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Anterior Scalene

Region

Origin & Insertion

['Origin: Transverse processes of C3–C6', 'Insertion: 1st rib (scalene tubercle)']

Synergistic Muscles

['Middle and Posterior scalenes', 'SCM']

Joints

['Cervical vertebrae C3–C6']

Primary Actions

['Elevates 1st rib', 'Neck flexion', 'Lateral neck flexion']

Nerve & Spinal Segment

Cervical spinal nerves C4–C6

Cervical plexus; C4–C6

Interesting

Key landmark in thoracic outlet syndrome. [Grant’s Atlas]

Reversal of Action

Elevate 1st rib during forced inhalation

Common Dysfunctions

Brachial plexus compression, thoracic outlet syndrome

How to Stretch

Neck side bend away with arm depressed.

Trigger Points

How to Strengthen

Lateral neck press into resistance.

Concentric Action

Lateral flexion of cervical spine

Applications:

Important in breathing retraining and thoracic outlet syndrome management

Eccentric Action

Control return from side bend

Isotonic Action

Lateral flexion with band resistance

Related Conditions

['TOS', 'Brachial plexus irritation']

Isometric Action

Hold neck in side flexed position

Exercise Ideas

['Neck side bends', 'Resisted elevation', 'Postural scalene resets']

Related Blogs

Images

Videos

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