Levator Scapulae

This course describes the anatomy and integrated function of the skeletal muscle, levator scapulae (a.k.a. levator scapula, levator scap, scapulae muscle, levator muscle, lev scap, LS, etc.). This muscle originates from the transverse processes of the cervical vertebrae 1-4 (neck), inserts into the superior angle of the scapula (shoulder blade), and is innervated by cervical nerves 3 and 4, and the dorsal scapular nerve. This neck and shoulder blade muscle is composed of a near-even proportion of type I and type II muscle fibers with a slight bias toward type I muscle fibers (based on the composition of the similar upper trapezius muscle).

This muscle crosses the scapulothoracic joint (scapula), influencing motion of the sternoclavicular joint and acromioclavicular joint, via the scapula (shoulder blade). The levator scapula is an elevator, anterior tipper, and downward rotator of the scapula. Additionally, this muscle contributes to cervical lateral flexion, upper cervical extension, and cervical ipsilateral rotation. This course also describes the role of the levator scapulae muscles in scapulothoracic arthrokinematics, fascial integration, head posture and 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 levator scapulae 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 therapy (e.g. levator scapulae pain, shoulder pain, neck pain (chronic pain), poor posture, especially forward head posture, levator scapulae syndrome, shoulder impingement syndrome, referral pain to the shoulder), synergistic function and motor control (e.g. levator scapula and rhomboid muscles, both innervated by the dorsal scapular nerve, contributing to downward rotation of the scapula during motion of the pectoral girdle and upper limb), and levator scapulae specific techniques (e.g. levator scapulae active release, static manual release, levator scapulae stretch, levator scapulae active stretch, levator scapulae manual release (massage), and neuromuscular re-education for enhancing shoulder and shoulder girdle motion). Note, this muscle is commonly addressed during sports massage.

Pre-approved credits for:

Human Movement Specialist (HMS) Certification

Pre-approved for Continuing Education Credits for:

• Athletic Trainers
• Chiropractors
• Group Exercise Instructors
• Massage Therapists
• Occupational Therapists - Intermediate
• Personal Trainers
• Physical Therapists
• Physical Therapy Assistants
• Physiotherapists
• Yoga Instructors

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 Levator Scapulae (see videos below):

• Release: Levator Scapulae Release
• Manual Technique: Levator Scapulae Static Manual Release
• Stretch:Levator Scapulae Active Stretch

Caption: The levator scapula muscle

Levator Scapulae - http://classconnection.s3.amazonaws.com/228/flashcards/504228/jpg/heaposmusmhnlevator_20scapulae_20m_1351523887828.jpg

1. Phillip Page, Clare Frank, Robert Lardner, Assessment and Treatment of Muscle Imbalance: The Janda Approach © 2010 Benchmark Physical Therapy, Inc., Clare C. Frank, and Robert Lardner
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
14. Andrew Biel, Trail Guide to the Human Body: 4th Edition, © 2010
15. Scovazzo ML, Browne A, Pink M, et. al.: The Painful shoulder during freestyle swimming. Am J Sports Med 19(6):577-582, 1991
16. Lawrence, R. L., Braman, J. P., Laprade, R. F., & Ludewig, P. M. (2014). Comparison of 3-dimensional shoulder complex kinematics in individuals with and without shoulder pain, part 1: sternoclavicular, acromioclavicular, and scapulothoracic joints. journal of orthopaedic & sports physical therapy, 44(9), 636-A8.
17. Dean, N.A. and B.S. Mitchell 2002. Anatomic relation between the nuchal ligament (ligamentum nuchae) and the spinal dura mater in the craniocervical region. Clin. Anat. 15:182-185.
18. Craig Leibenson, Rehabilitation of the Spine: A Practitioner's Manual. © 2007 Lippencott Williams & Wilkens
19. Oladipo GS, Aigbogun Jr EO, Akani GL. (2015). Angle at the medial border: the spinovertebral angle and its significance. Anatomy Research International. 1-5.
20. 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.
21. Choi W, Cynn H, Lee C, et al. (2014). Shrug exercises combined with shoulder abduction improve scapular upward rotator activity and scapular alignment in subjects with scapular downward rotation impairment. Journal of Electromyography and Kinesiology. 25: 363-370.
22. Munoz-Munoz S, Munoz-Garcia MT, Alburquerque-Sendin, et al. (2012). Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. Journal of Manipulative and Physiological Therapeutics. 35(8): 608-613.
23. Lluch E, Nijs J, De Kooking M, et al. (2015). Prevalence, incidence, localization, and pathophysiology of myofascial trigger points in patients with spinal pain: a systematic literature review. J Manipulative Physiol Ther.38:587-600.