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Muscles and Biomechanics of the Trunk 3 M ATERIALS • human torso model • vertebrae and bones • human skeleton • flexible spine model • Anatomage dissection table • various models • textbook and lecture notes for reference O BJECTIVES Upon the completion of these laboratory exercises, you should be able to: 1. Identify various anatomical structures of the axial skeleton. 2. Identify the muscles of the trunk. 3. Apply biomechanical principles to the muscle of the spine. 4. Identify origin, insertion, nerve innervation and actions of the muscles of the trunk 5 . Apply kinisiological applications to common exercises. Key Laboratory Muscles 1. 2. 3. 4. 5. 6. 7. 8. Serratus anterior Rhomboid minor Rhomboid major Diaphragm External oblique Internal oblique Transverse abdominis Rectus abdominis 9. Erector spinae 10. Multifidis 11. Levator scapulae 12. Quadratus Lumborum 13. Trapezius 14. Latissimus dorsi 15. Psoas major and psoas minor Key Skeletal Anatomy Vertebrae • Atlas • Axis • Body of the vertebra • Intervertebral foramen • Vertebral foramen • Spinous process • Transverse process • Articular facet joint • Intervertebral disc Cervical vertebrae Thoracic vertebrae Lumbar vertebrae Sacrum Coccyx Sternum • Manubrium • Body • Xiphoid process Ribs • True ribs (ribs 1–7) • False ribs (ribs 8–12) • Floating ribs (ribs 11–12) Costal cartilage Consider the following key points in trying to identify the muscle’s action. 1. Look at both the muscle’s origin and insertion. Some skeletons in the lab will have the origin labeled red and insertion blue. Once identified, bring the insertion closer to the origin. 2. Notice how the joint of the skeleton naturally moves. When muscles contract (shorten), they pull its insertion toward the origin. 3. Look at the direction of the muscle fibers and the joints the muscles cross. If a muscle crosses the joint, it will have an effect on that joint. 4. Movements produced by the muscles are based on anatomical position. 5. Use the appropriate anatomical terminology for describing the muscle’s function. Exercise 1. Muscles of the trunk 1. Diaphragm: a. Origin: ribs 7-12 and costal cartilage, xiphoid process, T12, L1-2 b. Insertion: central tendon which has attachments to the pericardium c. Nerve innervation: phrenic nerves (C3-5) d. Actions: 2. External oblique a. Origin: ribs 5-12 b. Insertion: iliac crest, pubic crest, linea alba c. Nerve innervation: 8-12th intercostal, iliohypogastric, ilioinguinal d. Actions: 3. Internal oblique a. Origin: inguinal ligament, iliac crest b. Insertion: ribs 9-12, linea alba c. Nerve innervation: 8-12th intercostal, iliohypogastric, ilioinguinal d. Actions: 4. Transverse abdominis a. Origin: inguinal ligament, iliac crest, lower 6 ribs b. Insertion: pubic crest,linea alba c. Nerve innervation: 7-12th intercostal, iliohypogastric, ilioinguinal d. Actions: 5. Rectus abdominis a. b. c. d. Origin: pubic crest Insertion: xiphoid process, ribs 5-7 Nerve innervation: 7-12th intercostals Actions: 6. Quadradus Lumborum a. Origin: iliac crest b. Insertion: 12th rib, transverse processes of L1-L4 a. Nerve innervation: ventral rami T12, L 1-4 b. Actions: 7. Trapezius a. Origin: base of skull, supraspinatus ligament, spinous processes of cervical and thoracic vertebrae b. Insertion: clavicle, scapula spine and acromion c. Nerve innervation: spinal accessory (11th cranial) (C3, 4) d. Actions: 8. Latissimus dorsi a. Origin: spinous process of T6-T12, thoracolumbar fascia , iliac crest and lower 4 ribs. Inferior angle of scapula b. Insertion: medial lip of intertubercular aka bicipital groove c. Nerve innervation: thoracodorsal (C6-8) d. Actions: 9. Levator scapulae a. Origin: transverse processes C1-C4 b. Insertion: superior angle of scapula c. Nerve innervation: dorsal scapular (C5) d. Actions: 10. Rhomboid major a. Origin: spinous processes T2-T5 b. Insertion: medial border of scapula c. Nerve innervation: dorsal scapular (C5) d. Actions: 11. Rhomboid minor a. Origin: spinous processes C7-T1 b. Insertion: medial border of scapula c. Nerve innervation: dorsal scapular (C5) d. Actions: 12. Serratus anterior a. Origin: Lateral surface of the 1st 9 ribs b. Insertion: medial border of the scapula c. Nerve innervation: long thoracic (C5-7 d. Actions: 13. Superficial posterior muscles of the spine a) Erector Spinae Muscles (Iliocostalis, Longissimus , Spinalis) 14. Deep muscles of the spine (Interspinal-intertransverse group, multifidus, rotatores, semispinalis, splenius muscle groups. Exercise 2. Identify the above muscles on all the laboratory models and on the Anatomage dissection table. 1. 2. 3. 4. 5. 6. 7. 8. Serratus anterior Rhomboid minor Rhomboid major Diaphragm External oblique Internal oblique Transverse abdominis Rectus abdominis 9. Erector spinae 10. Multifidis 11. Levator scapulae 12. Quadratus Lumborum 13. Trapezius 14. Latissimus dorsi 15. Psoas major and psoas minor Key Skeletal Anatomy Vertebrae • Atlas • Axis • Body of the vertebra • Intervertebral foramen • Vertebral foramen • Spinous process • Transverse process • Articular facet joint • Intervertebral disc Cervical vertebrae Thoracic vertebrae Lumbar vertebrae Sacrum Coccyx Sternum • Manubrium • Body • Xiphoid process Ribs • True ribs (ribs 1–7) • False ribs (ribs 8–12) • Floating ribs (ribs 11–12) Costal cartilage Exercise 3. The Musculoskeletal Structures of the Thorax 1. List all the muscles that functions in flexing the lumbar spine. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 2. List all the muscles that function in extending the lumbar spine. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 3. Which muscles function in the frontal plane? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 4. Which muscles function in the transverse plane? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Exercise 4. Application through common exercises 5. List all the muscles involved in performing the following exercise. A Exercise A The plank Muscles involved. Describe the action based on anatomical motions. Type of contraction: Concentric/ Eccentric, Isometric B. Exercise B Up phase Down Phas Muscles involved. Describe the action based on anatomical motions. Type of contraction: Concentric/ Eccentric, Isometric C. What effect does added an unstable surface do to the following exercise? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________