Q

General Function of Superficial, Intermediate, Deep Intrinsic Back Muscles

A

Superficial: Acts on head and neck
Intermediate: Global movements of vertebral column
Deep: local movements and postural support

28
Q

Quadratus Lumborum Att.

A

D: lower border of 12th rib, lumbar transverse processes L1-L4
P: transverse processes L5, posterior iliac crest

29
Q

Quadratus Lumborum A/NS

A

NS: Anterior rami spinal nerves T12-L3/4
A: Lateral flexion of spine, fixate 12th rib during respiration

30
Q

Sternocleidomastoid Att.

A

S: Mastoid process, occiput
I: Manubrium (anterior superior sternum), medial 1/3 of clavicle

31
Q

SCM A/NS

A

Unilateral: Neck lateral flexion, contralateral rotation
Bilateral: neck extension in upright, neck flexion in supine, accessory muscle for inspiration
NS: accessory nerve

32
Q

Torticollis

A

contraction or shortening of SCM, can develop in utero due to baby’s sustained head position

33
Q

Prevertebral Anterior Group

A

Anterior to spinal column
flexion of neck, flexion of head on neck (yes)
- Rectus Capitus Lateralis
- Rectus Capitis Anterior
- Longus Capitis
- Longus Colli

34
Q

Prevertebral Lateral Group

A

Scalenes

35
Q

Anterior Scalene Att.

A

S: transverse processes C3-C6
I: 1st rib

36
Q

Anterior Scalene A/NS

A

A: flex head, accessory inspiration muscle
NS: anterior rami cervical spinal nerves

37
Q

Middle Scalene Att.

A

S: transverse processes C5-C7
I: 1st rib

38
Q

Middle Scalene A/NS

A

A: side flexion, accessory muscle of inspiration
NS: anterior rami of cervical spinal nerves

39
Q

Posterior Scalene Att.

A

S: transverse processes C5-C7
I: 2nd rib

40
Q

Posterior Scalene A/NS

A

A: side flexion, accessory muscle of inspiration
NS: anterior rami of cervical spinal nerves

41
Q

Deep Suboccipital Group

A

Rectus Capitis Posterior Minor/Major
Obliqius Capitis Superior/Inferior

42
Q

Rectus Capitis Posterior Minor Att.

A

S: Medial Occiput
I: Atlas (C1)

42
Q

Rectus Capitis Posterior Minor A/NS

A

A: Extension of head on atlas
NS: posterior rami of C1

43
Q

Rectus Capitis Posterior Major Att.

A

D: lateral occiput
P: axis (C2)

44
Q

Rectus Capitis Posterior Major A/NS

A

Unilateral: ipsilateral rotation of head
Bilateral: extension of head
NS: posterior rami of C1

45
Q

Obliqius Capitis Superior Att.

A

S: occiput
I: transverse processes of atlas (C1)

46
Q

Obliqius Capitis Superior A/NS

A

A: extends head
NS: posterior rami C1

47
Q

Obliqius Capitis Inferior Att.

A

S: transverse process atlas (C1)
I: Axis (C2)

48
Q

Obliqius Capitis Inferior A/NS

A

Unilateral: turns head ipsialterally (NO)
Bilateral: extends atlas on axis
NS: posterior rami C1