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Belly muscles
Last reviewed: 23.04.2024
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Belly muscle of the head - m. Splenitis capitis
With a contraction on one side, the muscle turns its head and tilts it to its side, and with bilateral contraction it unbends the head and neck.
Beginning: spinous processes of III-I thoracic and cervical vertebrae III-VII.
Attachment: lateral part linea nuchae superior, Proc. Mastoideus.
Innervation: from the posterior branches of the spinal nerves C1-C5
Diagnosis: In the head muscle of the head, the trigger zones are determined by deep palpation. Usually these points are found in that part of the muscle that lies subcutaneously within the muscular triangle formed by the trapezius muscle behind, the sternocleidomastoid muscle in front and the muscle lifting the scapula. The localization of trigger zones in the area of attachment of the muscle to the mastoid process is described.
Reflected pain: the trigger zone, realized in the belt muscle of the head, causes pain in the upper part of the crown from the ipsilateral side.
Belly muscle of the neck - m. Splenitis cervicis
When bilateral cuts straightens the neck. At one-sided - turns and inclines a neck in the party.
Onset: spinous processes of V-III thoracic vertebrae
Attachment: Tuberculum posterius of the cervical vertebra III
Innervation: spinal nerves C1-C5 - posterior branches of the cervical plexus
Diagnosis: The displacement of the lateral edge of the upper part of the trapezius muscle towards the spine, and the muscle that lifts the scapula - in the anterolateral direction allows palpation of the neck muscle directly under the skin.
The lower trigger zone is palpated directly over the angle formed by the base of the neck and the shoulder. The doctor turns the head and neck of the patient in the opposite direction from the affected muscle, stretching it to such an extent that it can be palpated. To reveal the localization of the upper trigger zone, the finger slides up along the fibers of the neck muscle between the upper tufts of the trapezius muscle and the muscle that lifts the scapula. A trigger zone is described in the corner formed by the upper ends of the trapezius and sternocleidomastoid muscles, which causes pain in the area, which are characteristic pain zones for the trigger zone localized at the upper end of the neck muscle of the neck.
Reflected pain: A trigger zone localized at the upper end of the neck muscle causes a diffuse pain inside the head, on the ipsilateral side, which is maximally concentrated behind the eyeball; sometimes this pain extends to the scalp in the occipital region of the head. The trigger zone localized in the lower part of the neck muscle (at the base of the neck) causes pain at the base of the neck and higher from the ipsilateral side. Patients with a lesion of the trigger zone of the upper end of the neck muscle, other than pain, can still complain about what they see badly near the ipsilateral eye. In this case, they have not observed any conjunctivitis of any other eye diseases.
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