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spine, thorax muscle
ITM origins,insertions,actions
muscle | origin | insertion | action |
---|---|---|---|
scalenus anterior | transverse processes of cervical vertebrae C3-6 | to 1st rib | Bilaterally-raise first 2 ribs during forced inspiration or assist neck flexion; Unilaterally-assists in lateral flexion of head to same side |
scalenus medius | transverse processes of cervical vertebrae C2-7 | to 1st rib | Bilaterally-raise first 2 ribs during forced inspiration or assist neck flexion; Unilaterally-assists in lateral flexion of head to same side |
scalenus posterior | transverse processes of cervical vertebra C4-6 | to 2nd rib | Bilaterally-raise first 2 ribs during forced inspiration or assist neck flexion; Unilaterally-assists in lateral flexion of head to same side |
splenius capitis | ligamentum nuchae, spinous processes of C7, T1-3 | mastoid process of temporal bone, occipital bone | Bilaterally-extension of neck; Unilaterally-lateral flexion and rotation of head to same side |
splenius cervicis | upper thoracic vertebrae T3-6 | upper cervical vertebrae, transverse processes of C1,2,3 | Bilaterally-extension of neck; Unilaterally-lateral flexion and rotation of head to same side |
rectus abdominis | pubic symphysis and crest | costal cartilages of ribs 5,6,7; xiphoid process | flexion of trunk, supports compression of abdominal contents |
external oblique | lower 8 ribs (5-12) | linea alba, pubis, anterior iliac crest | Bilaterally-flexion of trunk, compression of abdominal contents; Unilaterally-lateral flexion, rotation of trunk to opposite side |
internal oblique | inguinal ligament, anterior iliac crest, thoracolumbar aponeurosis | costal cartilages of lower 4 ribs(9-12), abdominal aponeurosis and linea alba | Bilaterally-flexion of trunk, compression of abdominal contents; Unilaterally-lateral flexion, rotation of trunk to same side |
transverse abdominis | inguinal ligament, iliac crest, thoracolumbar aponeurosis, internal surface of costal cartilages of ribs 7-12 | abdominal aponeurosis and linea alba, pubis | compression of abdominal contents |
external intercostals (exterior surface of ribs) | between adjacent ribs | between adjacent ribs | elevate ribs in inspiration, maintains intercostal spaces |
internal intercoastals (interior surface of ribs) | between adjacent ribs | between adjacent ribs | elevate ribs in inspiration, maintains intercostal spaces |
innermost intercostals (dep to internal intercostals) | between adjacent ribs | between adjacent ribs | elevate ribs in inspiration, maintains intercostal spaces |
diaphragm | first 3 lumbar vertebrae, lower 6 costal cartilages, xiphoid process of sternum | central tendon of the diaphragm (clover leaf shaped aponeurosis) | flattens central tendon and thus increases vertical diameter of thoracic cavity inspiration |
serratus posterior superior | caudal ligamentum nuchae, spinous processes of C7-T2 | superior borders of 2,3,4,5 ribs | raises ribs to increase thoracic cavity during inspiration |
serratus posterior inferior | spinous processes of T11, 12 and L1-3 | inferior borders of last 4 ribs | draws ribs outward and downward conteracting the inward pull of the diaphragm during expiration |
quadratus lumborum | posterior iliac crest | 12th rib, transverse processes of lumbar vertebrae 1-4 | lateral flexion of trunk or raises hip |
iliocostalis - erector spinae | (lateral layer) thoracolumbar aponeurosis, posterior ribs | posterior ribs, cervical transverse processis | Bilaterally-extension of spine, Unilaterally-lateral flexion of spine |
longissimus - erector spinae | (middle layer) thoracolumbar aponeurosis, lumbar and thoracic transverse processes | cervical and thoracic transverse processes, mastoid process | Bilaterally-extension of spine, Unilaterally-lateral flexion of spine |
spinalis - erector spinae | (medial layer) ligamentum nuchae, cervical and thoracic spinous processes | cervical and thoracic spinous processes, occipital bone | Bilaterally-extension of spine, Unilaterally-lateral flexion of spine |
semispinalis - transversospinalis | cervical and thoraacic transverse processes | cervical and thoracic spinous processes, occipital bone (spans 3 to 6 vertebrae) | Bilaterally-extension of spine; Unilaterally-rotation to opposite side |
multifidus-transversospinalis | sacrum, posterior superior iliac spine, transverse processes all vertebrae | spinous processes of all vertebrae, inswwerting 2 to 4 vertebrae above origin | Bilaterally-extension of spine; Unilaterally-rotation to opposite side |
rotatores-transversospinalis | transverse processes of all vertebrae | spinous processes of all vertebrae, inserting on vertebra directly above origin | Bilaterally-extension of spine, Unilaterally-rotation to opposite side |
interspinales-segmental--transversospinalis | spinous processes of cervical, lumbar and T1-2, T11-12 vertebrae | spinous process of vertebrae directly above origin | extension of spine |
intertransversarii-segmental-transversospinalis | transverse processes of cervical, lumbar and T10-12 vertebrae | transverse process of vertebrae directly above | Unilaterally- extension of spine; Unilaterally-lateral flexion of spine |