Podcast
Questions and Answers
Which spinal nerve contributes to the innervation of the Longissimus Lumborum?
Which spinal nerve contributes to the innervation of the Longissimus Lumborum?
What is the role of the Iliocostalis during unilateral contraction?
What is the role of the Iliocostalis during unilateral contraction?
Which of the following muscles gets shorter with poor posture like kyphosis?
Which of the following muscles gets shorter with poor posture like kyphosis?
Where does the Semispinalis Capitis muscle run down to?
Where does the Semispinalis Capitis muscle run down to?
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What is a landmark for the location of the spine of the scapula?
What is a landmark for the location of the spine of the scapula?
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Which muscles are included in the internal rotators of the shoulder?
Which muscles are included in the internal rotators of the shoulder?
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What anatomical feature allows for the passage of the Vertebral Artery in cervical vertebrae?
What anatomical feature allows for the passage of the Vertebral Artery in cervical vertebrae?
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Which of the following muscles is NOT part of the Sub Occipital Triangle?
Which of the following muscles is NOT part of the Sub Occipital Triangle?
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What happens to the torque contribution to spinal rotation as the distance from the spine increases?
What happens to the torque contribution to spinal rotation as the distance from the spine increases?
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What can cause elderly people to lose their balance when looking up?
What can cause elderly people to lose their balance when looking up?
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Which muscle is primarily involved in the first 30 degrees of shoulder abduction?
Which muscle is primarily involved in the first 30 degrees of shoulder abduction?
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Which ligament helps to limit the separation of the clavicle in the shoulder?
Which ligament helps to limit the separation of the clavicle in the shoulder?
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Which ligament fuses with the posterior longitudinal ligament?
Which ligament fuses with the posterior longitudinal ligament?
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What is the primary function of the anterior longitudinal ligament?
What is the primary function of the anterior longitudinal ligament?
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What is the anatomical alignment of the inferior border of the scapula?
What is the anatomical alignment of the inferior border of the scapula?
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How does vertebral motion differ during flexion?
How does vertebral motion differ during flexion?
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What role does the vestibulospinal tract play in the body?
What role does the vestibulospinal tract play in the body?
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What is the contribution of the brachial plexus to the radial nerve innervation?
What is the contribution of the brachial plexus to the radial nerve innervation?
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What is the role of the quadratus lumborum?
What is the role of the quadratus lumborum?
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During flexion of the cervical spine, what movement occurs between the occiput and C1?
During flexion of the cervical spine, what movement occurs between the occiput and C1?
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During shoulder flexion or abduction above 90 degrees, what motion occurs at the glenohumeral joint?
During shoulder flexion or abduction above 90 degrees, what motion occurs at the glenohumeral joint?
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What is the main function of the cerebellum in relation to movement?
What is the main function of the cerebellum in relation to movement?
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What is the biomechanical condition with the least intradiscal pressure?
What is the biomechanical condition with the least intradiscal pressure?
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Which muscle contributes significantly to spinal stability?
Which muscle contributes significantly to spinal stability?
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Study Notes
Spinal Nerves
- Posterior rami of spinal nerves innervate deep back muscles, such as erector spinae.
- The Longissimus Lumborum is innervated by the T1 Spinal Nerve.
Back Musculature
- Splenius Capitis spans from the head down to approximately T3.
- Semispinalis Capitis spans from the head down to T7.
- Iliocostalis is the most lateral muscle of the erector spinae group and is most likely to cause rotation.
- Unilateral contraction of Iliocostalis causes rotation.
- The spine of the scapula is a landmark for T3.
- The Semispinalis Capitis runs down to the inferior border of the scapula (T7).
Posture
- Kyphosis is characterized by a forward head posture and a rounded upper back.
- With poor posture like kyphosis, consider:
- Torque on the spine
- Muscles that are elongated or shortened
- Latissimus dorsi - elongated
- Rhomboids - elongated
- Splenius cervicis - shortened
- Suboccipital triangle muscles - shortened
- Pectoralis major - shortened
- Internal rotators of the shoulder - shortened
- Rotator cuff muscles:
- Internal rotators:
- Subscapularis
- Infraspinatus
- External rotators:
- Teres minor
- Internal rotators:
Cervical Spine Anatomy
- Cervical vertebrae have transverse foramina for the vertebral arteries.
- Suboccipital triangle muscles are the deepest cervical spine muscles.
- The suboccipital triangle contains the suboccipital nerve and vertebral artery.
- Deterioration of cervical vertebrae can affect blood flow to the brain and lead to balance issues.
- The vertebral artery arises from the subclavian artery.
Cervical Spine Ligaments
- Supraspinous ligament fuses with the Ligamentum nuchae at T1.
- Intertransverse ligaments, located on the sides of the spine, limit ipsilateral lateral flexion (unless a direction is given).
- Intertransverse ligaments limit contralateral lateral flexion if a direction is given.
- Interspinous ligaments limit extension.
- Posterior longitudinal ligament limits flexion
- Anterior longitudinal ligament limits extension.
Arthrokinematics of the Spine
- During flexion, vertebrae move closer anteriorly.
- During flexion, the lamina will move apart in relation to each other.
- A shortened ligament indicates structures moving closer.
- A stretched ligament indicates structures moving apart.
Quadartis Lumborum and Psoas Major
- Quadratus lumborum connects the pelvis, lumbar spine and lower ribs.
- Quadratus lumborum helps with hip hiking.
- Psoas major connects to the lumbar spine (bodies of L1-L5 and transverse processes)
- Psoas major can affect lumbar spine mobility and lead to back pain.
Back Muscles
- Erector spinae muscles help with spinal stability and mobility.
- Multifidi contribute to back stability.
- Rotatores are involved in spinal stability, but have a smaller lever arm than Iliocostalis.
- Rhomboids contribute to back stability.
Brachial Plexus
- Brachial plexus roots (ventral rami) innervate the terminal branches.
- The radial nerve innervates the triceps brachii.
- The triceps brachii is innervated by the radial nerve.
Shoulder
- The Supraspinatus muscle is involved in the first 30 degrees of abduction.
- The subacromial space contains the supraspinatus, biceps long head tendon and bursa.
- The subacromial space is a potential area for impingement.
Axillary Artery
- The subclavian artery becomes the axillary artery after it passes the first rib.
- The second part of the axillary artery is completely covered by the pectoralis minor muscle.
- The axillary artery becomes the brachial artery at the inferior border of the teres major muscle.
Shoulder Biomechanics
- The proximal clavicle is convex on concavity vertically, and concave on convexity horizontally.
- Shoulder flexion or abduction above 90 degrees involves a posterior roll of the humerus.
- The coracoid process is the attachment point of the conoid, trapezoid and another ligament that limits clavicle separation.
- These ligaments contribute to rotation as they connect to the scapula.
- GH joint ligaments contribute to force couples.
Cerebellar Stroke
- A cerebellar stroke can lead to poor coordination due to loss of vestibular function and a high risk of falling.
Vestibulospinal Tract
- The Vestibulospinal tract affects balance (lateral).
Reflexes
- Understand the upper and lower motor unit contributions to reflexes and the underlying reflex mechanisms.
Movement Control
- Understand how the brain and cerebellum work together to control movement.
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