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Laterocollis is the tilting of the head from side to side. This is the "ear-to-shoulder" version. This involves many more muscles: ipsilateral sternocleidomastoid, ipsilateral splenius, ipsilateral scalene complex, ipsilateral levator scapulae, and ipsilateral posterior paravertebrals. The flexion of the neck (head tilts forwards) is anterocollis.
Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20] Therapeutic exercises might be favorable intervention compared to passive treatment approaches, electrotherapy and placebo.
The levator scapulae is a slender [1]: 910 skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae ; it inserts onto the upper portion of the medial border of the scapula .
Dorsal scapular nerve syndrome can be caused by nerve compression syndrome.A winged scapula is the most common symptom. [7] Shoulder pain may occur. [7] It causes weakness in rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. [7]
levator scapulae, the upper fibers of the trapezius Scapular depression [12] The scapula is lowered from elevation. The scapulae may be depressed so that the angle formed by the neck and shoulders is obtuse, giving the appearance of "slumped" shoulders. [citation needed] pectoralis minor, lower fibers of the trapezius, subclavius, latissimus dorsi
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
The shoulder girdle consists of five muscles that attach to the clavicle and scapula and allow for the motion of the sternoclavicular joint (connection between sternum and clavicle) and acromioclavicular joint (connection between clavicle and scapula). [2] The five muscles that comprise the function of the shoulder girdle are the trapezius ...
Scapular exercises such as shoulder shrugs and shoulder retraction exercises Improve muscular control and scapular coordination Centering of humeral head Helps to facilitate adequate muscle timing and recruitment Stretching of tight muscles such as the levator scapulae, pectoralis major, subscapularis and upper trapezius muscle