The petoralis major is a large, strong muscle that produces shoulder flexion. Along with rotation, forward flexion and extension, it is one of the four movements possible by the spine. Note: tests should only be performed by a properly trained health care practitioner. Vertebral column extension & lateral flexion Spinalis m. - thoracic - cervicis Spines of vertebrae Spines of vertebrae above origin Spinal nn. The pectoralis muscle is the main shoulder flexor and is important for muscle definition in the chest. (“Cervical spine rotation and lateral flexion combined motion in the examination of the thoracic outlet”). Muscles. It is innervated by both the lateral and medial pectoral nerves. Muscles that produce this motion tend to originate on the side of one vertebra or vertebrae and attach to the side of another vertebra or vertebrae elsewhere in the spine, so that by contracting these muscles shorten the spine along one side and pull the trunk laterally. Patient attempts to touch left ear to left shoulder and right ear to right shoulder. The movement is brought about by the action on one side of the body of the external and internal oblique muscles, and the quadratus lumborum. Lateral flexion involves side bending away from the midline of the body, called abduction, and then straightening back to the center, called adduction. This offers bilateral comparison cervical lateral flexion. Lateral flexion would not be possible if not for the action of many muscles of the trunk and neck. It is located in the front of the chest and attaches by tendon to the humerus, or upper arm bone. This is in the opposite direction to the movements described above. Think about using rib mobilizations and stretching/using muscle energy techniques on the muscles that attach to the first rib. Plantar flexion involves a coordinated effort between several muscles in your ankle, foot, and leg. Neck lateral flexion muscles-Anterior scalene, Middle scalene, Splenius cervicis, Splenius capitis, Rectus capitis lateralis, Longus colli, Intertransversarii. Anatomical terms of movement are used to describe the actions of muscles on the skeleton. These include: Gastrocnemius: This muscle makes up half of your calf muscle… Erector Spinae (Spinalis Group) is a group of muscles that extends vertically up the length of your back, and are involved in both lateral flexion and spinal extension. 5 and 6)Neck lateral flexion—the neck lateral flexion is shoulder through a sideways movement of the neck, directing the ear toward the shoulder tip on both sides. The muscle gets its name from its fiber orientation, which is arranged obliquely (superior-to-inferior angle, lateral to medial). Rotation: Note: There is practically no rotation that occurs at the lumbar spine due to the design of the facet joints in the lumbar region, which only allow up to 2 degrees of rotation (this is a protective mechanism, as too much lumbar rotation would put the spinal cord at high risk of injury). ... Lateral rotation is a rotating movement away from the midline. The vast majority of trunk/torso rotation occurs in the thoracic spine (see thoracic rotation). ... Flexion and Extension. Lateral flexion is performed by being in an upright position (standing or sitting), shoulders should be square and spine is in a neutral position. Muscles that perform right or left rotation must have a horizontal component to their fiber direction; in fact, it can be helpful to view them as partially “wrapping” horizontally around the trunk. 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