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Rectus Capitis Posterior Major

Region

Origin & Insertion

['Origin: Spinous process of C2', 'Insertion: Inferior nuchal line of occipital bone']

Synergistic Muscles

['Rectus capitis posterior minor', 'Obliquus capitis superior']

Joints

['Atlanto-occipital, Atlanto-axial joints']

Primary Actions

['Extension and ipsilateral rotation of head']

Nerve & Spinal Segment

Suboccipital nerve (C1 dorsal ramus)

No plexus; C1 dorsal root

Interesting

May contribute to cervicogenic headaches. [Netter's]

Reversal of Action

Posterior cranial base anchored while spine lifts

Common Dysfunctions

Base of skull tension, cervicogenic headache trigger point

How to Stretch

Gentle head flexion with chin nod.

Trigger Points

How to Strengthen

Neck stability drills with head nods.

Concentric Action

Extend and rotate head to same side

Applications:

Target in cervicogenic headache therapy

Eccentric Action

Control head return from extension

Isotonic Action

Cranio-cervical extension with nodding cue

Related Conditions

['Suboccipital syndrome', 'Headaches']

Isometric Action

Hold head in slight extension

Exercise Ideas

['Suboccipital activation', 'Head hold isometrics', 'Diagonal extensions']

Related Blogs

Images

Videos

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