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B Y
H O S S E I N K H O R R A M I P h D D O M P
THORACOLUMBAR
MUSCLES
khorrami4@yahoo.com
http://www.scribd.com/khorrami4
Vertebral bones
• Cervical, 7
• Thoracic, 12
• Lumbar, 5
• Sacral, 5 fused
• Coccygeal, 4 fused
• Four facet joints on
each vertebrae
TRAPEZIUS MUSCLE
• Origin
• Occipital bone
• Spinous process of C7-
T12
• Insertion
• Lateral clavicle
• Acromion
• Spine of scapula
• Innervation
C3-C4 & XI( accessory nerve)
https://www.youtube.com/watch?v=P5sOhwBZon8
Trapezius, functions
• Elevation of scapula
• Retraction(adduct) scapula
• Upwardly rotate scapula
• Depress scapula
• Neck extension
https://www.youtube.com/watch?v=P5sOhwBZon8
Latissimus Dorsi
LATISSIMUS DORSI
• Origin
• T7-T12(T6-T12)
• 9th -12th ribs
• Thoracolumbar fascia
• Iliac crest
• Crest of sacrum
• Insertion
• Intertubecular sulcus of humerus
• Function
• Adduct
• Arm extension
• Internal rotation of arm at the shoulder
BICIPITAL GROOVE
• Biceps brachii
• Latissimus dorsi
• Pectoralis major
• Teres major
LATISSIMUS DORSI
• Origin
• Transverse process of C1-C4
• Insertion
• Medial border of scapula
• Innervation
• C3-C4
• Function
• Cervical Spine: Extension, lateral flexion and ipsilateral rotation
• Scapula: Elevation and downward
rotation
Levator Scapulae
Rhomboid Muscle
• Origin
• Spinous process C7-T1(minor)& T2-T5(major)
• Insertion
• Medial border of scapula
• Scapular retraction
• Elevation
Splenius Capitis
• Origin:
• C3-T3
• Insertion:
• Occipital bone
• Mastoid process
• Function
• Head & neck extension
• Lat flexion
Same side head rotation
https://www.youtube.com/watch?v=unDACOZpBpI
Splenius Cervicis
• Origin:
• Spinous process of T3-T6
• Insertion:
• Transvers process of C1-C3
• Function
• Head & neck extension
& hyperextension
• Lat flexion
Same side head rotation
Semispinalis Capitis
• Origin
• Articular process of C4-C6
• Transverse process of C7-T6
• Insertion
• Occepital bone
• Function
• Ext & hyperext of the head and
neck
• Head & neck rotation to the
opposite side
Semispinalis Cervicis
• Origin
• Transverse process of T1-T6
• Insertion
• Spinous process C2-C5
• Function
• Ext of the head and neck
• Head & neck rotation to the
opposite side
• Laterally flex neck
THORACIC INTERMEDIATE MUSCLES
• Spinalis
• Semispinalis
• Longissimus
• Iliocostalis
THORACOLUMBAR MUSCLES
• Superficial
• Latissimus dorsi
• Serratus posterior
• Internal oblique
• External oblique
• Quadratus lumbarum
• Intermediate
• Erector spinae
• Iliocostalis
• Longissimus
• Spinalis
• Deep
• Rotators
• Brevis
• Short
• Longus
• Interspinales
• Intertransvesarii
• Multifidus
Semispinalis Thoracis
• Origin
• Transverse process of T6-T10/12
• Insertion
• Spinous process C6-C7 & T1-T4
• Function
• Ext of the neck thoracic vertebrae
• Neck & thoracic rotation to the opposite
side
• Laterally flex neck & thoracic vertebrae
SPINALIS THORACIC
SPINALIS THORACIS
Semi
ILIOCOSTALIS
LONGISSIMUS
LONGISSIMUS
Spinal Extensors
MULTIFIDUS
• Multifidus muscles are very short
muscles running from TVP of one
vertebra up to the spinous process
of the next vertebra upwards
• Their main function is back stability
• They do not produce a large range
of movement, but work to produce
small, "fine-tuning" postural
movements, all day long
MULTIFIDUS
• Stabilizing
• Lateral flexion
• Contralateral rotation
• Lumbar curve
• Walking
• Coughing-Sneezing
SERRATUS POSTERIOR
• Origin: SP T11-L2
• Insertion: Ribs 9-12
• Functions:
• Deep expiration
• Rotation
• Trunk extension
INTERNAL OBLIQUE
INTERNAL OBLIQUE, FUNCTION
• Trunk flexion
• Abdominal compression
• Deep Exhale
• Rotation, same side
EXTERNAL OBLIQUE
EXTERNAL OBLIQUE
• One of the outermost abdominal muscles, extending
from the lower half of the ribs around and down to the
pelvis
• The lowest part connects to the crest of the ilium, the
pubis, and the linea alba
• Function:
• Trunk flexion
• Abdominal compression
• Deep Exhale
• Rotation, opposite side
HIP FLEXOR, PSOAS MUSCLE
Functions:
• Quadratus Lumborum fixes the
12th rib to stabilize diaphragm
attachments during inspiration
• Lateral flexes the vertebral column
• Extends lumbar vertebrae
• It forms with the
contralateral TFL and G.Medius to
maintain frontal plane stability of
the pelvis
HIP FLEXOR, PSOAS MUSCLE
• Origin: T12-L5
• Insertion: lesser
trochanter of femur
• Innervation: L1-L3
ILIACUS MUSCLE
• Origin: iliac fossa
• Insertion: base of
lesser trochanter
• Innervation: femoral
nerve
Thoracolumbar muscles

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Thoracolumbar muscles

  • 1. B Y H O S S E I N K H O R R A M I P h D D O M P THORACOLUMBAR MUSCLES khorrami4@yahoo.com http://www.scribd.com/khorrami4
  • 2. Vertebral bones • Cervical, 7 • Thoracic, 12 • Lumbar, 5 • Sacral, 5 fused • Coccygeal, 4 fused
  • 3. • Four facet joints on each vertebrae
  • 4. TRAPEZIUS MUSCLE • Origin • Occipital bone • Spinous process of C7- T12 • Insertion • Lateral clavicle • Acromion • Spine of scapula • Innervation C3-C4 & XI( accessory nerve) https://www.youtube.com/watch?v=P5sOhwBZon8
  • 5. Trapezius, functions • Elevation of scapula • Retraction(adduct) scapula • Upwardly rotate scapula • Depress scapula • Neck extension https://www.youtube.com/watch?v=P5sOhwBZon8
  • 7. LATISSIMUS DORSI • Origin • T7-T12(T6-T12) • 9th -12th ribs • Thoracolumbar fascia • Iliac crest • Crest of sacrum • Insertion • Intertubecular sulcus of humerus • Function • Adduct • Arm extension • Internal rotation of arm at the shoulder
  • 8. BICIPITAL GROOVE • Biceps brachii • Latissimus dorsi • Pectoralis major • Teres major
  • 10. • Origin • Transverse process of C1-C4 • Insertion • Medial border of scapula • Innervation • C3-C4 • Function • Cervical Spine: Extension, lateral flexion and ipsilateral rotation • Scapula: Elevation and downward rotation Levator Scapulae
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  • 12. Rhomboid Muscle • Origin • Spinous process C7-T1(minor)& T2-T5(major) • Insertion • Medial border of scapula • Scapular retraction • Elevation
  • 13. Splenius Capitis • Origin: • C3-T3 • Insertion: • Occipital bone • Mastoid process • Function • Head & neck extension • Lat flexion Same side head rotation https://www.youtube.com/watch?v=unDACOZpBpI
  • 14. Splenius Cervicis • Origin: • Spinous process of T3-T6 • Insertion: • Transvers process of C1-C3 • Function • Head & neck extension & hyperextension • Lat flexion Same side head rotation
  • 15. Semispinalis Capitis • Origin • Articular process of C4-C6 • Transverse process of C7-T6 • Insertion • Occepital bone • Function • Ext & hyperext of the head and neck • Head & neck rotation to the opposite side
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  • 17. Semispinalis Cervicis • Origin • Transverse process of T1-T6 • Insertion • Spinous process C2-C5 • Function • Ext of the head and neck • Head & neck rotation to the opposite side • Laterally flex neck
  • 18. THORACIC INTERMEDIATE MUSCLES • Spinalis • Semispinalis • Longissimus • Iliocostalis
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  • 21. THORACOLUMBAR MUSCLES • Superficial • Latissimus dorsi • Serratus posterior • Internal oblique • External oblique • Quadratus lumbarum • Intermediate • Erector spinae • Iliocostalis • Longissimus • Spinalis • Deep • Rotators • Brevis • Short • Longus • Interspinales • Intertransvesarii • Multifidus
  • 22. Semispinalis Thoracis • Origin • Transverse process of T6-T10/12 • Insertion • Spinous process C6-C7 & T1-T4 • Function • Ext of the neck thoracic vertebrae • Neck & thoracic rotation to the opposite side • Laterally flex neck & thoracic vertebrae
  • 25. Semi
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  • 34. MULTIFIDUS • Multifidus muscles are very short muscles running from TVP of one vertebra up to the spinous process of the next vertebra upwards • Their main function is back stability • They do not produce a large range of movement, but work to produce small, "fine-tuning" postural movements, all day long
  • 35. MULTIFIDUS • Stabilizing • Lateral flexion • Contralateral rotation • Lumbar curve • Walking • Coughing-Sneezing
  • 36.
  • 37. SERRATUS POSTERIOR • Origin: SP T11-L2 • Insertion: Ribs 9-12 • Functions: • Deep expiration • Rotation • Trunk extension
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  • 41. INTERNAL OBLIQUE, FUNCTION • Trunk flexion • Abdominal compression • Deep Exhale • Rotation, same side
  • 43. EXTERNAL OBLIQUE • One of the outermost abdominal muscles, extending from the lower half of the ribs around and down to the pelvis • The lowest part connects to the crest of the ilium, the pubis, and the linea alba • Function: • Trunk flexion • Abdominal compression • Deep Exhale • Rotation, opposite side
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  • 50. Functions: • Quadratus Lumborum fixes the 12th rib to stabilize diaphragm attachments during inspiration • Lateral flexes the vertebral column • Extends lumbar vertebrae • It forms with the contralateral TFL and G.Medius to maintain frontal plane stability of the pelvis
  • 51. HIP FLEXOR, PSOAS MUSCLE • Origin: T12-L5 • Insertion: lesser trochanter of femur • Innervation: L1-L3
  • 52. ILIACUS MUSCLE • Origin: iliac fossa • Insertion: base of lesser trochanter • Innervation: femoral nerve