Presentation is loading. Please wait.

Presentation is loading. Please wait.

Muscles of back D.Rania Gabr D.Sama. D.Elsherbiny.

Similar presentations


Presentation on theme: "Muscles of back D.Rania Gabr D.Sama. D.Elsherbiny."— Presentation transcript:

1 Muscles of back D.Rania Gabr D.Sama. D.Elsherbiny

2 Objectives Identify the superficial and deep muscles of the back in terms of their location, nerve supply and actions. Understand the muscle support of the trunk. Explain the mechanism of body weight transmission.

3 Vertebral Column  Cervical: 7  Thoracic: 12  Lumbar: 5  Sacral: 5 (fused to form 1 sacrum)  Coccygeal: 4 (fused to form coccyx)  Total= 33 (counted as 26 in the total bones of the body because of fusion.

4

5 Movements at the Vertebral Column  Flexion: bending forward  Extension: bending backwards  Lateral flexion: bending side-wards  Rotation: Twisting the trunk  Circumduction: Combined movements

6 MUSCLES OF THE BACK They are organized into 3 groups: Deep group: attached to & involved in the movement of vertebral column & head. Intermediate group: attached to ribs & serve respiratory functions. Superficial group: attached to & involved in the movements of upper limb.  Intrinsic muscles:  Develop in the back  Supplied by posterior rami of spinal nerves  Extrinsic muscles:  Not developed in the back  Supplied by anterior rami of spinal nerves.

7 Extrinsic Muscles of the Back Superficial extrinsic back muscles: 1. Superficial extrinsic back muscles:  Trapezius  Latissimus dorsi  Levator scapulae  Rhomboids major & minor  They all connect the upper limb to the trunk. Supplied by anterior rami of spinal nerves

8 Superficial Extrinsic Back Muscles Trapezius Latissimus dorsi Levator scapulae Rhomboids major & minor

9 TRAPEZIUS Action

10 LEVATOR SCAPULAE; RHOMBOID MINOR & MAJOR  Origin: 1.Levator scapulae: cervical transverse processes 2.Rhomboid minor & major: thoracic spines  Insertion: back of medial border of scapula.  Nerve supply: dorsal scapular nerve.  Actions: 1.Levator scapulae: elevates scapula. 2.Rhomboid minor & major: retract scapula.

11 LATISSIMUS DORSI Origin:  Spinous processes of T7 - L5 vertebrae.  Iliac crest of sacrum.  Thoracolumbar fascia.  Inferior angle of the scapula.  Lower three or four ribs.  Insertion : floor of bicipital groove of humerus.  Nerve supply : thoracodorsal nerve.  Actions :  extension, adduction & medial rotation of humerus (arm, shoulder joint).

12 Extrinsic Muscles of the Back Intermediate extrinsic back muscles: 2. Intermediate extrinsic back muscles:  Serratus posterior superior  Serratus posterior inferior They are superficial respiratory muscles and are supplied by intercostal nerves.

13 Intermediate Extrinsic Back Muscles  It includes: Serratus posterior superior Serratus posterior superior (rib elevator). Serratus posterior inferior Serratus posterior inferior (rib depressor).  Nerve supply:  Nerve supply: anterior rami of thoracic spinal nerves.

14 Intrinsic Muscles of the Back  Called muscles of the back proper.  Deep muscles of the back.  All are supplied by the posterior primary rami of spinal nerves.  Act to maintain posture and control movement of the vertebral column.

15 Intrinsic Muscles of the Back Superficial intrinsic back muscles: 1.Superficial intrinsic back muscles:  Splenius cervices & splenius capitis N.S: Posterior rami of spinal nerves. Acting alone; Actions: Acting alone; laterally flex neck & rotate head to side of active muscle. Acting together; Acting together; extend head & neck.

16 Superficial Intrinsic Back Muscles Splenius cervices & splenius capitis

17 Superficial Intrinsic Back Muscles

18 Intermediate intrinsic back muscles: 2.Intermediate intrinsic back muscles:  Erector spinae is the chief extensor of the vertebral column & is divided into three columns (also called as the long muscle of the back).  Ilio-costalis (forms lateral column)  Longissimus (forms intermediate column)  Spinalis (forms medial co lumn)

19  They extend from sacrum to skull.  They include extensors and rotators of head & vertebral column.  Their tone is responsible for maintenance of normal curvature of vertebral column.

20

21 Intrinsic Muscles of the Back Deep intrinsic back muscles: 3.Deep intrinsic back muscles:  It can be divided into two groups:  Major deep layer  Minor deep layer

22 Deep Intrinsic Muscles of the Back 1-Major deep layer  Transversospinal group consist of semispinalis, multifidus & rotators.  N.S:  N.S: Posterior rami of spinal nerves.  Actions:  Actions: Extension and stabilization of vertebral column.

23 Deep Intrinsic Back Muscles Transversospinal group (semispinalis, multifidus & rotators)

24 Deep Intrinsic Muscles of the Back 2- Minor deep layer  Interspinales  Intertransversarii  Levatores costarum  N.S:  N.S: Posterior rami of spinal nerves  Actions  Actions: Extension, rotation, lateral flexion and stabilization of vertebral column.

25

26 Movements of Back and Neck

27 MUSCULAR TRIANGLES OF BACK  Auscultatory Triangle: 2.Boundaries: latissimus dorsi, trapezius, and medial border of scapula. 2. Importance: breath sounds are most easily heard with a stethoscope.  Lumbar Triangle: (Triangle of Petit) 1.Boundaries : latissimus dorsi, posterior border of external oblique muscle of the abdomen and iliac crest. 2. Importance: Site of an abdominal hernia

28 Muscles of the back Extrinsic: Movements of upper limb and respiration. 1 st layer: Trapezius - Latissimus Dorsi 2nd layer:Levator Scapulae- Rhomboids (minor & major) 3rd layer:Serratus posterior (superior & inferior) Intrinsic: Act on vertebral column and neck. 1st layer:Splenius 2nd layer:Erector Spinae:Iliocostalis Longissimus Spinalis 3rd layer:Transversospinal:Multifidus Rotatores Semispinalis

29


Download ppt "Muscles of back D.Rania Gabr D.Sama. D.Elsherbiny."

Similar presentations


Ads by Google