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The rhomboid major and rhomboid minor muscle

Rhomboids

Integrated functional anatomy of the rhomboids. Attachments, nerves, palpation, joint actions, arthrokinematics, fascia, triggerpoints, and behavior in postural dysfunction. Examples of common strengthening exercises, foam rolling, mobility, and stretches for the rhomboids/mid-back muscles.

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Course Description: Rhomboids

This course describes the anatomy and integrated function of the rhomboids (a.k.a. the rhomboid muscle, upper back, shoulder blade muscle). The rhomboid major originates on the spinous processes of thoracic vertebrae 2-5, and the rhomboid minor originates on the spinous processes of the cervical vertebrae 7, and thoracic vertebrae 1. The rhomboid major and minor insert on the medial border of the scapula (shoulder blade). The rhomboids are innervated by the dorsal scapular nerve and are composed of slightly more type II muscle fibers than type I muscle fibers. The rhomboid muscle crosses the scapulothoracic joint (scapula), influencing motion of the acromioclavicular joint (AC joint) and sternoclavicular joint (SC joint) during motion of the shoulder girdle. The rhomboids contribute to scapular retraction and downward rotation (functional antagonist to the serratus anterior). This course also describes the role of the rhomboid muscles in scapulothoracic arthrokinematics, fascial integration, postural dysfunction, and subsystem integration. Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) must be aware of the integrated function of the rhomboids for the detailed analysis of human movement, and the development of sophisticated exercise programs and therapeutic (rehabilitation) interventions. Further, this course is essential knowledge for future courses discussing injury prevention and physical rehabilitation (e.g. rhomboid muscle pain, upper back pain, serratus anterior inhibition, dorsal scapular nerve palsy, posture issues), the effect the rhomboids have on scapular kinematics (e.g. downward rotation in synergy with the levator scapulae and upper trapezius muscles), and rhomboid specific exercises and techniques (e.g. rhomboid muscle self-administered and static manual release techniques).

Pre-approved credits for:

Pre-approved for Continuing Education Credits for:

This Course Includes:

  • AI Tutor
  • Text and Illustrations
  • Audio Voice-over
  • Research Review
  • Technique Videos
  • Practice Exam
  • Pre-approved Final Exam

Brookbush Institute’s most recommended techniques for the Rhomboids (see videos below):

The rhomboid major and minor muscle on the posterior side of the shoulders
Caption: The rhomboid major and minor muscle on the posterior side of the shoulders

Introduction to the Rhomboids
3 Sub Sections

Rhomboid Muscle Actions
1 Sub Section

Fascial Integration

Postural Dysfunction and the Rhomboids

Exercises and Techniques for the Rhomboids
6 Sub Sections

Bibliography

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  2. Dr. Mike Clark & Scott Lucette, “NASM Essentials of Corrective Exercise Training” © 2011 Lippincott Williams & Wilkins
  3. Donald A. Neumann, “Kinesiology of the Musculoskeletal System: Foundations of Rehabilitation – 2nd Edition” © 2012 Mosby, Inc.
  4. Michael A. Clark, Scott C. Lucett, NASM Essentials of Personal Training: 4th Edition, © 2011 Lippincott Williams and Wilkins
  5. Leon Chaitow, Muscle Energy Techniques: Third Edition, © Elsevier 2007
  6. Tom Myers, Anatomy Trains: Second Edition. © Elsevier Limited 2009
  7. Shirley A Sahrmann, Diagnoses and Treatment of Movement Impairment Syndromes, © 2002 Mosby Inc.
  8. David G. Simons, Janet Travell, Lois S. Simons, Travell & Simmons’ Myofascial Pain and Dysfunction, The Trigger Point Manual, Volume 1. Upper Half of Body: Second Edition,© 1999 Williams and Wilkens
  9. Cynthia C. Norkin, D. Joyce White, Measurement of Joint Motion: A Guide to Goniometry – Third Edition. © 2003 by F.A. Davis Company
  10. Cynthia C. Norkin, Pamela K. Levangie, Joint Structure and Function: A Comprehensive Analysis: Fifth Edition © 2011 F.A. Davis Company
  11. Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, William Anthony Romani, Muscles: Testing and Function with Posture and Pain: Fifth Edition © 2005 Lippincott Williams & Wilkins
  12. Karel Lewit. Manipulative Therapy: Musuloskeletal Medicine © 2007 Elsevier
  13. Carolyn Richardson, Paul Hodges, Julie Hides. Therapeutic Exercise for Lumbo Pelvic Stabilization – A Motor Control Approach for the Treatment and Prevention of Low Back Pain: 2nd Edition (c) Elsevier Limited, 2004
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  16. Lawrence, R.L., Braman, J.P., Staker, J.L., Laprade, R.F., Ludewig, P.M. (2014) Comparison of 3-dimensional shoulder complex kinematics in individuals with and without shoulder pain, Part 2: Glenohumeral joint. Journal of Orthopaedic & Sports Physical Therapy 44(9). 646-B3
  17. Oladipo GS, Aigbogun Jr EO, Akani GL. (2015). Angle at the medial border: the spinovertebral angle and its significance. Anatomy Research International. 1-5.
  18. Crowe MM, Elhassan BT. (2015). Scapular and shoulder girdle muscular anatomy: its role in periscapular tendon transfers. J Hand Surg Am. 1-9
  19. Nasu H, Yamaguchi K, Nimura A, Akita K. (2012). An anatomic study of structure and innervation of the serratus anterior muscle. Surg Radiol Anat. 34:921-928.
  20. Reed D, Cathers I, Halaki M, Ginn KA. (2015). Does load influence shoulder muscle recruitment patterns during scapular plane abduction? Journal of Science and Medicine in Sport
  21. Sultan HE, Younis El-Tantawi GA. (2013). Role of dorsal scapular nerve entrapment in unilateral interscapular pain. Archives of Physical Medicine and Rehabilitation. 94: 1118-1125

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