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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5521_Библиотеки_им_академика_М_И_Перельмана.pdf
Chapter 4 / Kinesiology and Biomechanics 181
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
WRIST
Flexion Flexor carpi
radialis
Flexor carpi
ulnaris
Palmaris longus Medial epicondyle of
Extension Extensor carpi
radialis brevis
Extensor carpi
radialis longus
Extensor carpi
ulnaris
Abduction Extensor carpi
radialis brevis
Extensor carpi
radialis longus
Flexor carpi
radialis
Adduction Extensor carpi
ulnaris
Flexor carpi
ulnaris
Medial epicondyle of
humerus
Lateral epicondyle of
humerus
humerus
Lateral epicondyle of
humerus
Lateral supracondylar
ride of humerus
Lateral epicondyle of
humerus, posterior border of ulna
Lateral epicondyle of
humerus
Lateral supracondylar
ride of humerus
Medial epicondyle of
humerus
Lateral epicondyle of
humerus, posterior border of ulna
Lateral epicondyle of
humerus
FINGERS
Flexion Flexor digitorum
profundus
Flexor digitorum
superficialis
Extension Extensor digiti
minimi
Extensor digitorum
Extensor indices Plate 4-9
Abduction Abductor digiti
minimi
Abductor pollicis
longus
Flexor digiti
minimi
Interossei Plate 4-12
Lumbricals Plate 4-12
Opponens digiti
minimi
Insertion (bone that is
moved is CAPITALIZED)
Bases of 2nd and 3rd
METACARPALS
Base of 5th METACARPAL Ulnar (C7,8) Plate 4-6
Palmar aponeurosis,
anterior flexor retinaculum at PALM
Base of 3rd
METACARPAL
Dorsal 2nd METACARPAL Radial (C7,8) Plate 4-9
Base of 5th METACARPAL Radial (C7,8) Plate 4-9
Base of 3rd
METACARPAL
Dorsal 2nd METACARPAL Radial (C7,8) Plate 4-9
Bases of 2nd and 3rd
METACARPALS
Base of 5th METACARPAL Radial (C7,8) Plate 4-9
Base of 5th METACARPAL Ulnar (C7,8) Plate 4-6
Nerve (spinal segment
nerve numbers) Plate(s)
Median (C6,7) Plate 4-6
Median (C7,8) Plate 4-6
Radial (C7,8) Plate 4-9
Radial (C7,8) Plate 4-9
Median (C6,7) Plate 4-6
Plate 4-6
Plate 4-6
Plate 4-10
Plate 4-10
Plate 4-11
Plate 4-10
Plate 4-11
Not pictured
(continued)
182 INTRODUCTION TO MASSAGE THERAPY
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
Nerve (spinal segment
nerve numbers) Plate(s)
FINGERS (continued)
Adduction
( continued)
Dorsal
interosseous
Palmar
interosseous
Plate 4-12
Plate 4-12
THUMB
Adduction Adductor pollicis Plate 4-12
Flexion Flexor pollicis
brevis
Flexor pollicis
longus
Extension Extensor pollicis
brevis
Extensor pollicis
longus
Opposition Opponens
pollicis
Abduction Abductor pollicis
brevis
Plate 4-11
Plate 4-12
Plate 4-10
Plate 4-9
Plate 4-11
Plate 4-11
HIP
Flexion Gluteus medius External iliac fossa Lateral, greater trochanter
of FEMUR
Gluteus minimus External iliac fossa ( anterior
Gracilis Inferior pubis Medial, upper TIBIA Obturator (L2,3,4) Plate 4-15,
Iliacus Iliac fossa, lateral sacrum Greater psoas tendon,
Pectineus Lateral pubis Lesser trochanter and
Psoas major T12, L1–4 Lesser trochanter of
Rectus femoris Anterior, inferior iliac
Sartorius ASIS Superior medial TIBIA Femoral (L2,3,4) Plate 4-15,
Tensor fascia
latae
Extension Adductor
magnus
Biceps femoris Ischial tuberosity, poste-
Gluteus maximus Upper outer ilium,
Gluteus minimus External iliac fossa ( anterior
to gluteus medius)
spine
Iliac crest, ASIS Iliotibial band into TIBIA
Ramus of pubis, ramus of
ischium, ischial tuberosity
rior femoral shaft
sacrum, coccyx
to gluteus medius)
Greater trochanter of
FEMUR
lesser trochanter of FEMUR
posterior FEMUR
FEMUR
Patellar tendon into
tuberosity of TIBIA
and FIBULA
Linea aspera and adductor tubercle of FEMUR
Head of FIBULA Peroneal and sciatic
Iliotibial band, posterior
FEMUR
Greater trochanter of
FEMUR
Superior gluteal
(L5,S1)
Superior gluteal
(L5,S1)
Femoral (L2,3) Plate 4-14
Obturator/sacral
plexus (L2,3,4)
Lumbar plexus
(L1,2,3)
Femoral (L2,3,4) Plate 4-15
Superior gluteal
(L4,5,S1)
Sacral plexus
(L4,5,S1,2,3)
(L4,5,S1,2)
Inferior gluteal
(L5,S1,2)
Superior gluteal
(L5,S1)
Plate 4-13
Plate 4-13
4-16
Plate 4-15,
4-16
Plate 4-14
4-16
Plate 4-17
Plate 4-15,
4-16
Plate 4-17
Plate 4-13
Plate 4-13
(continued)
Chapter 4 / Kinesiology and Biomechanics 183
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
Nerve (spinal segment
nerve numbers) Plate(s)
HIP (continued)
Extension
( continued)
Abduction Gemellus inferior Upper ischial tuberosity Medial greater trochanter
Adduction Adductor brevis Medial ramus of pubis Linea aspera of FEMUR Sacral plexus
Semimembranosus
Semitendinosus Ischial tuberosity Upper, medial TIBIA near
Gemellus
superior
Gluteus maximus Upper outer ilium,
Gluteus medius External iliac fossa Lateral, greater trochanter
Gluteus minimus External iliac fossa (ante-
Obturator
externus
Obturator
internus
Piriformis Anterior sacrum, ilium
Sartorius ASIS Superior medial TIBIA Femoral (L2,3,4) Plate 4-15,
Tensor fascia
latae
Adductor longus Anterior pubis Linea aspera of FEMUR Sacral plexus
Adductor
magnus
Biceps femoris Ischial tuberosity, poste-
Gluteus maximus Upper outer ilium,
Gracilis Inferior pubis Medial, upper TIBIA Obturator (L2,3,4) Plate 4-15,
Iliacus Iliac fossa, lateral sacrum Greater psoas tendon,
Pectineus Lateral pubis Lesser trochanter and
Psoas major T12, L1–4 Lesser trochanter of FEMUR Lumbar plexus (L1,2,3) Plate 4-14
Lateral ischial tuberosity Medial condyle of TIBIA Sciatic (L4,5,S1,2,3) Plate 4-17
Sciatic (L4,5,S1,2,3) Plate 4-17
tibial tuberosity
Sacral plexus
of FEMUR
Spine of ischium Medial greater trochanter
of FEMUR
Iliotibial band, posterior
sacrum, coccyx
rior to gluteus medius)
External margin of obturator foramen, obturator
membrane
Internal margin of obturator foramen, obturator
membrane
near posterior iliac spine
Iliac crest, ASIS Iliotibial band into TIBIA
Ramus of pubis, ramus of
ischium, ischial tuberosity
rior femoral shaft
sacrum, coccyx
FEMUR
of FEMUR
Greater trochanter of
FEMUR
Medial greater trochanter
of FEMUR
Medial greater trochanter
of FEMUR
Greater trochanter of
FEMUR
and FIBULA
Linea aspera and adductor tubercle of FEMUR
Head of FIBULA Peroneal and sciatic
Iliotibial band, posterior
FEMUR
lesser trochanter of FEMUR
posterior FEMUR
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Inferior gluteal
(L5,S1,2)
Superior gluteal
(L5,S1)
Superior gluteal
(L5,S1)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Superior gluteal
(L4,5,S1)
(L4,5,S1,2,3)
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
(L4,5,S1,2)
Inferior gluteal
(L5,S1,2)
Femoral (L2,3) Plate 4-14
Obturator/sacral
plexus (L2,3,4)
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-17
Plate 4-13,
4-17
4-16
Plate 4-17
Plate 4-15,
4-16
Plate 4-15,
4-16
Plate 4-15,
4-16
Plate 4-17
Plate 4-13
4-16
Plate 4-15,
4-16
(continued)
184 INTRODUCTION TO MASSAGE THERAPY
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
Nerve (spinal segment
nerve numbers) Plate(s)
HIP (continued)
Medial Rotation Gluteus medius External iliac fossa Lateral, greater trochanter
of FEMUR
Gluteus minimus External iliac fossa ( anterior
to gluteus medius)
Tensor fascia
latae
Lateral rotation Adductor brevis Medial ramus of pubis Linea aspera of FEMUR Sacral plexus
Adductor longus Anterior pubis Linea aspera of FEMUR Sacral plexus
Adductor
magnus
Biceps femoris Ischial tuberosity, poste-
Gemellus inferior Upper ischial tuberosity Medial greater trochanter
Gemellus
superior
Gluteus maximus Upper outer ilium,
Obturator
externus
Obturator
internus
Piriformis Anterior sacrum, ilium
Quadratus
femoris
Iliac crest, ASIS Iliotibial band into TIBIA
Ramus of pubis, ramus of
ischium, ischial tuberosity
rior femoral shaft
Spine of ischium Medial greater trochanter
sacrum, coccyx
External margin of obturator foramen, obturator
membrane
Internal margin of obturator foramen, obturator
membrane
near posterior iliac spine
Upper, lateral ischial
tuberosity
Greater trochanter of
FEMUR
and FIBULA
Linea aspera and adductor tubercle of FEMUR
Head of FIBULA Peroneal and sciatic
of FEMUR
of FEMUR
Iliotibial band, posterior
FEMUR
Medial greater trochanter
of FEMUR
Medial greater trochanter
of FEMUR
Greater trochanter of
FEMUR
Posterior greater
trochanter of FEMUR
Superior gluteal
(L5,S1)
Superior gluteal
(L5,S1)
Superior gluteal
(L4,5,S1)
(L4,5,S1,2,3)
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
(L4,5,S1,2)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Inferior gluteal
(L5,S1,2)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
Sacral plexus
(L4,5,S1,2,3)
KNEE
Flexion Biceps femoris Ischial tuberosity, poste-
rior femoral shaft
Gastrocnemius Femoral condyles Achilles tendon into
Gracilis Inferior pubis Medial, upper TIBIA Obturator (L2,3,4) Plate 4-15,
Popliteus Lateral femoral condyle Posterior, medial shaft
Sartorius ASIS Superior medial TIBIA Femoral (L2,3,4) Plate 4-15,
Semimembranosus
Semitendinosus Ischial tuberosity Upper, medial TIBIA near
Extension Rectus femoris Anterior, inferior iliac
Lateral ischial tuberosity Medial condyle of TIBIA Sciatic (L4,5,S1,2,3) Plate 4-17
spine
Head of FIBULA Peroneal and sciatic
(L4,5,S1,2)
Tibial (S1,2) Plate 4-20
CALCANEUS
Tibial (S1,2) Plate 4-20
of TIBIA
Sciatic (L4,5,S1,2,3) Plate 4-17
tibial tuberosity
Patellar tendon into
tuberosity
Femoral (L2,3,4) Plate 4-15
Plate 4-13
Plate 4-13
Plate 4-17
Plate 4-15,
4-16
Plate 4-15,
4-16
Plate 4-15,
4-16
Plate 4-17
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-13
Plate 4-17
Plate 4-13,
4-17
Plate 4-13
Plate 4-17
4-16
4-16
(continued)
Chapter 4 / Kinesiology and Biomechanics 185
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
Nerve (spinal segment
nerve numbers) Plate(s)
KNEE (continued)
Extension
(continued)
Medial rotation Gracilis Inferior pubis Medial, upper TIBIA Obturator (L2,3,4) Plate 4-15,
Lateral rotation Biceps femoris Ischial tuberosity, poste-
Tensor fascia
latae
Vastus
intermedius
Vastus lateralis Lateral, upper femur Patellar tendon into TIBIA Femoral (L2,3,4) Plate 4-15
Vastus medialis Medial femur Patellar tendon into
Popliteus Lateral femoral condyle Posterior, medial shaft of
Sartorius ASIS Superior medial TIBIA Femoral (L2,3,4) Plate
Semimembranosus
Semitendinosus Ischial tuberosity Upper, medial TIBIA near
Gluteus maximus Upper outer ilium,
Tensor fascia
latae
Iliac crest, ASIS Iliotibial band into TIBIA
and FIBULA
Anterior, upper
femur
Lateral ischial tuberosity Medial condyle of TIBIA Sciatic (L4,5,S1,2,3) Plate 4-17
rior femoral shaft
sacrum, coccyx
Iliac crest, ASIS Iliotibial band into TIBIA
2/3 of
Patellar tendon into TIBIA Femoral (L2,3,4) Plate 4-15
TIBIA
TIBIA
tibial tuberosity
Head of FIBULA Peroneal and sciatic
Iliotibial band, posterior
FEMUR
and FIBULA
Superior gluteal
(L4,5,S1)
Femoral (L2,3,4) Plate 4-15
Tibial (S1,2) Plate 4-20
Sciatic (L4,5,S1,2,3) Plate 4-17
(L4,5,S1,2)
Inferior gluteal
(L5,S1,2)
Superior gluteal
(L4,5,S1)
Plate 4-17
4-16
4-15,4-16
Plate 4-17
Plate 4-13
Plate 4-17
ANKLE/ FOOT
Dorsiflexion Extensor digito-
rum longus
Extensor hallucis
longus
Peroneus tertius Inferior fibula METATARSAL V Peroneal (L4,5,S1,2) Plate 4-19
Tibialis anterior Lateral condyle and shaft
Plantarflexion Flexor digitorum
longus
Flexor hallucis
longus
Gastrocnemius Femoral condyles Achilles tendon into
Peroneus brevis Inferior, lateral fibula Base of METATARSAL V Peroneal (L4,5,S1,2) Plate 4-21
Peroneus longus Lateral head of fibula Base of METATARSAL I Peroneal (L4,5,S1,2) Plate 4-21
Soleus Proximal tibia and fibula Achilles tendon into
Tibialis posterior Tibia and fibula TARSALS and
Eversion (pronation / Abduction)
Extensor digitorum longus
Peroneus brevis Inferior, lateral fibula Base of METATARSAL V Peroneal (L4,5,S1,2) Plate 4-21
Medial, upper 3/4 of fibula
and lateral condyle of tibia
Middle of fibula Dorsal distal PHALANX
of tibia
Posterior, middle half
of tibia
Lower, posterior 2/3 of
fibula
Medial, upper 3/4 of fibula
and lateral condyle of tibia
Dorsal aponeurosis of middle and distal PHALANGES
of big toe
Base of METATARSAL I Deep peroneal
Distal PHALANGES II-V Tibial (S2,3) Plate 4-19,
Bottom of distal
PHALANX I
CALCANEUS
CALCANEUS
METATARSALS
Dorsal aponeurosis of middle and distal PHALANGES
Deep peroneal
(L5,S1)
Deep peroneal
(L5,S1)
(L4,5)
Tibial (S2,3) Plate 4-19,
Tibial (S1,2) Plate 4-20
Peroneal (L4,5,S1,2,3) Plate 4-20
Tibial (L4,5,S1,2,3) Plate 4-20
Deep peroneal
(L5,S1)
Plate 4-19
Plate 4-18
Plate 4-18
4-20
4-20
Plate 4-19
(continued)
186 INTRODUCTION TO MASSAGE THERAPY
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
ANKLE/ FOOT (continued)
Eversion (pronation / Abduction)
(continued)
Inversion
( suppination /
adduction)
Peroneus longus Lateral head of fibula Base of METATARSAL I Peroneal (L4,5,S1,2) Plate 4-21
Peroneus tertius Inferior fibula METATARSAL V Peroneal (L4,5,S1,2) Plate 4-21
Extensor hallucis
longus
Flexor digitorum
longus
Flexor hallucis
longus
Gastrocnemius Femoral condyles Achilles tendon into
Soleus Proximal tibia and fibula Achilles tendon into
Tibialis anterior Lateral condyle and shaft
Tibialis posterior Tibia and fibula TARSALS and
Foot muscles,
dorsal view
Foot muscles,
plantar view
Middle of fibula Dorsal distal PHALANX
of big toe
Posterior, middle half
of tibia
Lower, posterior 2/3 of
fibula
of tibia
Distal PHALANGES II-V Tibial (S2,3) Plate 4-19
Bottom of distal
PHALANX I
CALCANEUS
CALCANEUS
Base of METATARSAL I Deep peroneal (L4,5) Plate 4-18
METATARSALS
SPINE/THORAX
Flexion External obliques Inferior ribs 5–12 Anterior ILIAC crest, linea
alba
Internal obliques Anterior iliac crest Inferior RIBS 10–12, linea
alba, PUBIS
Rectus
abdominis
Extension Erector spinae
group (iliocostalis, longissimus,
spinalis)
Multifidi Articular processes C4–
Rotatores Transverse processes
Lateral flexion /
Hip elevation
External obliques Inferior ribs 5–12 Anterior ILIAC crest,
Internal obliques Anterior iliac crest Inferior RIBS 10–12, linea
Quadratus
lumborum
Pubic crest and pubic
symphysis
Large group, multiple
origins, from thoracolumbar aponeurosis, ribs,
spinous processes of
vertebrae
C7, transverse processes
T1–12, posterior sacrum,
posterior iliac spine
C1-L5
Thoracolumbar aponeurosis, iliac crest
Costal cartilages (RIBS),
xiphoid process of
STERNUM
Insertions are superior
to the origins, ranging
from the posterior RIBS
to the mastoid process of
the TEMPORAL bone and
OCCIPUT
Spine of VERTEBRA
superior to origin, from
one to three vertebrae
higher
Lamina of VERTEBRA
directly superior to origin
linea alba
alba, PUBIS
Twelfth RIB, VERTEBRAE
L1–4
Nerve (spinal segment
nerve numbers) Plate(s)
Deep peroneal (L5,S1) Plate 4-18
Tibial (S2,3) Plate 4-19
Tibial (S1,2) Plate 4-20
Peroneal (L4,5,S1,2,3) Plate 4-20
Tibial (L4,5,S1,2,3) Plate 4-20
Plate 4-22
Plate 4-23
Intercostal (T7–12, L1) Plate 4-24
Intercostal (T7–12, L1) Plate 4-24
Intercostal (T5–12) Plate 4-24
Spinal nerves (T1–12,
L1–5, S1–3)
All spinal nerves
(C1-S4)
Spinal nerves (C1-S4) Plate 4-27
Intercostal (T7–12, L1) Plate 4-24
Intercostal (T7–12, L1) Plate 4-24
Lumbar plexus
(T12,L1,2,3)
Plate 4-27
Plate 4-27
Plate 4-24
(continued)
Chapter 4 / Kinesiology and Biomechanics 187
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
SPINE/THORAX (continued)
Rotation External obliques Inferior ribs 5–12 Anterior ILIAC crest,
linea alba
Internal obliques Anterior iliac crest Inferior RIBS 10–12,
linea alba, PUBIS
Multifidi Articular processes C4–
C7, transverse processes
T1–12, posterior sacrum,
posterior iliac spine
Rotatores Transverse processes
C1-L5
Spine of VERTEBRA
superior to origin, from
one to three vertebrae
higher
Lamina of VERTEBRA
directly superior to origin
MUSCLES OF RESPIRATION
Exhalation External obliques Inferior ribs 5–12 Anterior ILIAC crest,
linea alba
Internal intercostals (posterior)
Internal obliques Anterior iliac crest Inferior RIBS 10–12,
Rectus
abdominis
Transversus
abdominis
Inhalation Diaphragm Ribs 7–12, costal carti-
External
intercostals
Internal intercostals (anterior)
Scalenus anterior Transverse processes
Scalenus medius Transverse processes of
Scalenus
posterior
Lower border of ribs,
costal cartilage
Pubic crest and pubic
symphysis
Thoracolumbar aponeurosis, iliac crest
lages, xiphoid process,
L1–3
Lower border of ribs Upper border of RIB just
Lower border of ribs,
costal cartilage
C2–5
C1–6
Transverse processes of
C4–6
Upper border of RIB
and costal cartilage just
inferior to origin
linea alba, PUBIS
Costal cartilages (RIBS),
xiphoid process of
STERNUM
Abdominal aponeurosis,
pubis, linea alba
Central tendon of
DIAPHRAGM
inferior to origin
Upper border of RIB
and costal cartilage just
inferior to origin
First RIB Cervical plexus
First RIB Cervical plexus
Second RIB Cervical plexus
NECK
Extension Erector spinae
group (iliocostalis, longissimus,
spinalis)
Levator scapulae Transverse processes
Large group, multiple
origins, from thoracolumbar aponeurosis, ribs,
spinous processes of
vertebrae
C1–4
Insertions are superior
to the origins, ranging
from the posterior RIBS
to the mastoid process of
the TEMPORAL bone and
OCCIPUT
Vertebral border of
superior SCAPULA
Nerve (spinal segment
nerve numbers) Plate(s)
Intercostal
(T7–12, L1)
Intercostal
(T7–12, L1)
All spinal nerves
(C1-S4)
Spinal nerves
(C1-S4)
Intercostal
(T7–12, L1)
Intercostal (T1–12) Plate 4-26
Intercostal
(T7–12, L1)
Intercostal (T5–12) Plate 4-24
Intercostal
(T7–12,L1)
Phrenic (C3,4,5) Plate 4-26
Intercostal (T1–12) Plate 4-26
Intercostal (T1–12) Plate 4-26
(C1–7, T1)
(C1–7,T1)
(C1–7,T1)
Spinal nerves
(T1–12, L1–5, S1–3)
Scapular (C4,5) Plate 4-34
Plate 4-24
Plate 4-24
Plate 4-27
Plate 4-27
Plate 4-24
Plate 4-24
Plate 4-24
Plate 4-28
Plate 4-28
Plate 4-28
Plate 4-27
(continued)
188 INTRODUCTION TO MASSAGE THERAPY
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
NECK (continued)
Extension
( continued)
Flexion Scalenes Transverse processes
Lateral flexion Levator scapulae Transverse processes
Rotation Levator scapulae Transverse processes
Multifidi Articular processes C4–
C7, transverse processes
T1–12, posterior sacrum,
posterior iliac spine
Rotatores Transverse processes
C1-L5
Semispinalis Transverse processes
C4-T6
Splenius capitis Spinous processes of
C7-T3
Splenius cervicis Spinous processes T3–6 Transverse processes of
Trapezius
(upper)
Sternocleidomastoid
Sternocleidomastoid
Trapezius
(upper)
Multifidi Articular processes C4–
Rotatores Transverse processes
Sternocleidomastoid
Trapezius
(upper)
Deep neck
muscles
Occiput, ligamentum
nuchae
C2–7
Sternal head, medial
clavicle
C1–4
Sternal head, medial
clavicle
Occiput, ligamentum
nuchae
C1–4
C7, transverse processes
T1–12, posterior sacrum,
posterior iliac spine
C1-L5
Sternal head, medial
clavicle
Occiput, ligamentum
nuchae
TEMPOROMANDIBULAR JOINT
Elevation
(closes the jaw)
Temporalis Lateral temporal bone Coronoid process and ante-
Masseter Zygomatic arch Angle and lateral surface
Medial pterygoid Medial pterygoid plate TMJ capsule, condyle of
Insertion (bone that is
moved is CAPITALIZED)
Spine of VERTEBRA
superior to origin, from
one to three vertebrae
higher
Lamina of VERTEBRA
directly superior to origin
OCCIPUT, spinous processes VERTEBRAE C2–6
Mastoid process of
TEMPORAL bone
VERTEBRAE C2–4
Lateral end of clavicle,
lateral spine of SCAPULA
First and second RIBS Cervical plexus
Mastoid process of TEMOPORAL bone, OCCIPUT
Vertebral border of
superior SCAPULA
Mastoid process of
TEMOPORAL bone,
OCCIPUT
Lateral end of clavicle,
lateral spine of SCAPULA
Vertebral border of superior SCAPULA
Spine of VERTEBRA
superior to origin, from
one to three vertebrae
higher
Lamina of VERTEBRA
directly superior to origin
Mastoid process of
TEMOPORAL bone,
OCCIPUT
Lateral end of clavicle,
lateral spine of SCAPULA
rior ramus of MANDIBLE
of MANDIBLE
MANDIBLE
Nerve (spinal segment
nerve numbers) Plate(s)
All spinal nerves
(C1-S4)
Spinal nerves
(C1-S4)
Cervical, thoracic
(C4,5,6)
Cervical (C3–5) Plate 4-33
Cervical (C4–6) Plate 4-33
Accessory (C2,3,4) Plate 4-33
(C1–7, T1)
Accessory (C2,3) Plate 4-30,
Scapular (C4,5) Plate 4-34
Accessory (C2,3) Plate 4-30,
Accessory (C2,3,4) Plate 4-33
Scapular (C4,5) Plate 4-34
All spinal nerves
(C1-S4)
Spinal nerves
(C1-S4)
Accessory (C2,3) Plate 4-30,
Accessory (C2,3,4) Plate 4-33
Trigeminal (cranial V) Plate 4-29
Trigeminal (cranial V) Plate 4-29
Trigeminal (cranial V) Plate 4-29
Plate 4-34
Plate 4-34
Plate 4-33
Plate 4-28
4-31
4-31
Plate 4-34
Plate 4-34
4-31
Plate 4-32
(continued)
Chapter 4 / Kinesiology and Biomechanics 189
SPECIAL MUSCLE SECTION (Continued)
Action Movement Muscle Origin
Insertion (bone that is
moved is CAPITALIZED)
Nerve (spinal segment
nerve numbers) Plate(s)
TEMPOROMANDIBULAR JOINT (continued)
Depression
(opens the jaw)
Accessory
muscles/Assist
depression
Protraction Lateral pterygoid Lateral pterygoid plate Angle of MANDIBLE Trigeminal (cranial V) Plate 4-29
Retraction Temporalis Lateral temporal bone Coronoid process
Lateral deviation Masseter Zygomatic arch Angle and lateral surface
Platysma Fascia of superior thorax Lower border of
MANDIBLE, fascia
aroundchin
Lateral pterygoid Lateral pterygoid plate Angle of MANDIBLE Trigeminal
Suprahyoids
(digastric, geniohyoid, myohyoid,
stylohyoid)
Medial pterygoid Medial pterygoid plate TMJ capsule, condyle of
Masseter Zygomatic arch Angle and lateral surface
Lateral pterygoid Lateral pterygoid plate Angle of MANDIBLE Trigeminal (cranial V) Plate 4-29
Inferior mandible, mastoid process, styloid process of temporal bone
HYOID bone Facial (cranial VII) Plate 4-35
MANDIBLE
of MANDIBLE
and anterior ramus of
MANDIBLE
of MANDIBLE
Facial (cranial VII) Plate 4-31
Plate 4-29
(cranial V)
Trigeminal (cranial V) Plate 4-29
Trigeminal (cranial V) Plate 4-29
Trigeminal (cranial V) Plate 4-29
Trigeminal (cranial V) Plate 4-29
190 INTRODUCTION TO MASSAGE THERAPY
Teres minor
Teres major
Infraspinatus
Supraspinatus
Serratus posterior
superior
Levator scapulae
Deltoid
Rhomboid major
Rhomboid minor
Levator scapulae
Teres
Latissimus dorsi
Teres major
major
Infraspinatus
Supraspinatus
Teres minor
Serratus
posterior
Plate 4-1
inferior
Trapezius