Scapular Elevation and Depression Anatomy Quiz
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Questions and Answers

Which muscles are primarily involved in scapular elevation?

  • Levator scapulae (correct)
  • Upper fibers of trapezius (correct)
  • Rhomboids major and minor
  • Pectoralis minor

What is the range of motion for full scapular elevation?

  • No separation from the ear
  • Approximately 3 fingers separating from the ear (correct)
  • Two fingers separating from the ear
  • One finger separating from the ear

What is a limiting factor of scapular elevation range of motion?

  • Tension of costo-clavicular ligament (correct)
  • Strength of the levator scapulae
  • Tension of upper trapezius
  • Flexibility of the rotator cuff

What is the action of the upper fibers of the trapezius during bilateral action?

<p>Elevation of the scapula (A)</p> Signup and view all the answers

Which of the following describes the insertion point of the levator scapulae?

<p>Medial border of scapula between superior angle and root of spine (D)</p> Signup and view all the answers

What effect does weakness in scapular elevator muscles have?

<p>Compensatory shoulder movements (C)</p> Signup and view all the answers

Which nerve supplies the upper fibers of trapezius?

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

Which muscle is not primarily involved in scapular depression?

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

Which muscles are primarily responsible for scapular elevation?

<p>Upper fibers of trapezius and levator scapulae (D)</p> Signup and view all the answers

What is the approximate distance when the shoulder is fully elevated in terms of fingers from the ear?

<p>3 fingers (B)</p> Signup and view all the answers

What is a limiting factor for the range of motion during scapular elevation?

<p>Tension of costo-clavicular ligament (A)</p> Signup and view all the answers

Which nerve innervates the upper fibers of trapezius?

<p>Accessory nerve (11 cranial nerve) (A)</p> Signup and view all the answers

What action is performed by the upper fibers of trapezius when acting unilaterally?

<p>Lateral flexion and rotation of the head (B)</p> Signup and view all the answers

Which muscle group assists in scapular depression?

<p>Lower fibers of trapezius and pectoralis minor (A)</p> Signup and view all the answers

What would likely be an effect of weakness in scapular elevator muscles?

<p>Difficulty in overhead activities (D)</p> Signup and view all the answers

Which of the following muscles is NOT involved in scapular elevation?

<p>Pectoralis major (C)</p> Signup and view all the answers

Flashcards

Scapular Elevation Muscles

Muscles that lift the scapula (shoulder blade).

Scapular Elevation ROM

The range of movement for lifting the scapula, roughly 3 finger widths approximately above the ear.

Trapezius (upper fibers)

Muscle that elevates the scapula, also extends and rotates neck.

Levator Scapulae

Muscle that elevates the scapula.

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Scapular Depression Muscles

Muscles that lower the scapula.

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Scapular Depression ROM

The range of motion for lowering the scapula.

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Scapular Depressor Muscles

Muscles that lower the scapula, such as lower fibers of trapezius, pectoralis minor, and subclavius.

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Weakness in Scapula Elevator muscles

A condition where the muscles that elevate the scapula aren't strong enough, resulting in restricted upward movement of the scapula, or a compensatory pattern of movement.

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Scapular Elevation

The movement of the scapula (shoulder blade) upwards towards the ear.

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Primary Muscles of Scapular Elevation

The main muscles responsible for scapular elevation are the upper fibers of the trapezius and levator scapulae.

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Range of Motion for Scapular Elevation

The normal range of motion for scapular elevation is about 3 fingers width between the shoulder and ear.

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Weakness of Scapular Elevators

When the scapular elevators are weak, it can cause difficulty lifting the shoulder, leading to a potential compensatory pattern of movement.

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Scapular Depression

The movement of the scapula (shoulder blade) downwards away from the ear.

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Primary Muscles of Scapular Depression

The main muscles responsible for scapular depression are the lower fibers of the trapezius, pectoralis minor, and subclavius.

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Range of Motion for Scapular Depression

The normal range of motion for scapular depression is lowering the scapula from elevated position.

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Weakness of Scapular Depressors

When the scapular depressors are weak, it can cause difficulty lowering the shoulder, potentially resulting in a rounded shoulder posture.

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Study Notes

Scapular Elevation and Depression

  • Objectives: Students will learn to identify the muscles involved in scapular elevation and depression, describe their range of motion, and understand the effects of weakness in these muscles.

  • Content: The content covers the anatomy of muscles involved in elevation and depression of the scapula, their range of motion, and effects of weakness in these muscles.

Scapular Elevation Muscles

  • Primary Muscles: Upper fibers of trapezius and levator scapulae.

  • Range of Motion: Shoulder is lifted up approximately 3 fingers' width from the ear.

  • Limiting Factors: Costo-clavicular ligament tension and tension in muscles depressing the scapula (pectoralis minor, subclavius, lower fibers of trapezius).

Anatomy of Trapezius (Upper Fibers)

  • Origin: External occipital protuberance, medial 1/3 of superior nuchal line, and ligamentum nuchae; spinous process of C7 vertebra.

  • Insertion: Lateral 1/3 of clavicle, acromion process.

  • Nerve Supply: Accessory nerve (cranial nerve XI), anterior rami of C2, C3 and C4.

  • Action (Bilateral): Elevates scapula, extends cervical spine.

  • Action (Unilateral): Extends, laterally flexes and rotates head/neck to the opposite side.

Anatomy of Levator Scapulae

  • Origin: Transverse processes of C1-C4 vertebrae.

  • Insertion: Medial border of scapula between superior angle and root of spine.

  • Nerve Supply: Dorsal scapular nerve.

  • Action (Bilateral): Extends cervical spine, elevates scapula.

  • Action (Unilateral): Rotates and laterally flexes cervical vertebrae on same side.

Scapular Depression

  • Primary Muscles: Lower fibers of trapezius, middle fibers of trapezius (accessory).

  • Range of Motion: Depression is equivalent to 3-4 fingers.

Limiting Factors of Range of Motion

  • Tension of interclavicular ligament, articular disc of sternoclavicular joint, tension in trapezius (upper fibers), levator scapulae and sternocleidomastoid (clavicular head).

Anatomy of Trapezius (Lower Fibers)

  • Origin: Spinous processes of T6-T12.

  • Insertion: Apex of spine of scapula.

  • Nerve Supply: Accessory nerve (cranial nerve XI), Anterior rami of C2, C3, and C4.

  • Action: Depresses scapula and stabilizes when middle/upper fibers are working.

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Description

This quiz focuses on the muscles involved in scapular elevation and depression, including their anatomy, range of motion, and implications of muscle weakness. Students will gain a deeper understanding of the trapezius and levator scapulae muscles and how they function in shoulder movement.

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