Muscles of Respiration + Abdomen Cheat Sheet (DRAFT) by Siffi

Origin: manubrium of sternu­m/c­lavicle
Insertion: Xiphoid process, pectoral fascia, lower ribs, costal cartilages or rectus sheath
Nerve: Medial and Lateral Pectoral Nerves C6-T1
Action: Unknown

- Satellite Trps can develop from SCM
- Can mimic Chosto­cho­ndr­iti­s/T­ietzes
- Lower SCM + Pec major needs to be treated with Sternalis

Origin: Tubercles of the ribs, posterior fibres of superior costot­ran­sverse ligaments, external interc­ostal membrane, lower border of one rib
Insertion: Upper border of the rib below, free ends of the costal carilages
Nerve: Adjacent Interc­ostal nerves
Action: Stiffens chest wall - prevents parado­xical motion during descent of the diaphragm in inspir­ation

- Just inferior to pec major on rib cage
- Roll finger across rib space
- Pt takes several slow deep breaths

Origin:
Sternal: Back of the xiphoid process
Costal: Internal surfaces of the lower 6 costal cartil­lages, interd­igi­tations with Trasnverse Abdominis
Lumbar: Medial and lateral arcuate ligaments
Nerve: Phrenic Nerve C3-5
Action: Respir­ation

Side lying/­supine with knees bent and bolstered
Curl fingers on underside of ribs as patient exhales

Origin: Ribs 5-12
Insertion: Xiphoid Process, outer lip iliac crest, pubic crest, pubic tubercle, linea alba, inguinal ligament , ASIS
Nerve: Terminal Branches of lower five interc­ostal nerves + subcostal nerve from ventral rami of lower 6 tx spinal nerves
Action: Mainte­nance of abdominal tone, increasing intra-­abd­ominal pressure and lateral flexion of the trunk against resistance

- Can be incons­istent

Origin: Inguinal Ligament, iliac crest and lumbod­orsal fascia
Insertion: Linea alba, Pectinal line of pubis, Ribs 10-12
Nerve: Thorac­oab­dominal (T7-T11), Subcostal (T12), Iliohy­pog­astric (L1), Ilioin­guninal (L1)
Action:
Bilateral: Compresses abdomen (expir­ation)
Unilat­eral: Ipsila­teral Trunk Rotation

Origin: Pubic Symphysis and Pubic Crest
Insertion: Linea Alba
Nerve: Subcostal Nerve (T12)
Actions: Tenses the Linea Alba

Origin: Crest of Pubis
Insertion: Costal Cartilages of ribs 5-7 , Xiphoid process of sternum
Nerve: Thorac­oab­dominal nerves (T7-T11), Subcostal (T12)
Action: Flexion of Lumbar spine

- Lower Rectus and upper rectus can overlap
- Lower Rectus TrPs can increase pain in menstr­ation

Origin: Iliac Crest, Inguinal ligament, thorac­olumbar fascia and costal cartilages 7-12
Insertion: Xiphoid Process, linea alba, pubic crest, pecten pubis
Nerve: Thorac­oab­dominal nerve (T6-T11), Subcostal (T12), iliohy­pog­astric nerve (L1), Ilioin­guinal nerve (L1)
Action: Compresses abdominal contents