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SuboccipitalsMusculi suboccipitales

Four small paired muscles between the base of the skull and the top two vertebrae that fine-tune extension, tilting and turning of the head.

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LatinMusculi suboccipitales
Origin
  • Rectus capitis posterior major: spinous process of the axis (C2)
  • Rectus capitis posterior minor: tubercle on the posterior arch of the atlas (C1)
  • Obliquus capitis inferior: spinous process of the axis (C2)
  • Obliquus capitis superior: transverse process of the atlas (C1)
Insertion
  • Rectus capitis posterior major: lateral part of the inferior nuchal line of the occipital bone
  • Rectus capitis posterior minor: medial part of the inferior nuchal line and the bone between it and the foramen magnum
  • Obliquus capitis inferior: transverse process of the atlas (C1)
  • Obliquus capitis superior: occipital bone between the superior and inferior nuchal lines
Action
  • Rectus capitis posterior major and minor: extend the head
  • Rectus capitis posterior major and obliquus capitis inferior: rotate the head so the face turns to the same side
  • Obliquus capitis superior: extends the head and tilts it to the same side
NerveSuboccipital nerve (dorsal ramus of C1) (C1)
NameLatin sub, 'below', and occiput, 'back of the head'.

Palpation

  1. Client supine; sit at the head of the table and cradle the head in both hands.
  2. Curl the fingertips up under the base of the skull on either side of the external occipital protuberance, just below the bony ridge.
  3. Let the weight of the head settle onto the fingertips. These muscles lie under the trapezius, splenius and semispinalis, so feel for general deep firmness rather than single muscles.
  4. Ask the client to tip the chin up very slightly, then turn the head a little; feel the deep tissue tighten under the fingertips.

Landmarks: External occipital protuberance · Mastoid process

The suboccipitals are the deepest muscles at the base of the skull. Clients often find a still, supported hold here very relaxing at the end of a neck routine. You cannot feel them one by one: they lie under Trapezius, Splenius capitis and Semispinalis capitis, so you work them through those layers with slow, sustained Compression.

Three of them outline the suboccipital triangle, which contains the vertebral artery and the suboccipital nerve. Use gentle static pressure here rather than vigorous friction. Wikipedia notes that rectus capitis posterior minor is now thought to act more as a sense organ for head position than as a mover.

Sources

  1. Wikipedia, Suboccipital muscles
  2. Wikipedia, Rectus capitis posterior major muscle
  3. Wikipedia, Rectus capitis posterior minor muscle
  4. Wikipedia, Obliquus capitis superior muscle
  5. Wikipedia, Obliquus capitis inferior muscle
  6. Gray's Anatomy (1918), IV. Myology 6b: The Suboccipital Muscles (Public domain; Bartleby edition read via the Internet Archive.)