Paraspinal Muscles: Difference between revisions

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The highest of them are attached to the base of the [[skull]], the lowest ones originate from the [[sacrum]] and [[Ilium|iliac crest]], some in between are attached to the backs of the [[ribs]], and many are attached to the transverse and spinous processes of the vertebraeAcland Anatomy Paravertebral muscles Available:https://aclandanatomy.com/MultimediaPlayer.aspx?multimediaid=10528249 (accessed 15.2.2022). [[File:Muscles of the Abdomen Posterior.png|thumb|Psoas and quadratus lumborum visible]]They paraspinal muscles support the spine and power and stabilise movement of the spine.
The highest of them are attached to the base of the [[skull]], the lowest ones originate from the [[sacrum]] and [[Ilium|iliac crest]], some in between are attached to the backs of the [[ribs]], and many are attached to the transverse and spinous processes of the vertebraeAcland Anatomy Paravertebral muscles Available:https://aclandanatomy.com/MultimediaPlayer.aspx?multimediaid=10528249 (accessed 15.2.2022). [[File:Muscles of the Abdomen Posterior.png|thumb|Psoas and quadratus lumborum visible]]They paraspinal muscles support the spine and power and stabilise movement of the spine.


Specific paraspinal muscles atrophy ([[sarcopenia]]) and develop fatty infiltration in patients with acute and [[Chronic Low Back Pain|chronic LBP]] on the symptomatic side. The [[MultifidusMuscle|multifidus]] muscle in particular decreases in size on the symptomatic side in patients with chronic unilateral LBPWan Q, Lin C, Li X, Zeng W, Ma C. MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain. The British journal of radiology. 2015 Sep;88(1053):20140546. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743557/ (accessed 15.2.2022).
Specific paraspinal muscles atrophy ([[sarcopenia]]) and develop fatty infiltration in patients with acute and [[Chronic Low Back Pain|chronic LBP]] on the symptomatic side. The [[LumbarMultifidus|multifidus]] muscle in particular decreases in size on the symptomatic side in patients with chronic unilateral LBPWan Q, Lin C, Li X, Zeng W, Ma C. MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain. The British journal of radiology. 2015 Sep;88(1053):20140546. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743557/ (accessed 15.2.2022).


== Anatomy ==
== Anatomy ==
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# [[iliocostalis]]
# [[iliocostalis]]
# [[Transversospinales|transversospinalis]] group (deep layer)
# [[Transversospinales|transversospinalis]] group (deep layer)
#*[[MultifidusMuscle|Multifidus]] group
#*[[LumbarMultifidus|Multifidus]] group
#* [[Rotatores Muscles|Rotatores]] groupCrush back pain Paraspinal muscles Available: https://crushbackpain.com/glossary/paraspinal-muscles/(accessed 15.2.2022)Radiopedia paraspinal muscles Available: https://radiopaedia.org/articles/paraspinal-muscles(accessed 15.2.2022)
#* [[Rotatores Muscles|Rotatores]] groupCrush back pain Paraspinal muscles Available: https://crushbackpain.com/glossary/paraspinal-muscles/(accessed 15.2.2022)Radiopedia paraspinal muscles Available: https://radiopaedia.org/articles/paraspinal-muscles(accessed 15.2.2022)



Latest revision as of 10:17, 14 July 2023

原始的编辑器-Lucinda hampton

Top Contributors-Lucinda hampton,Kim JacksonandLucy Aird

Introduction[edit|编辑源]

Some of the paraspinal muscles

The majority of the vertebral column movements are produced by an extensive set ofmuscles, that run all the way along the back of the spine. They’re known collectively as the paraspinal muscles. The paraspinal muscles are also a component of the:Core Muscles;Back Muscles(minuspsoas).

The highest of them are attached to the base of theskull, the lowest ones originate from thesacrumandiliac crest, some in between are attached to the backs of theribs, and many are attached to the transverse and spinous processes of the vertebrae[1].

Psoas and quadratus lumborum visible

They paraspinal muscles support the spine and power and stabilise movement of the spine.

Specific paraspinal muscles atrophy (sarcopenia) and develop fatty infiltration in patients with acute andchronic LBPon the symptomatic side. Themultifidusmuscle in particular decreases in size on the symptomatic side in patients with chronic unilateral LBP[2].

Anatomy[edit|编辑源]

Back Muscles

The muscles are usually considered to include:

Psoas majormuscle

Quadratus lumborummuscles

Erector spinae group(intermediate layer)

  1. longissimus
  2. iliocostalis
  3. transversospinalisgroup (deep layer)

Physiotherapy[edit|编辑源]

Core/paraspinal muscle exercise:Plank

The paraspinal muscles are extremely important as they help maintains properpostureand protect the spinal segments. They also are crucial to most athletic endeavours because almost all athletic movements utilise these muscles to some extent.

These paraspinal muscles can be injured directly eg a pulled back muscle or muscle back strain. The muscles can also cause problems indirectly eg: muscles spasm after injury to other parts of the spine, usually occuring as a reflex following a disc, ligament, or muscles injury; slumped seating position for extended periods (seelower crossed syndrome). There has been great research interest in using the cross-sectional area of these muscles as part of assessing cases of low/lumbar back pain.

As the paraspinals function to stabilize the lower backcore stabilitytraining andback exercisesare effective in strengthening these muscles.[3]

References[edit|编辑源]

  1. Acland Anatomy Paravertebral muscles Available:https://aclandanatomy.com/MultimediaPlayer.aspx?multimediaid=10528249(accessed 15.2.2022)
  2. Wan Q, Lin C, Li X, Zeng W, Ma C. MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain. The British journal of radiology. 2015 Sep;88(1053):20140546. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743557/(accessed 15.2.2022)
  3. 3.03.1Crush back pain Paraspinal muscles Available:https://crushbackpain.com/glossary/paraspinal-muscles/(accessed 15.2.2022)
  4. Radiopedia paraspinal muscles Available:https://radiopaedia.org/articles/paraspinal-muscles(accessed 15.2.2022)