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Shoulder and Arm Kinesiology Flash Cards Associated Bodywork & Massage Professionals Directions • The first slide asks a question. • The second slide answers the question. • Use these slides like flash cards to test your core knowledge. Associated Bodywork & Massage Professionals Question • What is the superior attachment of the trapezius muscle? Associated Bodywork & Massage Professionals Answer • The occipital bone • More specifically, the external occipital protuberance and the superior nuchal line Associated Bodywork & Massage Professionals Question • What ligament attaches the superior trapezius to the spinous processes of the cervical vertebrae? Associated Bodywork & Massage Professionals Answer • The ligamentum nuchae • This ligament sticks out posteriorly from the spinous processes of the cervical vertebrae. Associated Bodywork & Massage Professionals Question • Which vertebrae does the trapezius attach to? Associated Bodywork & Massage Professionals Answer • The spinous processes of all cervical and all thoracic vertebrae (C1 through T12). Associated Bodywork & Massage Professionals Question • What bones of the shoulder girdle does the trapezius muscle attach to? Associated Bodywork & Massage Professionals Answer • Scapula – The points on the scapula that the traps attach to are the spine of the scapula and the acromion process. • Clavicle – The trapezius muscle inserts as a continuous line from the scapula to the lateral third of the clavicle. Associated Bodywork & Massage Professionals Question • What bony landmark is the vertebral attachment site for the trapezius muscle? a. b. c. d. Transverse process The lamina The spinous process The pedicle Associated Bodywork & Massage Professionals Answer a. Transverse process b. The lamina c.The spinous process d. The pedicle The spinous process is the bony spike that grows directly posteriorly and at the midline of the posterior portion of the vertebra. It is the part that looks like the ridges that stick out of the backs of lizards. Associated Bodywork & Massage Professionals Question • Which fibers of the trapezius are most responsible for retraction of the scapula? a. Upper fibers b. Middle fibers c. Lower fibers Associated Bodywork & Massage Professionals Answer a. Upper fibers b.Middle fibers c. Lower fibers The middle fibers of the trapezius originate at the upper 5 thoracic vertebrae, and insert at the spine of the scapula, and the acromion process. The horizontal alignment of these fibers allows for retraction of the scapula. Associated Bodywork & Massage Professionals Question • Which Vertebrae have attachment sites for the rhomboid muscles? a. C7-T5 b. T5-T10 c. T10-L2 d. L2-L5 Associated Bodywork & Massage Professionals Answer a.C7-T5 b. T5-T10 c. T10-L2 d. L2-L5 • Rhomboid minor originates at C7 and T1, and is superior to rhomboid major. • Rhomboid major originates at T2-T5. Associated Bodywork & Massage Professionals Question • What are the actions of the rhomboid muscles? Associated Bodywork & Massage Professionals Answer • Retract the scapula • Elevate the scapula • Downward rotation of the scapula (causing the glenoid fossa to face inferiorly) Associated Bodywork & Massage Professionals Question • What is the origin of the levator scapula muscle? a. b. c. d. Upper 4 cervical vertebrae Lower 4 cervical vertebrae The occipital bone The temporal bone Associated Bodywork & Massage Professionals Answer a. Upper 4 cervical vertebrae b. c. d. Lower 4 cervical vertebrae The occipital bone The temporal bone Associated Bodywork & Massage Professionals Question • What is the action of the levator scapula muscle? Associated Bodywork & Massage Professionals Answer • Elevation of the scapula • Downward rotation of the scapula • Lateral flexion and ipsilateral rotation of the cervical vertebrae Associated Bodywork & Massage Professionals Question • What is the origin of the serratus anterior muscle? Associated Bodywork & Massage Professionals Answer • Upper 9 ribs Associated Bodywork & Massage Professionals Question • What is the action of the serratus anterior muscle? Associated Bodywork & Massage Professionals Answer • Protraction of the scapula – This is motion of the scapula laterally and anteriorly. – The serratus anterior also plays an important role in holding the scapula close to the posterior ribcage. Associated Bodywork & Massage Professionals Question • What bone connects the scapula to the axial skeleton? Associated Bodywork & Massage Professionals Answer • Clavicle Associated Bodywork & Massage Professionals Question • Which muscle lies superficially to the pectoralis minor? a. b. c. d. Pectoralis major Serratus anterior Coracobrachialis Brachioradialis Associated Bodywork & Massage Professionals Answer a. Pectoralis major b. Serratus anterior c. Coracobrachialis d. Brachioradialis Associated Bodywork & Massage Professionals Question • What is the insertion of the pectoralis major? Associated Bodywork & Massage Professionals Answer • The lateral lip of the bicipital groove. – The bicipital groove is also referred to as the intertubercular sulcis. This landmark is where the tendon for the long head of the biceps brachii lies. It is between the lesser tubercle and greater tubercle of the humerus. Associated Bodywork & Massage Professionals Question What are the origins for the pectoralis major? (Choose three of the options below.) – Humerus – Sternum – Clavicle – Scapula Associated Bodywork & Massage Professionals — — — — Ribs Coracoid process Cervical vertebrae Ulna Answer • Sternum • Clavicle • Ribs Associated Bodywork & Massage Professionals Question What is the origin of the pectoralis minor? a. b. c. d. Sternum Clavicle Coracoid process Ribs Associated Bodywork & Massage Professionals Answer a. Sternum b. Clavicle c. Coracoid process d. Ribs – The origin of the smaller pec muscle, pectoralis minor, is at ribs 3, 4, and 5. Associated Bodywork & Massage Professionals Question • Which of the teres muscles medially rotates the arm at the shoulder? Associated Bodywork & Massage Professionals Answer Teres major Associated Bodywork & Massage Professionals Question What muscle has the same action as teres major? a. Teres minor b. Pectoralis major c. Latissimus dorsi d. Deltoids Associated Bodywork & Massage Professionals Answer • Teres minor • Pectoralis major • Latissimus dorsi • Deltoids – This little muscle, teres major, is nicknamed “lat’s little helper,” as it does the same action as its much larger counterpart, the latissimus dorsi. Associated Bodywork & Massage Professionals Question • What rotator cuff muscle causes the first 15° of abduction of the humerus at the shoulder? Associated Bodywork & Massage Professionals Answer • Supraspinatus Associated Bodywork & Massage Professionals Question Put these body parts in order of most superficial to most deep. – Ribs – Scapula – Subscapularis – Infraspinatus – Serratus anterior Associated Bodywork & Massage Professionals Answer – Infraspinatus – Scapula – Subscapularis – Serratus anterior – Ribs Associated Bodywork & Massage Professionals Question • What are the four muscles of the rotator cuff? Hint: This group of muscles is often referred to as the SITS muscles. Associated Bodywork & Massage Professionals Answer • • • • Supraspinatus Infraspinatus Teres minor Subscapularis Associated Bodywork & Massage Professionals Question • What muscle of the rotator cuff has an action of medial rotation of the humerus at the shoulder? Associated Bodywork & Massage Professionals Answer • Subscapularis Associated Bodywork & Massage Professionals Question • What three muscles attach at the coracoid process? Associated Bodywork & Massage Professionals Answer • Pectoralis minor • The short head of the biceps brachii • Coracobrachialis Associated Bodywork & Massage Professionals Question • What muscle can flex, extend, and abduct the humerus at the shoulder? Associated Bodywork & Massage Professionals Answer • The deltoid – This shoulder muscle has three heads, each with its own set of actions. – The heads are: • Anterior • Middle • Posterior Associated Bodywork & Massage Professionals