Suboccipital Muscles
Rectus Capitis Posterior Major Muscle
Origin: Spinous process of axis (C2)
Insertion: Lateral half of the inferior nuchal line of the occipital bone
Action: Extension of the head
Innervation: Posterior Primary Ramus of C1
Blood Supply: Branches from the vertebral artery
Primary Actions of the Rectus Capitis Posterior Major Muscle
1. Extension of the head on the neck when acting bilaterally
Agonists:
- Rectus Capitis Posterior Minor
- Obliquus Capitis Superior
Antagonists:
- Rectus Capitis Anterior
2. Ipsilateral rotation of the cervical spine when acting unilaterally
Agonists:
- Obliquus Capitis Inferior
Antagonists:
- Obliquus Capitis Inferior on the opposite side
Rectus Capitis Posterior Minor
Origin: Posterior tubercle of atlas (C1)
Insertion: Medial half of the inferior nuchal line of the occipital bone
Action: Extension of the head
Innervation: Posterior Primary Ramus of C1
Blood Supply: Branches from the vertebral artery
Primary Actions of the Rectus Capitis Posterior Minor Muscle
1. Extension of the head on the neck when acting bilaterally
Agonists:
- Rectus Capitis Posterior Major
- Obliquus Capitis Superior
Antagonists:
- Rectus Capitis Anterior
Obliquus Capitis Superior Muscle
Origin: Superior surface of the transverse process of C1 (atlas)
Insertion: Lateral half of the inferior nuchal line of the occipital bone
Action: Extension of the head, lateral flexion of the head
Innervation: Posterior Primary Ramus of C1
Blood Supply: Branches from the vertebral artery
Primary Actions of the Obliquus Capitis Superior Muscle
1. Extension of the head on the neck when acting bilaterally
Agonists:
- Rectus Capitis Posterior Major,
- Rectus Capitis Posterior Minor
Antagonists:
- Rectus Capitis Anterior
2. Lateral flexion of the head on the neck when acting unilaterally
Agonists:
- Rectus Capitis Lateralis
Antagonists:
- Rectus Capitis Lateralis on opposite side
Obliquus Capitis Inferior Muscle
Origin: Lateral surface of the spinous process and adjacent laminae of C2 (axis)
Insertion: Inferoposterior aspect of the transverse process of C1 (atlas)
Action: Rotates the head to the contracted side
Innervation: Posterior Primary Ramus of C1
Blood Supply: Branches from the vertebral artery
Primary Actions of the Obliquus Capitis Inferior Muscle
1. Ipsilateral rotation of the cervical spine when acting unilaterally
Agonists:
- Rectus Capitis Posterior Major
Antagonists:
- Rectus Capitis Posterior Major on opposite side
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For pain and symptom information see: Suboccipital Muscles Pain and Symptoms