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46 Cards in this Set

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Sternocleidomastoid

O: Sternum + Clavicle




I: Mastoid Process




A: (Bilaterally) neck flexion + head hyperextension


(Unilaterally) neck lateral bending + rotates face to opposite side




N: Accessory nerve (cranial nerve XI) + 2nd and 3rd cervical nerves

sternocleidomastoid

Scalenes

O: Tranverse processes of the cervical vertebrae




I: 1st + 2nd ribs




A: (Bilaterally) assists neck flexion


(Unilaterally) neck lateral bending




N: Lower cervical nerves


Suboccipitals

O: (Obliquus capitis superior + Rectus capitis posterior minor) atlas (C1)


(Obliquus capitis inferior + Rectus capitis posterior major) axis (C2)




I: Nuchal line




A: Extend the head + rotate the head




N: Suboccipital nerve ( dorsal rami C1)


Splenius Capitis

O: Lower half of nuchal ligament + spinous processes of C7 - T3




I: Lateral occipital bone + mastoid process




A: (Bilaterally) extend head & neck


(Unilaterally) rotate & laterally bend the face to same side




N: Middle and lower cervical nerves


Splenius Cervicis

O: Spinous processes of T3 - T6




I: Transverse processes of C1 - C3




A: (Bilaterally) extend neck


(Unilaterally) rotate & laterally bend the neck to same side




N: Middle and lower cervical nerves

What is the purpose of performing abdominal curls with legs extended vs. when hips/knees are flexed?

If the legs are extended and the feet are stabilized, the abdominal muscles and hip flexors (in a reversal of muscle action) are involved in the ab curl.




However, when the hips and knees are flexed or if the hips are externally rotated when the feet are not stabilized, the hip flexors become less efficient, which emphasizes the abdominal muscles to strengthen.

Rectus Abdominis

O: Pubis




I: Xiphoid process + costal cartilages of 5th, 6th, and 7th ribs




A: Trunk flexion + compression of abdomen




N: 7th - 12th intercostal nerves

External Oblique

O: Lower 8 ribs laterally




I: Iliac crest + linea alba




A: (Bilaterally) trunk flexion + compression of abdomen


(Unilaterally) lateral bending + rotation to OPPOSITE side




N: 8th - 12th intercostal, iliohypogastric, and ilioinguinal nerves

\\\/// shaped


\V/



Internal Oblique

O: Inguinal ligament + iliac crest + thoracolumbar fascia




I: 10th, 11th, and 12th ribs + abdominal aponeurosis




A: (Bilaterally) trunk flexion + compression of the abdomen


(Unilaterally) lateral bending + rotation to SAME side




N: 8th - 12th intercostal, iliohypogastric, and ilioinguinal nerves

//\\


///\\\ shaped




rotate to sAme side (L internal oblique rotates to L side)



Transverse Abdominis

O: Inguinal ligament+ iliac crest + thoracolumbar fascia + last 6 ribs (6th -12th)




I: Abdominal aponeurosis + linea alba




A: Compression of abdomen




N: 7th - 12th intercostal, iliohypogastric, and ilioinguinal nerves

Important when coughing, sneezing, laughing, forced expiration, "bearing down" during childbirth, and while having a bowel movement.


Erector Spinae Group (spinalis + longissimus + iliocostalis)

O: Common tendon (thoracolumbar aponeurosis) that attaches to the posterior surface of the sacrum, iliac crest, spinous processes of the lumbar and last 2 thoracic vertebrae




I: Various attachments at the posterior ribs, spinous & transverse processes of thoracic and cervical vertebrae, and mastoid process of temporal bone




A: (Bilaterally) extend the neck & trunk


(Unilaterally) laterally bend beck & trunk




N: Spinal nerves


Transversospinalis Group (rotatores + multifidus + semispinalis)

O: Transverse processes




I: Spinous processes of vertebra above




A: (Bilaterally) extend neck & trunk


(Unilaterally) rotate neck & trunk to opposite side




N: Spinal nerves








How many vertebra(e) does each deep trunk rotator (transversospinalis group) span?

Rotatores (shortest and deepest) = 1 vertebra




Multifidus = 2 - 4 vertebrae




Semispinalis = 5+ vertebrae








Quadratus Lumborum

O: Iliac crest




I: 12th rib + transverse processes of all 5 lumbar vertebrae




A: Trunk lateral bending




N: 12th thoracic + 1st lumbar nerves

Clinically relevant for it serving as a prime mover in producing the hip hiking movement (beneficial to those in a long-leg cast or with an immobile knee)

Define cervical PROtraction and which muscles are activated.

PROtraction:


head extension (suboccipitals)


+


neck flexion (sternocleidomastoid)

"moodle neck" or "forward head"


PRoEX-IIFLE

Define cervical REtraction and which muscles are activated.

REtraction:


head flexion (prevertebral group)


+


neck extension (spenius capitis + splenius cervicis + erector spinae + transversospinalis, interspinales)





"tucking your chin in"


REoFL-IIEX

Describe the orientation of the cervical, thoracic, and lumbar facet joints and what motions are most significantly allowed in each portion of the spine as a result.

Cervical


Orientation = triplanar or diagonally between frontal and sagittal planes.


Motions: all 3 types of motion




Thoracic


Orientation = frontal plane


Motions: rotation + lateral bending




Lumbar


Orientation = sagittal plane



Cervical /




Thoracic =




Lumbar ll ll

What portions of the vertebrae make up the neural arch?

Posterior portion of the vertebra


-pedicle


-lamina


-transverse processes


-vertebral notches


-intervertebral foramen


-superior articular process (face posteriorly or medially), inferior articular process (face anteriorly or laterally)


-spinous processes


Distinguish between a disk bulge and a herniation.

In the case of a disk bulge, the annulus fibrosis is kept intact. Over a prolonged duration of excessive force, the bulge may protrude through the rings of the annulus, and a herniation occurs


Define Scoliosis.

Scoliosis: any amount of lateral curve of the spine.


What is the name of the space between vertebrae through which nerve roots exit the spine on each side of the spinal column?

Intervertebral foramen


Demifacets are found in which region of the spinal column?

Thoracic spine


The Nuchal ligament is found on which region of the spinal column?

Cervical spine


Masseter

O: Zygomatic arch of the temporal bone + zygomatic process of maxilla




I: Angle of the ramus + coronoid process of mandible




A: (Bilaterally) elevation


(Unilaterally) ipsilateral lateral deviation




N: Trigeminal nerve (cranial nerve V)


Medial Pterygoid

O: Lateral pterygoid of the sphenoid bone + tuberosity of maxilla




I: Ramus + angle of the mandible




A: (Bilaterally) elevation + protrusion


(Unilaterally) contralateral lateral deviation




N: Trigeminal nerve (cranial nerve V)


Lateral Pterygoid

O: Lateral pterygoid plate + greater wing of the sphenoid




I: Mandibular condyle + articular disk




A: (Bilaterally) depression + protrusion


(Unilaterally) contralateral lateral deviation




N: Trigeminal nerve (cranial nerve V)


Temporalis

O: Temporal fossa




I: Coronoid process + ramus of mandible




A: (Bilaterally) elevation + retrusion/retraction [posterior fibers]


(Unilaterally) ipsilateral lateral deviation




N: Trigeminal nerve (cranial nerve V)


Suprahyoid Group [mylohyoid, geniohyoid, stylohyoid, digastric muscles]

A: Assists in depressing mandible




N:


Mylohyoid - branch of trigeminal nerve (cranial nerve V)


Geniohyoid - branch of C1 via hypoglossal nerve (cranial nerve XII)


Stylohyoid - branch of facial nerve (cranial nerve VII)


Digastric - branch of trigeminal nerve (cranial nerve V) + branch of facial nerve (cranial nerve VII)

my genie's style digs

Infrahyoid Group [sternohyoid, sternothyroid, thyrohyoid, omohyoid]

A: Stabilize hyoid bone




N: Branch of the hypoglossal nerve (cranial nerve XII) comminucating with C1 - C3

stern-HIGH


stern-THIGH


THIGH-HIGH


Oh mhy!

Which components make up the TMJ?

- Articular fossa of the temporal bone superiorly


- Articulating with condyle of the mandible inferiorly


What makes up the zygomatic arch?

zygomatic process of the temporal bone posteriorly


+


temporal process of the zygomatic bone anteriorly


How does the articular disk move during mandibular depression and elevation?

Depression:


1. Anterior rotation of mandible condyle on disk


2. Sliding disk and condyle forward and downward over articular tubercle




Elevation


1. Sliding disk and condyle backward (posteriorly) and upward (superiorly)


2. Posterior rotation of mandible condyle on disk


Diaphragm

O: Xiphoid process + ribs + lumbar vertebrae




I: Central tendon




A: Inspiration




N: Phrenic nerve (C3 + C4 + C5)


Internal Intercostals

O: Rib below




I: Rib above




A: Depress ribs




N: Intercostal nerve (T2 - T6)

//\\


///\\\ shaped



External Intercostals

O: Rib above




I: Rib below




A: Elevate ribs




N: Intercostal nerve (T2 - T6)

\\\/// shaped


\V/

Which muscles assist in quiet inspiration?

diaphragm + external intercostals

Which muscles assist in forced inspiration?

Quiet inspiration muscles:


diaphragm


external intercostals




PLUS deep inspiration muscles:


SCM


Scalenes


Pectoralis major


Levator costarum


Serratus posterior superior




PLUS:


Levator scapula


Upper trapezius


Rhomboids


Pectoralis minor

Which muscles assist in quiet expiration?

Relaxation of the diaphraghm + external intercostals




Elastic recoil of thoracic wall, lungs, and bronchi




Gravity




Internal intercostals

Which muscles assist in forced expiration?

Internal intercostals




PLUS:


Rectus abdominis


External oblique


Internal oblique


Quadratus lumborum


Transverse abdominis


Serratus anterior inferior

What are the plumb line landmarks in the anterior view?

HEAD extended and level; look for excessive flexion or hyperextension, or sidebend




SHOULDERS level




STERNUM centered in midline; look for deviation to one side, may also protrude or sunken in




HIPS both ASIS level




LEGS slightly apart, is one longer than the other?




KNEES level, observe alignment of patella and check for genu valgus/varum




ANKLES normal arch, medial malleoli level




FEET slightly outward toeing; about 15 degrees from sagittal plane

What are the plumb line landmarks in the posterior view?

HEAD extended and level; look for excessive flexion or hyperextension, or sidebend




SHOULDERS level




SPINOUS PROCESSES centered in midline of thorax




HIPS both PSIS level




LEGS slightly apart; is one longer than the other?




KNEES observe symmetry of popliteal creases, observe for genu varum/valgus




ANKLES calcanei should be straight and level

What are the plumb line landmarks in the lateral view?

HEAD through earlobe




SHOULDERS through tip of acromion process




THORACIC SPINE anterior to vertebral bodies




LUMBAR SPINE through vertebral bodies




PELVIS almost directly through its lateral midline




HIP through greater trochanter




KNEE just posterior to the patella if knees are fully extended




ANKLE just anterior to lateral malleolus if ankle is neutral

What is included in good sitting posture?

Maintaining all normal curves of spine




Keeping feet flat on floor




Supporting low back




Knees/hips at 90 degrees

What is the preferred position for someone with facet joint problems?

Flexed position





What is the preferred position for someone with intervertebral disk problems?

Extended position

Which muscles are involved in keeping the body in an upright posture? Which contribute to controlling postural sway?

UPRIGHT POSTURE:




Antigravity muscles


Hip extensors


Knee extensors


Trunk extensors


Neck extensors




+ other muscles:


trunk flexors


neck flexors


lateral benders


hip ABductors


hip ADductors


ankle pronators


ankle supinators




CONTROL POSTURAL SWAY:




All upright posture muscles


PLUS


Ankle plantar flexors


Ankle dorsiflexors