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Back Muscles Splenius capitis Origin: Insertion: Innervation: Action: Splenius cervicis Origin: Insertion: Innervation: Action: arises from nuchal ligament and spinous process of C7-T3 mastoid process, superior nuchal line posterior rami of spinal nerves unilaterally- laterally bend to side of active mm Bilaterally- extend head and neck arises from nuchal ligament and spinous process of C7-T3 transverse process of C1-C3 posterior rami of spinal nerves unilaterally- laterally bend to side of active mm Bilaterally- extend head and neck Spinalis (thoracis, cervicis, capitis) –Erector spinae Origin: iliac crest, sacrum, and supraspinous ligament Insertion: spinous process of thoracic region to skull Innervation: posterior rami of spinal nerves Action: unilateral- laterally bend to side of active mm Bilaterally- extend the vertebral column and head Longissimus (thoracis, cervicis, capitis) –Erector spinae Origin: Iliac crest, sacrum, and supraspinous ligament Insertion: transverse process in thoracic and cervical region, mastoid process Innervation: posterior rami of spinal nerves Action: unilaterally- laterally bend vertebral column to side of active mm Bilaterally- extend vertebral column and head Iliocostalis ( lumborium, thoracis, cervicis) –Erector spinae Origin: Iliac crest, sacrum, and supraspinous ligament Insertion: angles of lower ribs and transverse processes Innervation: posterior rami of spinal nerves Action: unilaterally- laterally bend vertebral column to side of active mm Bilaterally- extend vertebral column and head Semispinalis (thoracis, cervicis, and capitis) –Transversospinalis Origin: arises from thoracic and cervical transverse processes Insertion: fibers run superomedially and attach to occipital bone and spinous processes in thoracic and cervical regions, spanning 4-6 segments Innervation: posterior rami of spinal nerves Action: unilaterally- rotate head and neck contralaterally Bilaterally- extend head and thoracic cervical regions, stabilizes Multifidus (lumborum, thoracis, cervicis) –Transversospinalis Origin: arises from sacrum and ilium, transverse process of T1-L5 and articular processes of C4-C7 Insertion: fibers pass superomedially to spinous process spanning 2-4 segments Innervation: posterior rami of spinal nerves Action: unilaterally- rotate head and neck contralaterally Bilaterally- stabilizes vertebrae during local movements of vertebral column Rotatores (thoracis and cervicis) –Transversospinalis Origin: arise from transverse process of vertebrae, best developed in thoracic region Insertion: pass superomedially and attach to junction of lamina and transverse process of vertebrae of origin or into spinous process above their origin, spanning 1-2 segments. Innervation: posterior rami of spinal nerves Action: unilaterally- rotate head and neck contralaterally Bilaterally- stabilizes vertebrae and assist with local extension and rotary movements Latissimus dorsi Origin: spinus process of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3-4 ribs Insertion: intertubercular sulcus Innervation: thoracodorsal nerve (C6-C8) Action: extends, adducts, and medially rotates humerus Serratus posterior superior Origin: nuchal ligament, spinus process of C7-T3 Insertion: 2nd-4th ribs Innervation: 2nd-5th intercostal nerves Action: elevate ribs Serratus posterior inferior Origin: spinus process of T11-L2 Insertion: 8th-12th ribs Innervation: anterior rami of T9-T12 nerves Action: depresses ribs Levator scapulae Origin: nuchal ligament, transverse processes of C1-C4 Insertion: superior angle of scapula Innervation: dorsal scapular (C5) Action: elevates scapula Rhomboid major Origin: spinous process of T2-T5 Insertion: medial border of scapula, level of spine to inferior angle Innervation: dorsal scapular (C4-C5) Action: retracts scapula Rhomboid minor Origin: nuchal ligament, spinus process of C7-T1 Insertion: medial border of scapula, level of spine to inferior angle Innervation: dorsal scapular (C4-C5) Action: retracts scapula Deltoid Origin: lateral third of clavicle(anterior), acrominon(middle), and spine of scapula(posterior) Insertion: deltoid tuberosity of humerus Innervation: axillary nerve (C5-C6) Action: anterior- flexes and medially rotates arm Middle- abducts arm Posterior- extends and laterally rotates arm Trapezius Origin: superior nuchal line, occipital protuberance, nuchal ligament, spinus process of T7-T12 Insertion: clavicle, acromion, and spine of scapula Innervation: spinal accessory nerve (CN XI) Action: elevates, retracts, and rotates scapula External intercostal Origin: inferior border of ribs Insertion: superior border of ribs below Innervation: intercostal nerve Action: elevate ribs Internal intercostal Origin: inferior border of ribs Insertion: superior border of ribs below Innervation: intercostal nerve Action: depresses ribs Serratus anterior Origin: Insertion: Innervation: Action: Infraspinatus Origin: Insertion: Innervation: Action: Quadratis lumborum Origin: Insertion: Innervation: Action: 1st -9th ribs Anterior surface of medial border of scapula Long thoracic nerve (C5-C7) Protracts scapula Infraspinous fossa of scapula Greater tubercle Suprascapular nerve (C5-C6) Laterally rotates arm 12th rib and lumbar transverse processes Illiolumbar ligament and iliac crest Anterior rami of T12-L4 nerves Extends and laterally flexes vertebral column, fixes 12 th rib during inspiration, “hip hiking” Teres major Origin: inferior angle of scapula Insertion: lesser tubercle Innervation: lower subscapular (C6-C7) Action: adduct and internal rotation Sternocleidomastoid (SCM) Origin: Mastoid process, superior nuchal line Insertion: Sternal head- manubrium Clavicular head- medial third of clavicle Innervation: Spinal accessory nerve (CN XI) Action: unilaterally- laterally flexes neck to side of active muscles Bilaterally- flexes cervical Teres minor Origin: lateral border of scapula Insertion: greater tubercle Innervations: axially nerve (C5-C6) Action: laterally rotates arm Anterior Scalene Origin: transverse processes of C4-C6 Insertion: 1st rib Innervation: cervical spinal nerves C4-C6 Action: flexes head Middle scalene Origin: posterior tubercles of transverse processes of C2-C7 Insertion: 1st rib Innervations: anterior rami of cervical spinal nerves Action: flexes neck laterally, elevates 1st rib Posterior scalene Origin: posterior tubercles of transverse processes of C2-C7 Insertion: 2nd rib Innervations: anterior rami of cervical spinal nerves C4-C8 Action: flexes neck laterally