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Intro, Nervous System, Back, Shoulder, Brachial Plexus
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How many pairs of spinal nerves are there?
31
Somatic Nervous system controls…
Voluntary movements
Pain, temperature, pressure, touch sensations
Visceral Nervous system controls…
Viscera
Organ function, control of smooth muscle
fight or flight
Which direction does sensory information go?
Towards the CNS (Afferent)
Which direction does motor information go?
Away from CNS (Efferent)
What is dermatome?
A segment of skin innervated by sensory fibers of a single spinal nerve root.
What is myotome?
A group of muscles innervated by motor fibers of a single spinal nerve root.
The spinal cord is composed of what?
White matter (Axons) and Gray matter (Cell bodies)
Which fibers do posterior roots carry?
Afferent (sensory) in
Which fibers do anterior roots carry?
Efferent (motor) out
What is the axial skeleton composed of?
The axial skeleton is composed of the skull, vertebral column, and rib cage.
What is the appendicular skeleton composed of?
The appendicular skeleton is composed of the limbs and the girdles that attach them to the axial skeleton.
What is the pink dot locating in this image?
External occipital protuberance
What is the yellow dot locating in this image?
Mastoid process
What is the arrow locating in this image?
Glenoid Fossa
What is the blue dot locating in this image?
Spine of scapula
What is the orange dot locating in this image?
Acromion process
What is the green dot locating in this image?
Caracoid process
How many cervical vertebrae are there?
5
How many thoracic vertebrae are there?
12
How many lumbar vertebrae are there?
5
How many sacral vertebrae (fused; sacrum) are there?
5
What is the green dot locating in this image?
Body
What is teal dot locating in this image?
Arch; Pedicles
What is the pink dot locating in this image?
Arch; Laminae
What is the yellow dot locating in this image?
Transverse process
What is the dark blue dot locating in this image?
Spinous process
What is the white dot locating in this image?
Articular process with facets
What is the “X” locating in this image?
Vertebral foramen
What is this image showing?
Iliac crest
What is isometric contraction?
no movement, but muscle tension is increased to resist a force
What is isotonic contraction?
muscle changes in length (shortens) to produce movement
What is the teal line locating in this image?
Anterior Ramus; supplies anterior and lateral body wall
What is the green line locating in this image?
Posterior Ramus; supplies posterior body wall
Where is the proximal attachment for the trapezius?
Sup. nuchal line, spinous processes of C7-T12, external occipital protuberance, nuchal ligament
Where is the distal attachment for the trapezius?
Spine & acromion of scapula, lateral third of clavicle
What is the action of the trapezius?
Elevates, retracts, depresses, or upward rotation of scapula
What is the innervation of the trapezius?
Accessory Nerve
What is the proximal attachment for the latissimus dorsi?
Spinous pr. of T7-T12, thoracolumbar fascia, iliac crest
What is the distal attachment for the latissimus dorsi?
Humerus
What is the action of the latissimus dorsi?
Extends, adducts, medially rotates arm
What is the innervation for the latissimus dorsi?
Thoracodorsal nerve
What is the proximal attachment of the levator scapulae?
Transverse processes of C1-C4
What is the distal attachment of the levator scapulae?
Upper medial border of scapula
What is the action of the levator scapulae?
Elevates scapula, downward rotates glenoid fossa
What is the innervation for the levator scapulae?
Dorsal scapular nerve
What is the proximal attachment for the Rhomboid minor?
C7 and T1spinous processes
What is the distal attachment for the Rhomboid minor?
Medial border of scapula
What is the action of the Rhomboid minor?
Retracts scapula, downward rotates
glenoid fossa
What is the innervation of the Rhomboid minor?
Dorsal Scapular nerve
What is the proximal attachment for the Rhomboid major?
T2-T5 spinous processes
What is the distal attachment for the Rhomboid major?
Medial border of scapula
What is the action of the Rhomboid major?
Retracts scapula, downward rotates glenoid fossa
What is the innervation of the Rhomboid major?
Dorsal scapular nerve
What is unilateral or ipsilateral movement?
movement on one side
What is bilateral movement?
movement on both sides
What is the origin of the splenius?
Spinous processes of C7-T4, nuchal ligament
What is the insertion of the splenius?
Mastoid pr. and sup. nuchal line (Splenius capitus) Transverse processes of C1-C4 (Splenius cervicis)
What is the action of the splenius?
Bilateral contraction – extend head/neck
Unilateral contraction – ipsilateral lateral flexion and rotation of the head
What is the innervation of the splenuis?
Posterior rami
What is the teal arrow locating in this image?
Spinalis
What is the green arrow locating in this image?
Longissimus
What is the purple arrow locating in this image?
Iliocostalis
What muscles are included in the erector spinae group?
Spinalis, Longissimus, Iliocostalis
What is the origin of the erector spinae group?
Broad tendon from iliac crest and sacrum, spinous processes of sacral and lumbar vertebrae
What is the action of the erector spinae group?
Unilateral: ipsilateral lateral flexion of vertebral column
Bilateral: extension of head and vertebral column
What is the innervation of the erector spinae group?
Posterior rami
What is the insertion for the spinalis?
Spinous processes of upper thoracic vertebrae
What is the insertion for the longissimus?
Ribs and transverse processes of thoracic and cervical vertebrae, mastoid process
What is the insertion for the Iliocostalis?
Ribs and transverse processes of cervical vertebrae
What muscles are included in the transversospinalis group?
Semispinalis, Multifidus, Rotatores
What is the origin of the transversospinalis group?
Transverse processes
What is the insertion for the transversospinalis group?
spinous processes
What is the action of the transversospinalis group?
Bilateral – extends vertebral column and head
Unilateral – contralateral rotation of vert. column and head, proprioception
What is the innervation of the transversospinalis group?
Posterior rami
Muscles work by getting ____
Shorter
The upper extremity consists of what 4 segments?
Pectoral Girdle (Shoulder)
Arm
Forearm
Hand
The red dot locates what in this image?
The sternoclavicular joint
The green dot locates what in this image?
Acromioclavicular joint
The blue dot locates what in this image?
coracoclavicular ligament
What is the proximal attachment for the Pectoralis major?
Clavicle, sternum, costal cartilages
What is the distal attachment for the Pectoralis major?
Humerus (intertubercular sulcus)
What is the action of the Pectoralis major?
Adducts & medially rotates arm
What is the innervation for the Pectoralis major?
Medial & lateral pectoral nn
What is the proximal attachment for the Pectoralis minor?
Ribs 3-5
What is distal attachment for the Pectoralis minor?
Coracoid process of scapula
What is the action of the Pectoralis minor?
Stabilizes scapula
What is the innervation for the Pectoralis minor?
Medial pectoral
What is the proximal attachment for the Serratus anterior?
Ribs 1-8
What is the distal attachment for the Serratus anterior?
Medial border of scapula
What is the action of the Serratus anterior?
Protraction of scapula
What is the innervation of the Serratus anterior?
Long thoracic nerve
What is the proximal attachment for the Deltoid?
Spine & acromion of scapula, lateral third of clavicle
What is the distal attachment for the Deltoid?
Deltoid tuberosity of humerus
What is the action of the deltoid?
Ant – Flexion, medial rotation
Mid – Abduction
Post – Extension, lateral rotation
What is the innervation of the Deltoid?
Axillary nerve
What are the muscles of the rotator cuff?
Infraspinatus, supraspinatus, teres minor, subscapularis
What is the proximal attachment of the Supraspinous?
Supraspinous fossa of scapula
What is the distal attachment of the Supraspinous?
Greater tubercle of humerus
What is the action of the Supraspinous?
abducts humerus