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lower and upper back. Therefore, we classi- rior muscles. In the deep layer, the line ran
fied the LB into rostral line (T6-C7) and cau- parallel with the lateral area adjacent to the
dal line (L5-T7) vertebral spines. According origin of splenius capitis (SpC) for 1
to CTTM practice, the structures were des- fingerbreadth. Deeper than the SpC, that line
cribed from caudal to rostral line. ran along the lateral area close to the inser-
LB was palpated in volunteers at the tion of spinalis thoracis (SpT) 1 fingerbreadth.
longitudinal line parallel to paravertebral Deeper than the SpT, the line paralleled the
muscle from L5-C7 vertebral spine level. lateral area close to the belly part of semispi-
After removing the skin in the caudal nalis capitis and rotator muscles. In the deep-
line, LB corresponded to the thoracolumbar est layer, the line corresponded to the point
fascia. On deeper dissection, this line corres- of posterior rami of spinal nerve that divided
ponded to a line between the origins and into two branches and the segmental arter-
insertions of both multifidus lumborum and ies from the thoracic aorta emerged to inter-
thoracis muscles (Figure 10). vertebral foramens (Table 3).
In cadavers, the rostral line was shown LS palpated at the shoulder in the vol-
in three similar layers of structures in the unteers that corresponded to the upper part
anatomical of the back. In the superficial layer, of Trap from the acromion process to the
the line paralleled the medial area close to spinous process of C7 level. Deeper dissec-
the origin of middle fiber of trapezius (Trap) tion showed the LS line to the fleshy parts of
muscle, where the cutaneous nerve emerged supraspinatus (Sup) and levator scapulae (LeS)
though this muscle, and where the superfi- muscles. In the deepest part, the suprascapu-
cial branch of transverse cervical artery (TCA) lar nerve (SuN) and vessels pass through
and spinal accessory nerve (CN XI) located underneath the supraspinatus muscle (Table
underneath this muscle. Deeper than Trap, 3).
the line ran along the lateral area close to the
Massage points
origins of the rhomboid muscles 1
fingerbreadth, where the dorsal scapular nerve RW and RN were situated on the ileum,
(DSN) and deep branch of transverse cervical where the ileocolic vessels distributed blood
artery (TCA) pass through underneath the supply to this area. After dissecting deeper,
rhomboid muscles. In the intermediate layer, the massage point was located at the right
the line ran parallel to the lateral area close common iliac vessels and lay below the bi-
to the aponeurotic origins of seratus poste- furcation of the abdominal aorta (Figure 11