Upper and Lower Extremities Oina: Vasquez, Eloiza Unice B. First Year Bs Physical Therapy
Upper and Lower Extremities Oina: Vasquez, Eloiza Unice B. First Year Bs Physical Therapy
Upper and Lower Extremities Oina: Vasquez, Eloiza Unice B. First Year Bs Physical Therapy
➢ Posterior fibers –
E, ER of the arm
SITS MUSCLES
ACTION
MUSCLE ORIGIN INSERTION NERVE SUPPLY
➢ Prime mover
for the initiation
of arm
SUPRASPINATUS Supraspinous fossa Greater tubercle of Suprascapular abduction
of the scapula the humerus nerve
➢ Stabilizes the
humeral head
into the
glenoid fossa
of the scapula
SITS MUSCLES
SITS MUSCLES
SITS MUSCLES
ORIGIN INSERTION NERVE SUPPLY ACTION
MUSCLE ➢ EXTENSION,
ADDUCTION,
Medial lip of the AND INTERNAL
Inferior angle of the intertubercular Lower subscapular ROTATION
TERES MAJOR MS scapula groove of the nerve ➢ Contributes to
humerus the stabilization
of
the shoulder
joints
MUSCLE OF THE ARM
➢ ADDUCTION
Musculocutaneous AND FLEXION
CORACOBRACHIALIS Coracoid process Medial aspect of nerve OF SHOULDER
MS. of the scapula shaft of humerus JOINT
➢ ACT
ANTAGONIST
TO DELTOID MS
MUSCLE OF THE ARM
Medial epicondyle Flexor retinaculum Median nerve Flex the hand at the
PALMARIS LONGUS of the humerus and palmar wrist joint
aponeurosis
MUSCLE OF THE FOREARM (SUPERFICIAL LAYER)
➢ Ulnar head –
medial aspect of
the olecranon
process and
posterior border
of the ulna
Anterior surface of Base of the distal Anterior Interosseous Flex the distal
the shaft of radius. phalanx of the nerve (AIN) branch of phalanx of the
FLEXOR POLLICIS Interosseous thumb the median nerve thumb
LONGUS (FPL) membrane
MUSCLE OF THE FOREARM (DEEP LAYER)
Lateral
BRACHIORADIALIS supracondylar Ulnar styloid Radial Nerve Flexion of the
ridge of the forearm
humerus.
Lateral
intramuscular
septum
Lateral
EXTENSOR CARPI supracondylar Posterior surface of Radial nerve Extends and
RADIALIS LONGUS (ECRL) ridge of the the base of the 2nd abducts (RD) the
humerus. metacarpal hand the wrist
Lateral joint
intramuscular
septum
MUSCLE OF THE POSTERIOR FOREARM (SUPERFICIAL LAYER)
EXTENSOR DIGITORUM Lateral epicondyle Dorsal surface of Posterior Extends the 2nd-5th
(ED) of the humerus the 2nd-5th Interosseous nerve phalanges at the
phalanges (PIN) MCP and IP joints
(extensor
expansion)
MUSCLE OF THE POSTERIOR FOREARM (SUPERFICIAL LAYER)
EXTENSOR DIGITI MINIMI Lateral epicondyle Extensor expansion Posterior Extends the MCP
(EDM) of the humerus of the 5th phalanx Interosseous nerve joint of the little
(PIN) finger
Lateral epicondyle
of humerus Lateral, posterior, PIN Assists the biceps in
SUPINATOR and anterior supination of the
Radial collateral surfaces of proximal forearm
ligament third of radius
Annular ligament
Supinator crest of
ulna
MUSCLE OF THE POSTERIOR FOREARM (DEEP LAYER)
➢ Thumb
EXTENSOR POLLICIS Posterior surface of Posterior aspect of extension
LONGUS (EPL) the middle 3rd of the base of distal PIN ➢ Extension of
ulna phalanx of thumb the hand (weak)
Interosseous
membrane
➢ Extension of the
EXTENSOR INDICIS (EI) Posterior surface of Extensor expansion index finger
the distal 3rd of ulna of 2nd phalanx PIN ➢ Extension of the
Interosseous (index) hand (weak)
membrane
MUSCLE OF THE HAND (METACARPAL MUSCLE)
Transverse head:
ADDUCTOR POLLICIS Palmar base of 3rd Medial side of the
metacarpal base of the Deep branch of Thumb Adduction
proximal phalanx of ulnar nerve
Oblique head: the thumb
Capitate, palmar
base of 2nd –
3rd metacarpal
THENAR MUSCLES
Transverse head:
FLEXOR POLLICIS BREVIS Palmar base of 3rd Lateral aspect of Superficial head:
(FPB) metacarpal the base of the 1st Median nerve Thumb Flexion
proximal phalanx
Oblique head: Deep head: Ulnar
Capitate, palmar nerve
base of 2nd –
3rd metacarpal
THENAR MUSCLES
Tubercles of
ABDUCTOR POLLICIS scaphoid and Lateral aspect of
BREVIS (APB) trapezium bones, the base of the 1st Median nerve Thumb opposition
Flexor retinaculum proximal phalanx
HYPOTHENAR MUSCLES
HYPOTHENAR MUSCLES
➢ Draws the
Corrugator Supercilii eyebrows
Superciliary arch Skin above middle Temporal branches together
supraorbital margin of Facial nerve produces the
vertical wrinkling
of the forehead
as in FROWNING
MUSCLE OF THE FACE
➢ Wrinkles skin of
Procerus Nasal bone Skin between Temporal branches the nose
eyebrows of Facial nerve
MUSCLE OF THE FACE
➢ Rectracts
Depressor Labii Inferioris Oblique line of Skin and Mandibular branch (depresses) and
mandible submucosa of lower of Facial nerve evert the lower
lip lip
➢ As in SADNESS
MUSCLE OF THE FACE
➢ Depresses the
Depressor Anguli Oris ➢ Mental angle of the
tubercle Modiolus Buccal and mouth and pulls it
mandibular branch slightly lateral
➢ Oblique line of of Facial nerve ➢ It facilitates
mandible expressing
SADNESS and
assists in opening
the mouth
MUSCLE OF THE Neck
➢ Depresses the
Platysma Deep fascia mandible
over Body of mandible Facial nerve ➢ Tenses the skin of
pectoralis and angle of mouth cervical branch inferior face and
major and neck such as in
deltoid expressing
TENSION and
STRESS
Transverse
Scalene anterior processes of 3rd, 4th, Elevates the first rib;
5th, 6th cervical First rib C4, C5 and C6 flexes and rotates
vertebrae cervical part of
vertebrae column
MUSCLE OF THE NECK
Elevates and
Stylohyoid Styloid process of Body of hyoid Stylohyoid branch retracts hyoid,
temporal bone of facial nerve elongating floor of
mouth
Superiorly to ribs
Longissimus between tubercles
and angles to
transverse process
Spinalis
Fibers run superiorly
to spinous
processes in the
upper thoracic
region to cranium
MUSCLE OF THE INTRINSIC BACK (SUPERFICIAL)
Tubercles of
Splenius Cervicis Nuchal ligament transverse Acting together:
and spinous processes of C1- C3 Extend head and
processes of C7 to or C4 vertebrae neck
T6 vertebrae
MUSCLE OF THE EXTRINSIC BACK (SUPERFICIAL)
Depresses ribs;
SERRATUS POSTERIOR assists in forced
INFERIOR Spinous processes Posterior aspect of Anterior rami of the expiration (exhale)
of T11-L2 ribs 9-12 spinal nerve
ANTERIOR MUSCLES OF THE HIP (ILIOPSOAS)
ILIACUS Iliac fossa Lesser trochanter Femoral Nerve Flex and laterally
rotates the thigh at
the hip joint
PSOAS MAJOR Sides of T12–L5 Lesser trochanter L1 and L2 lumbar Flex and laterally
vertebrae and IV spinal nerves rotates the thigh at
disc the hip joint
ANTERIOR MUSCLES OF THE HIP
PSOAS MINOR Iliac fossa Lesser trochanter Femoral Nerve Flex the thigh at the
hip joint
OBTURATOR EXTERNUS Margins of Trochanteric crest Obturator Nerve Laterally rotates the
obturator foramen thigh at the hip joint
POSTERIOR MUSCLES OF THE HIP (BUTTOCKS)
GEMELLUS SUPERIOR Ischial spine Greater trochanter Nerve to Obturator • When the hip is
Internus extended: Lateral
rotation of the thigh
• When the hip is
flexed: Abduction
of the thigh
• Abduction and
GLUTEUS MINIMUS Between anterior Greater trochanter Superior Gluteal medial rotation of
and posterior Nerve the thigh
gluteal line of the
ischium
GLUTEUS MEDIUS Between anterior Greater trochanter Superior Gluteal • Abduction and
and posterior Nerve medial rotation of
gluteal line of the the thigh
ischium
POSTERIOR MUSCLES OF THE HIP (BUTTOCKS)
GLUTEUS MAXIMUS Posterior gluteal line Gluteal tuberosity Inferior Gluteal • Extends thigh
of the ischium; of the femur; Nerve (especially from
dorsal surface of iliotibial tract flexed position)
sacrum and • Assists in lateral
coccyx; Sacro rotation of the thigh
tuberous ligament
• Abduction,
TENSOR FASCIA LATAE ASIS ITB Superior Gluteal Flexion, and medial
Nerve rotation of the thigh
MUSCLES OF THE ANTERIOS COMPARTMENT OF THE THIGH
• HIP JOINT:
SARTORIUS Anterior Superior Tibia (upper medial Femoral Nerve Abduction and
Iliac Spine (ASIS) surface) Lateral (External)
Rotation of the
thigh
• KNEE JOINT:
Flexion and Medial
(Internal) Rotation
of the leg
• Vastus
QUADRICEPS FEMORIS Intermedius – Base of the patella; Femoral Nerve • HIP JOINT: RF
anterior surface of patellar ligament flexes the thigh at
the femur the hip joint
• Vastus Medialis – • KNEE JOINT:
medial line of linea Extends the leg at
aspera the knee joint
• Vastus Lateralis –
lateral line of linea
aspera
• Rectus Femoris –
anterior inferior iliac
spine (AIIS)
BICEPS FEMORIS • Long Head of the Lateral side of the • Long head: Tibial • Extend the thigh
Biceps: Ischial head of the fibula Nerve at the hip joint
tuberosity • Short Head: • Laterally rotates
• Short Head of the Common Peroneal the leg
Biceps: Linea Nerve
aspera and lateral
supracondylar
ridge of the femur
MUSCLES OF THE POSTERIOS COMPARTMENT OF THE THIGH (HAMSTRINGS)
• Adductor part:
ADDUCTOR MAGNUS • Adductor part: • Adductor part: • Adductor part: Adducts and Flex
inferior ramus of the medial lip of linea Obturator Nerve the thigh at the hip
pubis aspera, medial • Hamstring part: joint
• Hamstring part: supracondylar line Tibial Nerve • Hamstring part:
ischial tuberosity • Hamstring part: Extends the thigh at
adductor tubercle the hip joint
of femur
MUSCLES OF THE MEDIAL COMPARTMENT OF THE THIGH
Adducts and
ADDUCTOR BREVIS Body of the pubis; Medial lip of linea Obturator Nerve contributes to
superior ramus of aspera flexion of the thigh
the pubis at the hip joint
Adducts and
ADDUCTOR LONGUS Body of the pubis Medial lip of linea Obturator Nerve contributes to
aspera flexion of the thigh
at the hip joint
MUSCLES OF THE MEDIAL COMPARTMENT OF THE THIGH
PERONEUS TERTIUS Inferior aspect of Dorsum of the base Deep peroneal Dorsiflexion and
anterior surface of of the 5th MTT nerve eversion of the foot
fibula
Lateral condyle of
EXTENSOR DIGITORUM tibia, superior Middle and distal Deep peroneal Extends the 2nd to
LONGUS (EHL) aspect of medial phalanges of 2nd nerve 5th toes and
surface of fibula, to 5th toes dorsiflexes the foot
and interosseous
membrane
Inferior aspect of
PERONEUS BREVIS (PB) the lateral surface Tuberosity of the 5th Superficial Fibular Plantarflexion and
of the of the fibula MTT Nerve eversion of the foot
Medial part of the Base of the 2nd -5th Flexion of the 2nd -
FLEXOR DIGITORUM posterior surface of distal phalanges Tibial Nerve 5th phalanges and
LONGUS (FDL) the tibia just below plantarflexion of the
the soleal line foot
EXTENSOR DIGITORUM Calcaneus 2nd -4th proximal Deep Fibular Nerve Assists in extension
BREVIS phalanges of the 2nd -4th toes
INTRINSIC MUSCLES OF THE DORSUM OF THE FOOT
EXTENSOR HALLUCIS Calcaneus Dorsal aspect of Deep Fibular Nerve Assists in extension
BREVIS base of proximal of the big toe
phalanx of big toe
4TH LAYER: DORSAL Sides of shafts of 1st • 1st: medial side of Lateral Plantar Abduction of 2nd to
INTEROSSEI to 5th MTT proximal phalanx of Nerve 4th digits
2nd digit
• 2nd -4th: lateral
sides of 2nd to 4th
digits
4TH LAYER: PLANTAR Plantar aspect of Medial side of Lateral Plantar Adduction of 3rd to
INTEROSSEI medial sides of bases of proximal Nerve 5th digits
shafts of 3rd to 5th phalanges of 3rd to
MTT 5th digits
PLANTAR SURFACE OF THE FOOT (3RD LAYER)
3RD LAYER: FLEXOR DIGITI Base of 5th MTT Base of proximal Lateral Plantar Flexion of 5th digit
MINIMI BREVIS phalanx of 5th digit Nerve
3RD LAYER: ADDUCTOR • Oblique head: Lateral side of base Lateral Plantar Adduct the big toe
HALLUCIS base of 2nd -4th of proximal phalanx Nerve
MTT, cuboid, 3rd of big toe
cuneiform
• Transverse Head:
plantar ligaments
of MTT jts
PLANTAR SURFACE OF THE FOOT (3RD LAYER)
3RD LAYER: FLEXOR Cuboid, 2nd and Both sides of base Lateral Plantar Flexion of proximal
HALLUSIC BREVIS 3rd cuneiform of proximal phalanx Nerve phalanx of the big
of big toe toe
2ND LAYER; QUADRATUS Calcaneus Tendon of Flexor Lateral Plantar Assist in flexion of
PLANTAE Digitorum Profundus Nerve the 2nd to 5th digits
2ND LAYER; LUMBRICALS Tendon of Flexor Medial side of • 2nd Lumbrical: (2nd -5th digits)
Digitorum expansion over the Medial Plantar • Flex the proximal
Profundus 2nd -5th digits Nerve phalanx
• 3rd -5th • Extend the middle
Lumbricals: Lateral and distal phalanx
Plantar Nerve
PLANTAR SURFACE OF THE FOOT (1ST LAYER)
1ST LAYER: ABDUCTOR Calcaneus Lateral side of base Lateral Plantar Abduction and
DIGITI MINIMI of proximal phalanx Nerve flexion of 5th digit
of 5th digit
1ST LAYER: ABDUCTOR Calcaneus Medial side of base Medial Plantar Abduction and
DIGITI MINIMI of the proximal Nerve flexion of the big
phalanx of the 1s toe
1ST LAYER: FLEXOR Calcaneus Both side of the Medial Plantar Flexion of 2nd to 5th
DIGITORUM BREVIS middle phalanx of Nerve digits
2nd to 5th digits