Deep Layer Back Muscles

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Questions and Answers

Which muscle group is primarily responsible for extension and hyperextension of the head, neck, and trunk?

  • Transversospinales (correct)
  • Levator Costarum
  • Interspinalis
  • Intertransversarii

Which of the following muscles is innervated by both dorsal primary rami (DPR) and ventral primary rami (VPR) of spinal nerves?

  • Multifidus
  • Semispinalis
  • Interspinalis
  • Intertransversarii (correct)

Which muscle listed is NOT located in the deepest layer of the deep posterior muscles of the back?

  • Intertransversarii
  • Levator Costarum
  • Multifidus (correct)
  • Interspinalis

If a patient has lost the ability to extend their trunk, which muscle group is MOST likely affected?

<p>Transversospinales (B)</p> Signup and view all the answers

Which muscle is innervated by the subcostal nerve, and also contributes to movements of the trunk?

<p>Quadratus Lumborum (C)</p> Signup and view all the answers

A patient reports pain along their spine and difficulty rotating their trunk. Which of the following muscle groups is MOST likely involved?

<p>Rotatores (D)</p> Signup and view all the answers

If a patient has damage to the dorsal primary rami (DPR) of spinal nerves in the lumbar region, which muscle would be MOST affected?

<p>Interspinalis (B)</p> Signup and view all the answers

Why are the interspinalis and intertransversarii muscles categorized as being in the 'deepest' layer?

<p>They are closest to the vertebral column. (C)</p> Signup and view all the answers

Which of the following muscle actions would be MOST affected by damage to the levator costarum?

<p>Rib elevation (B)</p> Signup and view all the answers

How do the segmental nerve roots contribute to the function of the deep back muscles?

<p>They enable coordinated and localized muscle contractions. (A)</p> Signup and view all the answers

The multifidus muscle is part of which muscle group?

<p>Transversospinales (D)</p> Signup and view all the answers

Which of the following does NOT receive innervation from the dorsal primary ramus (DPR)?

<p>Quadratus Lumborum (C)</p> Signup and view all the answers

Which muscle performs lateral flexion of the trunk?

<p>Quadratus Lumborum (D)</p> Signup and view all the answers

A patient presents with pain upon inspiration. Which muscle is potentially the source of the pain?

<p>Levator Costarum (C)</p> Signup and view all the answers

The semispinalis muscle contributes primarily to which movement(s)?

<p>Trunk Extension (D)</p> Signup and view all the answers

Which of the following muscles is responsible for stabilizing adjacent vertebrae?

<p>Interspinalis (A)</p> Signup and view all the answers

Which of the following statements is MOST accurate regarding the innervation of deep back muscles?

<p>Some deep back muscles are innervated by both dorsal and ventral primary rami. (C)</p> Signup and view all the answers

What is the functional impact of the segmental arrangement of nerve supply to the deep back muscles?

<p>It allows for precise, localized control and stabilization of the vertebral column. (B)</p> Signup and view all the answers

Which of the following muscles would be MOST important for maintaining an upright posture against resistance?

<p>Multifidus (A)</p> Signup and view all the answers

A person is experiencing increased lordosis (exaggerated lumbar curve). Dysfunction in which muscle could contribute to this condition?

<p>Quadratus Lumborum (A)</p> Signup and view all the answers

Flashcards

Deep Layer Muscles

Muscles located in the deep layer of the back, including semispinalis, multifidus, and rotatores.

DPR (Dorsal Primary Rami)

Dorsal primary rami; innervates the deep back muscles segmentally from spinal nerve roots.

Deepest Layer Muscles

A group of muscles including interspinalis, intertransversarii, and levator costarum, located in the deepest layer of the back.

Common Actions

These muscles extend and hyperextend the head, neck, and trunk.

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Quadratus Lumborum

Originates from the subcostal nerve (T12) and is in the deepest layer.

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Interspinalis

Muscles that connect and stabilize the vertebrae.

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Intertransversarii

Muscles running between the transverse processes of the vertebrae.

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Study Notes

  • Deep layer muscles include semispinalis, multifidus, rotatores, interspinalis, intertransversarii, levator costarum and quadratus lumborum.
  • Semispinalis, multifidus, and rotatores belong to the transversospinales group.
  • The common actions of these muscles are head, neck, and trunk extension, as well as hyperextension.
  • Semispinalis, multifidus, rotatores, interspinalis, and levator costarum are innervated by the dorsal primary rami (DPR) of segmental nerves and roots.
  • Intertransversarii are innervated by both dorsal primary rami (DPR) and ventral primary rami (VPR) of segmental nerves and roots.
  • Quadratus lumborum is innervated by the subcostal nerve (T12).

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