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Sample Chapter 10 from the Textbook (35559.0K) - McGraw-Hill

Sample Chapter 10 from the Textbook (35559.0K) - McGraw-Hill

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328 PART 2 Support and Movement<br />

Optic nerve<br />

Levator palpebrae<br />

superioris (cut)<br />

View<br />

Lateral rectus<br />

Superior rectus<br />

Inferior oblique<br />

Medial rectus<br />

Superior oblique<br />

Trochlea<br />

(a) Superior view<br />

Trochlea<br />

Levator palpebrae<br />

superioris (cut)<br />

Optic nerve<br />

Inferior rectus<br />

Superior oblique<br />

Superior rectus<br />

Lateral rectus<br />

View<br />

Inferior oblique<br />

(b) Lateral view<br />

FiGuRe <strong>10</strong>.13 Muscles That Move <strong>the</strong> Right eyeball<br />

(Names of muscles of eye movement are in bold.)<br />

Muscles Moving <strong>the</strong> Vertebral column<br />

The muscles that extend, laterally flex, and rotate <strong>the</strong> vertebral<br />

column are divided into superficial and deep groups (table <strong>10</strong>.9).<br />

In general, <strong>the</strong> muscles of <strong>the</strong> deep group extend <strong>from</strong> vertebra to<br />

vertebra, whereas <strong>the</strong> muscles of <strong>the</strong> superficial group extend <strong>from</strong><br />

<strong>the</strong> vertebrae to <strong>the</strong> ribs. These back muscles are very strong to<br />

maintain erect posture. The erector spinae (spī′nē) group of<br />

muscles on each side of <strong>the</strong> back consists of three subgroups: <strong>the</strong><br />

iliocostalis (il′ē-ō-kos-tā′lis), <strong>the</strong> longissimus (lon-gis′i-mŭs),<br />

and <strong>the</strong> spinalis (spī-nā′lis). The longissimus group accounts for<br />

most of <strong>the</strong> muscle mass in <strong>the</strong> lower back (figure <strong>10</strong>.14). The<br />

deepest muscles of <strong>the</strong> back attach between <strong>the</strong> spinous and transverse<br />

processes of individual vertebrae (figure <strong>10</strong>.15).<br />

Back Pain<br />

Clinical<br />

IMPaCT<br />

Low back pain can result <strong>from</strong> injury, poor posture, being overweight,<br />

or lack of fitness; it is <strong>the</strong> primary cause of missed<br />

work and <strong>the</strong> second most common neurological affliction in<br />

<strong>the</strong> United States. In addition to chronic pain, a low back injury is<br />

often accompanied by muscle spasms, which are spontaneous,<br />

painful, uncontrolled muscle contractions. A few changes may help<br />

prevent more spasms and reduce pain. Patients should sit and stand<br />

up straight; use a low back support when sitting; lose weight; exercise,<br />

especially <strong>the</strong> back and abdominal muscles; and try to sleep on<br />

<strong>the</strong>ir side on a firm mattress. If lifestyle changes are not sufficient,<br />

treatment with muscle relaxants, anti-inflammatory drugs, or pain<br />

medication may be necessary.

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