Intrinsic Back Muscles.txt

Splenius Capitis: Attachments

Nuchal Ligament spinous processes of C7 - T3/T4Mastoid processLateral 1/3 superior nuchal line

Splenius Capitis: Innervation & Blood Supply

Posterior rami of spinal nerves (C4 - C8)Branches of Occipital A.Transverse Cervical A. (superficial branches)

Splenius Capitis: Actions

Alone: Lateral flex neck and rotate head to side. Together: Extend head and neck

Splenius Cervicis: Attachments

Nuchal LigamentSpinous processes of T3 - T6Transverse processes C1 - C3/C4

Splenius Cervicis: Innervation & Blood Supply

Posterior rami of spinal nerves (C4 - C8)Branches of Occipital A.Transverse Cervical A. (superficial branches)

Splenius Cervicis: Actions

Alone: Lateral flex neck and rotate head to side. Together: Extend head and neck

Iliocostalis: Attachments

Sacrum, Illiac crest, Spinous process of T11 - L5LUMBORUM / THORACIS / CERVICIS Fibers run superiorly to angles of lower ribs and cervicle transverse processes

Iliocostalis: Innervation

Posterior rami of spinal nerves (segmental)

Iliocostalis: Actions

Bilaterally: Extend vertebral column and head; as back is flexed, control movement as their fibers are lengthened (eccentric contraction) Unilaterally: Laterally flex vertebral column

Longissimus: Attachments

Sacrum, Illiac crest, Spinous process of T11 - L5THORACIS / CERVICIS / CAPITISFibers run superiorly to ribs between tubercles and angles to transverse processes in thoracis and cervical regions, and to mastoid process

Longissimus: Innervation

Posterior rami of spinal nerves (segmental)

Longissimus: Actions

Bilaterally: Extend vertebral column and head; as back is flexed, control movement as their fibers are lengthened (eccentric contraction) Unilaterally: Laterally flex vertebral column

Spinalis: Attachments

Sacrum, Illiac crest, Spinous process of T11 - L5THORACIS / CERVICIS / CAPITISFibers run superiorly to spinous processes in the upper thoracic regions and to cranium

Spinalis: Innervation

Posterior rami of spinal nerves (segmental)

Spinalis: Actions

Bilaterally: Extend vertebral column and head; as back is flexed, control movement as their fibers are lengthened (eccentric contraction) Unilaterally: Laterally flex vertebral column

Semispinalis: Attachments

Transverse processes of C4 - T12THORACIS / CERVICIS / CAPITIS Occipital bone and spinous processes in thoracis and cervical regions(spanning 4-6 segments)

Semispinalis: Innervation

Posterior rami of spinal nerves (segmental)

Semispinalis: Actions

Extends head and thoracic and cervical regions of vertebral column Rotates spine and head contralaterally

Multifidis: Attachments

Sacrum, illium, aponeurosis of erector spinae, transverse processes of all vertebra except C1 - C3Spinous processes of all vertebra except C2 (fibers insert 2-4 segments superior to origin)

Multifidis: Innervation

Posterior rami of spinal nerves (segmental)

Multifidis: Actions

ExtensionStabilizes vertebrae during local movements of vertebral column

Rotatores: Attachments

Transverse processes of vertebrae (developed best in thoracic region)Junction of lamina and transverse process of vertebra immediately superior to origin(1 segment = brevis) (2 segments = longus)

Rotatores: Innervation

Posterior rami of spinal nerves (segmental)

Rotatores: Actions

Rotate the spine!

Minor Deep Back Muscles: Location, Action, Innervation

Interspinales / Intertransversarii / Levatores Costarum (Medial to Lateral) Minor role in spinal stabilityPosterior Rami EXCEPT the lateral parts of intertransversarii m. (anterior rami)

Actions of Erector Spinae Group

UnilaterallyLateral flexion to ipsilateral sideControl bending to contralateral sideBilaterallyTrunk extensionStabilize during flexion

Actions of Transversospinal Group

UnilaterallyRotationBilaterallyStabilization

Actions of Splenius Muscles

UnilaterallyRotationBilaterallyHead flexion / extension