
The back muscles are divided into three groups: superficial, intermediate, and intrinsic or deep muscles. The superficial muscles help with shoulder and neck movements, while the intermediate muscles help with the movement of the thoracic cage. The intrinsic muscles are considered the true back muscles as they fuse with the vertebral column. The deepest muscles in the transversospinalis group, which is part of the intrinsic back muscles, are the rotatores. These muscles help to stabilise the spinal column and play a role in proprioception and balance.
| Characteristics | Values |
|---|---|
| Muscle Group | Rotatores |
| Muscle Type | Deepest muscles in the transversospinalis group, the deep layer of the intrinsic back muscles |
| Muscle Function | Stabilization of the vertebral column, proprioception, balance, and movement of the vertebral column |
| Muscle Structure | Short muscles associated with the spinous and transverse processes of the vertebrae |
| Muscle Attachments | The rotator brevis connects the transverse process of the lower vertebra to the lateral lamina of the vertebra above. The rotator longus connects the transverse process of the lower vertebra to the base of the spinous process of the vertebra two levels above. |
| Muscle Spindles | High density of muscle spindles, which are stimulated by stretch and sense the positioning of each spinal motion |
| Muscle Activity | Muscle activity increases during ipsilateral rotation at thoracic vertebral levels and during contralateral rotation at thoracic and lumbar vertebral levels |
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What You'll Learn
- Rotatores muscles are the deepest muscles in the transversospinalis group
- Multifidus muscles can span 2 to 4 vertebral segments
- Latissimus dorsi muscles extend, adduct and internally rotate the upper arm
- Rhomboid muscles connect the shoulder blades to the spine
- Serratus posterior superior is a thin, quadrilateral-shaped muscle in the upper back

Rotatores muscles are the deepest muscles in the transversospinalis group
The rotatores muscles are the deepest muscles in the transversospinalis group, which is a deep group of intrinsic back muscles. These muscles lie between the transverse and spinous processes of the vertebral column, deep to the erector spinae muscles. They arise from the transverse processes of the vertebral column and run upwards and medially in an oblique fashion to insert into the spinous processes of superior vertebrae.
The rotatores muscles are part of the deep, core muscle groups of the body, which assist in powering all limb movement and have a role as dynamic stabilizers. They are highly rich in muscle spindles, which are stimulated by stretch and sense the positioning of each spinal motion. The rotatores muscles are more likely stabilizers of the spinal column, acting as extensible ligaments that adjust their length to support adjacent vertebrae.
The rotatores muscles can be divided regionally into rotatores colli/cervicis, rotatores thoracis, and rotatores lumborum. They consist of short rotatores (rotatores breves) and long rotatores (rotatores longi). The short rotatores attach to the spinous processes of adjacent superior vertebrae, while the long rotatores attach to vertebrae two levels up. The rotatores muscles are innervated by the medial branches of posterior rami of spinal nerves and receive their blood supply via dorsal branches of posterior intercostal and lumbar arteries.
The transversospinalis muscle group as a whole functions in spinal stability, proprioception, and posture, stabilizing the vertebral column. The rotatores muscles specifically contribute to spinal stability by providing support and maintaining the body's posture. They also play a role in the movement of the head, neck, and trunk, with unilateral contraction causing rotation of the trunk to the contralateral side.
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Multifidus muscles can span 2 to 4 vertebral segments
The multifidus muscle is a part of the transversospinal muscle group, located in the third or deep layer of deep muscles of the back. It is a local core stabilizer that plays a crucial role in maintaining static and dynamic spinal stability. The multifidus spans the entire length of the vertebral column, although it is most developed in the lumbar region.
The lumbar multifidus muscle has several points of origin, including the back surface of the sacrum, the posterior superior iliac spine, the mammillary processes of the lumbar vertebrae, and the transverse processes of the thoracic vertebrae. The fibres of the lumbar multifidus travel superiorly to insert themselves on the lateral surface and apices of spinous processes 2 to 5 levels above their origin.
The multifidus muscle consists of fleshy and tendinous fasciculi, which fill the groove on either side of the spinous processes of the vertebrae. These fasciculi vary in length, with the most superficial fasciculi being the longest, passing over 2 to 4 vertebral segments. The deeper fasciculi are shorter, connecting 2 adjacent vertebrae.
The multifidus muscle aids in several movements of the vertebral column. When contracting bilaterally, the multifidus extends the spine. Unilateral contraction of the multifidus aids in lateral flexion of the spine to the same side and rotation of the spine to the opposite side.
The multifidus muscle also functions as an extensible ligament, adjusting its length to stabilize the vertebrae and the vertebral column as a whole. This stabilisation helps to reduce joint degeneration caused by friction from normal physical activity, contributing to overall spinal stability.
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Latissimus dorsi muscles extend, adduct and internally rotate the upper arm
The latissimus dorsi muscle is a large, flat muscle that covers most of the lower posterior thorax. It is the largest muscle in the upper half of the body. Starting below the shoulder blades, it extends down to the lumbar and sacral spine.
The latissimus dorsi muscle is an extrinsic back muscle, which means it is a muscle that originates from the myogenic cells in the developing upper limb buds. It is part of the superficial extrinsic back muscles, along with the levator scapulae, trapezius, and rhomboid muscles.
The primary function of the latissimus dorsi muscle is to move the upper extremity. It works together with the teres major and pectoralis major muscles to adduct, medially rotate, and extend the arm at the glenohumeral joint. This muscle is also active in moving the trunk forward and upward when the upper extremities are fixed overhead, as in climbing or performing a chin-up.
The latissimus dorsi muscle is also considered a respiratory accessory muscle. It is active during deep inspiration and forceful respiratory functions such as coughing and sneezing.
Tightness in the latissimus dorsi muscle can lead to chronic shoulder and back pain. This is because the muscle connects the spine to the humerus, and tightness can result in sub-optimal function of the glenohumeral joint, leading to chronic pain or tendinitis.
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Rhomboid muscles connect the shoulder blades to the spine
The back muscles start just under the skull, covering the shoulders and running down to just above the hips. These muscles help control posture, enable movement, and assist in breathing.
The rhomboid muscles are a group of muscles in the upper back, with a rhomboid major and a rhomboid minor on each side. They are deep intrinsic shoulder muscles that, along with the sternocleidomastoid, trapezius, pectoralis muscles, latissimus dorsi, and serratus anterior, form the shoulder girdle. The shoulder girdle helps keep the shoulder blade and shoulder stable.
The rhomboid muscles connect the shoulder blades to the spine. They also attach to the rib cage. These muscles control the movement of pulling back, lifting, and rotating the shoulder blade. They also contribute to arm movement, enabling a person to lift their arm above their head.
The rhomboids are important in upper limb movement and stability of the shoulder girdle and scapula. They receive innervation from the dorsal scapular nerve and are supplied by the dorsal scapular artery. The motor function of the rhomboid muscles is controlled by the dorsal scapular nerve, which originates from the ventral ramus of the spinal nerve root C5.
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Serratus posterior superior is a thin, quadrilateral-shaped muscle in the upper back
The spine is rotated by the rotatores muscles, which are the deepest muscles in the transversospinalis group. They lie between the transverse and spinous processes and are grouped by the length of the fascicles and the region covered.
The serratus posterior muscles are two paired muscles located in the upper and lower back. They extend obliquely from the vertebral column to the rib cage. The serratus posterior superior is a thin, quadrilateral-shaped muscle in the upper back, specifically in the shoulder girdle region. It originates from the C7-T3 vertebrae spinous process and nuchal ligament. It inserts at the upper border of the 2nd to 5th ribs. The muscle is innervated by the ventral rami of the intercostal nerves of T1-T5.
The main function of the serratus posterior muscles is to facilitate respiration. The serratus posterior superior elevates the ribs and supports inspiration. It is an accessory muscle of inspiration. The muscle arises as a thin tendinous sheet from the nuchal ligament and spinous processes of the vertebrae, as well as the associated supraspinous ligaments.
The serratus posterior superior is an intermediate layer of back muscles. It is located between the shoulder blades, under the rhomboid muscles. This muscle is sometimes challenging to treat due to its location, as its pain pattern overlaps with that of other muscles. Disproportionate use of the serratus posterior superior can result in a condition called scapulocostal syndrome, characterised by pain and paresthesia in the medial border of the scapula, radiating to the neck, chest, and upper extremities. Resting the muscle or visiting a chiropractor can help ease the pain and improve mobility.
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Frequently asked questions
The rotatores muscles are the deepest muscles in the transversospinalis group and are responsible for rotating the spine.
The rotatores muscles are stabilizers of the spinal column and act as extensible ligaments that adjust their length to support adjacent vertebrae.
The rotatores muscles can be divided into three subgroups: rotatores, multifidus, and semispinalis. They can also be classified as rotatores brevis and rotatores longus.
The rotatores brevis connects the transverse process of the lower vertebra to the lateral lamina of the vertebra above it. The rotatores longus connects the transverse process of the lower vertebra to the base of the spinous process of the vertebra two levels above.
The internal oblique, transversus abdominis, external oblique, rectus abdominis, and lumbar multifidus muscles all play a role in spinal rotation.











































