Quadratus Lumborum: Difference between revisions

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The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”  
The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”  


A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.<ref name="radiopaedia" />
A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.


== Anatomy  ==
== Anatomy  ==


=== Origin<ref name="anatomy expert">Anatomyexpert.com,. (2015). AnatomyEXPERT: Quadratus lumborum - Structure Detail. Retrieved 15 August 2015, from http://www.anatomyexpert.com/app/structure/5307/</ref> ===
=== Origin<ref name="anatomy expert">Anatomyexpert.com. AnatomyEXPERT: Quadratus lumborum - Structure Detail [Internet]. 2015 [cited 15 August 2015]. Available from: http://www.anatomyexpert.com/app/structure/5307/</ref> ===


Posterior Iliac Crest  
Posterior Iliac Crest  


=== Insertion<ref name="anatomy expert" /> ===
=== Insertion<ref name="anatomy expert" /> ===


Medial half of 12th rib and transverse processes of lumbar vertebrae  
Medial half of 12th rib and transverse processes of lumbar vertebrae  


=== Nerve Supply  ===
=== Nerve Supply<ref name="anatomy expert" /> ===


Subcostal nerve (T12)<br>Iliohypogastric and&nbsp;Ilioinguinal nerve (both from L1) <br>Branches from the ventral rami (L2 and L3)
Subcostal nerve (T12)<br>Iliohypogastric and&nbsp;Ilioinguinal nerve (both from L1) <br>Branches from the ventral rami (L2 and L3)  


=== Blood Supply<ref name="radiopaedia">Jarvis, M. (2015). Quadratus lumborum | Radiology Reference Article | Radiopaedia.org. Radiopaedia.org. Retrieved 15 August 2015, from http://radiopaedia.org/articles/quadratus-lumborum</ref> ===
=== Blood Supply<ref name="radiopaedia">Jarvis M. Quadratus lumborum | Radiology Reference Article | Radiopaedia.org [Internet]. Radiopaedia.org. 2015 [cited 15 August 2015]. Available from: http://radiopaedia.org/articles/quadratus-lumborum</ref> ===


Branches of the subcostal artery<br>Branches of the lumbar arteries<br>The lumbar branch of the iliolumbar artery<br>The arteria lumbalis ima from the median sacral artery.
Branches of the subcostal artery<br>Branches of the lumbar arteries<br>The lumbar branch of the iliolumbar artery<br>The arteria lumbalis ima from the median sacral artery.  


== Function  ==
== Function  ==


=== Actions  ===
=== Actions<ref name="radiopaedia" /> ===


Quadratus Lumborum fixes the12th rib to stabilise diaphragm attachments during inspiration  
Quadratus Lumborum fixes the12th rib to stabilise diaphragm attachments during inspiration  
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Lateral flexes the vertebral column  
Lateral flexes the vertebral column  


Extends lumbar vertebrae
Extends lumbar vertebrae  


=== Functional contributions ===
=== Functional contributions ===


The primary antagonist to each Quadratus Lumborum muscle is the Quadratus Lumborum muscle on the other side of the body.
The primary antagonist to each Quadratus Lumborum muscle is the Quadratus Lumborum muscle on the other side of the body.<ref name="therapist">Perry D. Quadratus Lumborum Trigger Points: Masters of Low Back Pain | TriggerPointTherapist.com [Internet]. Triggerpointtherapist.com. 2011 [cited 15 August 2015]. Available from: http://www.triggerpointtherapist.com/blog/quadratus-lumborum-trigger-points/ql-trigger-points-masters-low-back-pain/</ref>


The muscle group is considered a postural muscle group.
The muscle group is considered a postural muscle group.  


== Trigger Point Referral Pattern  ==
== Trigger Point Referral Pattern  ==
[[Image:Quadratus_lumborum_trigger_points_referred_pain-1024x768.jpg|500x300px]]
[[Image:Quadratus-lumborum-trigger-point-interactions.jpg|500x300px]]


== Techniques  ==
== Techniques  ==

Revision as of 17:58, 15 August 2015

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Description[edit | edit source]

The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”

A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.

Anatomy[edit | edit source]

Origin[1][edit | edit source]

Posterior Iliac Crest

Insertion[1][edit | edit source]

Medial half of 12th rib and transverse processes of lumbar vertebrae

Nerve Supply[1][edit | edit source]

Subcostal nerve (T12)
Iliohypogastric and Ilioinguinal nerve (both from L1)
Branches from the ventral rami (L2 and L3)

Blood Supply[2][edit | edit source]

Branches of the subcostal artery
Branches of the lumbar arteries
The lumbar branch of the iliolumbar artery
The arteria lumbalis ima from the median sacral artery.

Function[edit | edit source]

Actions[2][edit | edit source]

Quadratus Lumborum fixes the12th rib to stabilise diaphragm attachments during inspiration

Lateral flexes the vertebral column

Extends lumbar vertebrae

Functional contributions[edit | edit source]

The primary antagonist to each Quadratus Lumborum muscle is the Quadratus Lumborum muscle on the other side of the body.[3]

The muscle group is considered a postural muscle group.

Trigger Point Referral Pattern[edit | edit source]

Quadratus lumborum trigger points referred pain-1024x768.jpg

Quadratus-lumborum-trigger-point-interactions.jpg


Techniques[edit | edit source]

Palpation[edit | edit source]

Length Tension Testing[edit | edit source]

Treatment[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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Resources[edit | edit source]

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. 1.0 1.1 1.2 Anatomyexpert.com. AnatomyEXPERT: Quadratus lumborum - Structure Detail [Internet]. 2015 [cited 15 August 2015]. Available from: http://www.anatomyexpert.com/app/structure/5307/
  2. 2.0 2.1 Jarvis M. Quadratus lumborum | Radiology Reference Article | Radiopaedia.org [Internet]. Radiopaedia.org. 2015 [cited 15 August 2015]. Available from: http://radiopaedia.org/articles/quadratus-lumborum
  3. Perry D. Quadratus Lumborum Trigger Points: Masters of Low Back Pain | TriggerPointTherapist.com [Internet]. Triggerpointtherapist.com. 2011 [cited 15 August 2015]. Available from: http://www.triggerpointtherapist.com/blog/quadratus-lumborum-trigger-points/ql-trigger-points-masters-low-back-pain/