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Image of a cross-section of the torso showing the erector spinae, obliques, and latissimus dorsi

Erector Spinae

Integrated functional anatomy of the iliocostalis, longissimus, and spinalis. Attachments, nerves, palpation, joint actions, arthrokinematics, fascia, triggerpoints, and behavior in postural dysfunction. Common exercises, foam rolling, and stretches for the lower back/erector spinae.

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Course Description: Erector Spinae

This course describes the anatomy and integrated function of the erector spinae muscles (a.k.a. low back, erectors, paraspinal muscles, or paraspinous muscles). The erector spinae is actually a skeletal muscle group, including the longissimus, spinalis, and iliocostalis, and each may have lumborum, thoracis, and cervicis regions. This muscle group is located on either side of the vertebral (spinal) column, with attachment points on the sacrum, spine, ribcage, and skull, although these muscles are relatively superficial, sections do lie deep to other muscle groups like the scapular retractors, or lower back structures like the thoracolumbar fascia. The erector spinae are composed primarily of type I muscle fibers. The erector spinae muscle crosses the joints of the spine (facet joints), are the primary extensors of the spine, may contribute to lateral flexion and rotation, as well as anterior tilting of the pelvis, and nutation of the sacroiliac joint. This course also describes the role of the erector spinae in facet joint arthrokinematics, fascial integration (with the thoracolumbar fascia), 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 erector spinae muscle for 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. loss of extensibility (tight back/stiff back), lower back pain, chronic pain, lumbar muscle fatigue, and acute spinal column injuries including herniated nucleus pulposus and nerve root impingement), the synergistic function of the erector spinae (e.g. extension of the spine with the latissimus dorsi and lateral flexion of the spine with the external obliques, internal obliques, and QL), and erector spinae exercises and techniques for enhancing sports performance (e.g. ensuring ideal erector length for optimal low back and core stability, strength, and power).

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 Erector Spinae (see videos below):

The erector spinae muscle in a cross-sectional view
Caption: The erector spinae muscle in a cross-sectional view

Introduction to the Erector Spinae
3 Sub Sections

Erector Muscle Actions
1 Sub Section

Fascial Integration
1 Sub Section

Postural Dysfunction and the Erector Spinae

Exercises and Techniques for the Erector Spinae
4 Sub Sections

Bibliography

  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. Andrew Biel, Trail Guide to the Human Body: 4th Edition, © 2010
  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. Craig Liebenson, Rehabilitation of the Spine: A Practitioner’s Manual, (c) 2007 Lippincott Williams & Wilkins
  15. Stuart McGill, Low Back Disorders: Second Edition © 2007 Stuart M. McGill
  16. Robert Schleip, Thomas W. Findley, Leon Chaitow and Peter A. Huijing. Fascia: The Tensional Network of the Human Body. (c) 2012 Elsevier Ltd.
  17. Andrew Vleeming, Vert Mooney, Rob Stoeckart. Movement, Stability & Lumbopelivic Pain: Integration of Research and Therapy (c) 2007, Elsevier Limited
  18. Rosomoff, HL, Fishbain, DA, Goldberg, M, Santana, R, and Rosomoff, RS. Physical findings in patients with chronic intractable benign pain of the neck and/or back. Pain. 1989; 37: 279–287
  19. Otoshi, K., Takegami, M., Sekiguchi, M., Onishi, Y., Yamazaki, S., Otani, K., Shishido, H., Shinichi, K., Shinichi, K. (2014). Association between kyphosis and subacromial impingement syndrome: LOHAS study. Journal of Shoulder and Elbow Surgery. 23. e300-e307
  20. Harriss AB, Brown SHM. (2015). Effects of changes in muscle activation level and spine and hip posture on erector spinae fiber orientation. Muscle Nerve. 51: 426-433
  21. Park K, Oh J, An D, et al. (2015). Difference in selective muscle activity of thoracic erector spinae during prone trunk extension exercise in subjects with slouched thoracic posture. P M R. 479-484.
  22. Gildea JE, Hides JA, Hodges PW. (2013). Size and symmetry of trunk muscles in ballet dancers with and without low back pain. JOSPT. 43(8): 525-533.
  23. Beneck GJ, Kulig K. Multifidus atrophy is localized and bilateral in active persons with chronic unilateral low back pain. Arch Phys Med Rehabil. 2012;93:300-306.

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