Back Muscles

1. Splenius Capitis

  • Action:

    • Bilateral contraction: Extends the head and neck.

    • Unilateral contraction: Rotates and laterally flexes the head to the same side.

  • Origin:

    • Nuchal ligament and spinous processes of C7-T3 (or T4).

  • Insertion:

    • Mastoid process of the temporal bone and the lateral third of the superior nuchal line of the occipital bone.

  • Notes:

    • Involved in head and neck movements, particularly for extension and rotation.

    • Works synergistically with other muscles for neck movements.


2. Splenius Cervicis

  • Action:

    • Bilateral contraction: Extends the cervical spine.

    • Unilateral contraction: Laterally flexes and rotates the neck to the same side.

  • Origin:

    • Spinous processes of T3-T6.

  • Insertion:

    • Transverse processes of C1-C3 (C4).

  • Notes:

    • Located beneath the splenius capitis.

    • Plays a role in neck rotation and extension, but is more focused on the cervical portion of the spine.


3. Semispinalis Capitis

  • Action:

    • Bilateral contraction: Extends the head and neck.

    • Unilateral contraction: Rotates the head to the opposite side.

  • Origin:

    • Transverse processes of C7-T6 (sometimes T7-T12).

  • Insertion:

    • Between the superior and inferior nuchal lines of the occipital bone.

  • Notes:

    • Part of the deeper layer of back muscles, contributing to fine control of head movements.

    • It’s a part of the "transversospinalis" group, along with semispinalis cervicis and semispinalis thoracis.


4. Semispinalis Cervicis

  • Action:

    • Bilateral contraction: Extends the cervical spine.

    • Unilateral contraction: Rotates the cervical spine to the opposite side.

  • Origin:

    • Transverse processes of T1-T5 (or T6).

  • Insertion:

    • Spinous processes of C2-C5.

  • Notes:

    • It lies deeper than the splenius muscles and works together with them for spinal extension and rotation.

    • Helps stabilize the cervical spine and assists in postural control.


5. Deltoid

  • Action:

    • Anterior part: Flexes and medially rotates the arm.

    • Middle part: Abducts the arm.

    • Posterior part: Extends and laterally rotates the arm.

  • Origin:

    • Lateral third of the clavicle (anterior part), acromion (middle part), and spine of the scapula (posterior part).

  • Insertion:

    • Deltoid tuberosity of the humerus.

  • Notes:

    • Major muscle for shoulder abduction, especially after the first 15 degrees, which is done by the supraspinatus.

    • It has three distinct parts (anterior, middle, and posterior) that are involved in different movements of the shoulder.

    • Commonly involved in overhead movements and lifting.

    • The deltoid muscle also stabilizes the shoulder joint during dynamic activities, ensuring proper alignment and function.

      6. Trapezius

      • Action:

        • Elevates, retracts, and rotates the scapula.

        • Superior fibers elevate the scapula (shoulder shrug).

        • Middle fibers retract the scapula.

        • Inferior fibers depress the scapula.

      • Origin:

        • Occipital bone, nuchal ligament, and spinous processes of C7-T12.

      • Insertion:

        • Lateral third of the clavicle, acromion, and spine of the scapula.

      • Notes:

        • The trapezius is a large, superficial muscle of the upper back and neck.

        • It plays a key role in stabilizing and moving the scapula, contributing to various upper limb movements.

        • Often involved in posture and tension-related issues, like neck stiffness.


      7. Teres Major

      • Action:

        • Adducts, extends, and medially rotates the arm at the shoulder joint.

      • Origin:

        • Dorsal surface of the inferior angle of the scapula.

      • Insertion:

        • Medial lip of the intertubercular groove of the humerus.

      • Notes:

        • Sometimes referred to as the "little latissimus dorsi" because of its similar function.

        • Important in shoulder movements, particularly in actions like pulling or reaching backward.


      8. Teres Minor

      • Action:

        • Laterally (externally) rotates the arm at the shoulder joint.

        • Helps stabilize the shoulder joint.

      • Origin:

        • Lateral border of the scapula.

      • Insertion:

        • Greater tubercle of the humerus (below the infraspinatus insertion).

      • Notes:

        • Part of the rotator cuff group, which helps stabilize the shoulder joint.

        • Often works in synergy with other rotator cuff muscles (like infraspinatus) for shoulder stability and movement.


      9. Rhomboid Major

      • Action:

        • Retracts (adducts) and elevates the scapula.

        • Helps rotate the scapula downward.

      • Origin:

        • Spinous processes of T2-T5.

      • Insertion:

        • Medial (vertebral) border of the scapula, below the spine of the scapula.

      • Notes:

        • The rhomboid major is responsible for pulling the scapula toward the vertebral column and stabilizing it during shoulder movements.

        • Often works in tandem with the rhomboid minor.


      10. Rhomboid Minor

      • Action:

        • Retracts (adducts) and elevates the scapula.

        • Helps rotate the scapula downward.

      • Origin:

        • Nuchal ligament and spinous processes of C7 and T1.

      • Insertion:

        • Medial border of the scapula, at the level of the spine of the scapula.

      • Notes:

        • Smaller than the rhomboid major but serves a similar function in scapular movement and stabilization.

        • Works together with rhomboid major to perform scapular retraction and rotation.


      11. Levator Scapulae

      • Action:

        • Elevates the scapula.

        • Downwardly rotates the scapula.

        • Unilateral contraction also laterally flexes the neck.

      • Origin:

        • Transverse processes of C1-C4.

      • Insertion:

        • Superior (medial) border of the scapula.

      • Notes:

        • The levator scapulae primarily functions in elevating the scapula but is also important for neck movement, especially in lateral flexion.

        • Commonly involved in neck tension, especially with poor posture.

12. Latissimus Dorsi

  • Action:

    • Extends, adducts, and medially (internally) rotates the arm at the shoulder joint.

    • Helps in actions like pulling, swimming, and lifting.

  • Origin:

    • Spinous processes of T7-T12, lumbar vertebrae, sacrum, iliac crest, and lower three or four ribs.

  • Insertion:

    • Intertubercular groove of the humerus (anterior surface).

  • Notes:

    • The latissimus dorsi is a large, flat muscle on the back and is often referred to as the "lats."

    • It plays a crucial role in upper limb movements like reaching overhead or pulling actions.

    • It works with other muscles like the teres major for movements such as pulling or lifting.


13. Serratus Posterior Superior

  • Action:

    • Elevates the upper ribs (helps with inspiration during breathing).

  • Origin:

    • Spinous processes of C7-T3 and nuchal ligament.

  • Insertion:

    • Superior borders of ribs 2-5.

  • Notes:

    • Located in the upper back, beneath the rhomboids and the trapezius.

    • It assists in respiration by lifting the upper ribs, helping expand the thoracic cavity during inhalation.


14. Serratus Posterior Inferior

  • Action:

    • Depresses the lower ribs (helps with forced expiration during breathing).

  • Origin:

    • Spinous processes of T11-L2.

  • Insertion:

    • Inferior borders of ribs 9-12.

  • Notes:

    • Located in the lower back, deep to the latissimus dorsi.

    • Works in breathing by aiding in forced exhalation, helping to lower the ribs during expiration.


15. Supraspinatus

  • Action:

    • Abducts the arm at the shoulder joint (first 15 degrees).

    • Helps stabilize the shoulder joint as part of the rotator cuff.

  • Origin:

    • Supraspinous fossa of the scapula.

  • Insertion:

    • Greater tubercle of the humerus (superior facet).

  • Notes:

    • The supraspinatus is one of the four rotator cuff muscles, which are crucial for stabilizing the shoulder joint.

    • It is particularly involved in the initial phase of arm abduction and also helps keep the humeral head centered in the glenoid fossa.


16. Infraspinatus

  • Action:

    • Laterally (externally) rotates the arm at the shoulder joint.

    • Stabilizes the shoulder joint.

  • Origin:

    • Infraspinous fossa of the scapula.

  • Insertion:

    • Greater tubercle of the humerus (middle facet).

  • Notes:

    • The infraspinatus is another important rotator cuff muscle, responsible for lateral rotation and stability of the shoulder.

        • 17. Subscapularis

          • Action:

            • Medially (internally) rotates the arm at the shoulder joint.

        • Adducts the arm and helps stabilize the shoulder joint.

      • Origin:

        • Subscapular fossa of the scapula.

      • Insertion:

        • Lesser tubercle of the humerus.

      • Notes:

        • The subscapularis is one of the four rotator cuff muscles, which are critical for shoulder stability.

        • It is the primary internal rotator of the shoulder and is involved in motions like reaching behind your back.


      18. Spinalis

      • Action:

        • Bilateral contraction: Extends the vertebral column (spine).

        • Unilateral contraction: Laterally flexes the vertebral column to the same side.

      • Origin:

        • Spinous processes of the upper lumbar and lower thoracic vertebrae.

      • Insertion:

        • Spinous processes of the upper thoracic vertebrae and cervical vertebrae (C2, C3).

      • Notes:

        • Spinalis is the most medial of the three muscles that make up the erector spinae group (along with longissimus and iliocostalis).

        • It primarily functions in extending and stabilizing the spine, especially in postural control.


      19. Longissimus

      • Action:

        • Bilateral contraction: Extends the vertebral column (spine).

        • Unilateral contraction: Laterally flexes the vertebral column to the same side.

        • It also helps extend and rotate the head when acting on the cervical spine.

      • Origin:

        • Transverse processes of the lumbar, thoracic, and cervical vertebrae.

      • Insertion:

        • Ribs between the tubercles and angles, transverse processes of thoracic and cervical vertebrae, and mastoid process of the temporal bone (for the longissimus capitis).

      • Notes:

        • Longissimus is the intermediate muscle of the erector spinae group, located between the spinalis and iliocostalis.

        • It plays a major role in trunk extension and lateral flexion, contributing to overall posture and spinal stability.


      20. Iliocostalis

      • Action:

        • Bilateral contraction: Extends the vertebral column (spine).

        • Unilateral contraction: Laterally flexes the vertebral column to the same side.

      • Origin:

        • Iliac crest, sacrum, and the spinous processes of the lumbar vertebrae.

      • Insertion:

        • Angles of the ribs and the transverse processes of cervical vertebrae (C4-C6).

      • Notes:

        • Iliocostalis is the most lateral of the three muscles in the erector spinae group.

        • It is crucial for maintaining posture and assisting in the movement and stabilization of the trunk, especially in lateral flexion and extension.