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Erector spinae snl

Musculus erector spinae (frå latin, erector - «oppreisar», spinae - «som høyrer til ryggtaggane»), på norsk òg kalla den store ryggstrekkjaren, er ei gruppe av musklar som har som oppgåve å strekkje ryggsøyla, columna.Musklane ligg parvis på kvar si side av ryggsøyla og går vertikalt nedover ryggen. Han er rekna som dei inste ryggmusklane sidan han ligg heilt inn mot ribbeina og. The erector spinae is not just one muscle, but a group of muscles and tendons which run more or less the length of the spine on the left and the right, from the sacrum or sacral region (the bony structure beneath the lower back [lumbar] vertebrae and between your hips/glutes) and hips to the base of the skull. They are also known as the sacrospinalis group of muscles En erector spinae myalgi, erector spinae triggerpunkt eller erector spinae muskelknute, som tidvis blir kalt erector spinae syndrom. Regelmessig selvmassasje , uttøyning, øvelser og eventuell utredning / behandling hos en muskuloskeletal ekspert ( kiropraktor , fysioterapeut , manuellterapeut ) er alle eksempler på tiltak som kan hjelpe deg med å bli kvitt myalgier Erector spinae Block: Parasagittal Inplane, Caudal to cephalad needling and catheter insertion in 2 cases (rib fractures and open nephrectomy) with very good..

The erector spinae plane (ESP) block is a newer regional anesthetic technique that can be used to provide analgesia for a variety of surgical procedures or to manage acute or chronic pain. The technique is relatively easy to perform on patients, and it is performable with minimal or no sedation in t Grant Myers, PT, DPT, OCS, CMP, CSCS, Cert. DN from the UT Southwestern Sports Medicine Clinic in Richardson, Texas presents in the Doctor of Physical Therap.. Erector Spinae Stretches. If any of the following stretches hurt at any point, you must stop. Not all the stretches are made directly for the erector spinae. Some of the stretches are made for muscle groups that are affected by the erector spinae. The keys you want to focus on when stretching are your breathing and visualization The Erector Spinae Plane Block: A Review of Current Evidence Araz Pourkashanian1†, Madan Narayanan2, Arun Venkataraju3 1Regional Anaesthesia Fellow, Frimley Park Hospital, UK 2Anaesthetic Consultant, Frimley Park Hospital, UK 3Anaesthetic Consultant, Hampshire Hospital NHS Trust, UK Edited by: Dr. Su Cheen Ng, Anaesthetic Consultant, University College Hospital, London

Musculus erector spinae - Wikipedi

  1. Ribbena er de tynne, buede knoklene som er symmetrisk leddet med brystvirvlene (vertebrae thoracales) og som til sammen danner brystkassen (thorax) til en bevegelig beskyttelse for hjertet og lungene. De regnes likevel som plane/flate knokler. Det er 12 par ribben.
  2. Erector Spinae Muscle and Low Back Pain The erector spinae muscle plays an important role in the spinal stability. In patients with low back pain there is decreased activity and atrophy of the multifidus muscle which compromises the spinal stability. The spinal control is compensated for by the increased activity of the erector spinae muscle to stabilize the lumbar spine
  3. The erector spinae plane block is one of the newest techniques to be described. In the past two years, publications referring to ESP block have increased significantly. The objective of this review is to analyze the articles about ESP block that have been published to date
  4. Structure of the Erector Spinae Muscles. Erector Spinae (also called the sacrospinalis muscle group, the spinal erectors, or the lower back muscles) refers to the group of muscles and also the tendons that connect your back all the way from the hips at the Iliac Crest and Sacrum areas/ lower back to the base of the skull or the cervical region

Erector Spinae First, let's get to know the function of the erector spinae muscles. The erector spinae is a group of muscles that extend on each side of the spinal column from the skull to the thoracolumbar fascia in the pelvic region. The three muscles, from medial to lateral, are the spinalis, logissimus, and iliocostalis Ultrasound-guided Erector Spinae Plane Block (ESPB) is a novel regional anesthesia technique that local anesthetic (LA) injection is performed into the fascial plane situated between the transverse process of the vertebra and the erector spinae muscles it is considered a relatively safe simple technique to perform [1, 2].Followed by first description by Forero et al. [] in 2016, it has been. The erector spinae plane block: plane and simple A new regional anaesthetic block technique is described in this issue of Anaesthesia by Chin et al. whereby local anaesthetic is injected within a plane beneath the erector spinae muscle to achieve analgesia for abdominal surgery [1] Erector Spinae Plane Block Erector Spinae Plane Block 1 Anatomy 2 Sensory & motor block 3 Landmarks & patient position 4 Technique 5 Local anesthetic choice 6 Tips & algorithm 7 Videos 8 Images gallery Return to Erector Spinae Plane Block Technique SCANNING TECHNIQUE After selecting the target transverse process for the block, place the [

Nerveforsyningen til musculus erector spinae kommer fra greiner av første cervikalnerve til og med femte lumbalnerve. Vi har også mange småmuskler i ryggen. Blant disse finner vi for eksempel musculi rotatores som kun strekker seg mellom to ryggvirvler, eller musculi multifidi som springer over to eller tre ryggvirvler The erector spinae plane block (ESP) block is typically performed with the patient in an upright position in the preoperative holding area a.Using a 10 MHz ultrasound probe, the erector spine muscle is identified just above the T5 transverse process b.A plane (arrow) is developed deep to the muscle by injecting ropivacaine c.A wire is then threaded via the needle in this plane d, and confirmed. The erector spinae plane block (ESPB) is a recently described ultrasound-guided interfascial technique, aiming to block the anterior and posterior branches of the spinal nerves for multi-dermatomal analgesia. Erector Spinae Plane Block . Sign Up for the NYSORA newsletter and never miss what's new at NYSORA CME Hva handler dette blogginnlegget om: Erector spinae kalles Ryggstrekkerne på norsk og er en svært viktig muskelgruppe i dagliglivet og på Pilates/Yoga-timene. Dette blogginnlegget får frem hvorfor. Bildetekst: Nå skal vi fordype oss i en veldig viktig muskelgruppe som er med å holde deg oppreist - og strekke deg som

Erector spinae ; er også en fellesbetegnelse for ryggstrekkerne spinalis, longissimus og iliocostalis. De deles igjen inn i flere deler, avhengig av hvilken del av columna de hovedsaklig virker på, men omtales her bare generelt The erector spinae plane block: a novel analgesic technique in thoracic neuro-pathic pain. Reg Anesth Pain Med 2016;41(5):621-7. 8. Ueshima H, Otake H. Clinical experiences of ultrasound-guided erector spinae plane block for thoracic vertebra sur-gery. J Clin Anesth 2017;38:137. 9. Hamilton DL, Manickam B. Erector spinae plane bloc Weak erector spinae can lead to lower back pain and posture-related issues including headaches, tension in the neck and shoulders, difficulty breathing, and more.\n\nThe good news is there are several simple exercises you can do to stabilize and strengthen these muscles.}}]}. Erector Spinae. Posted on Jul 23rd, 2020 / Published in: Lumbar Spine, Thoracic Spine. General information. The erector spinae muscles are part of the intrinsic back muscles and form the intermediate layer. The erector spinae are situated superficial to the transversospinales muscles and deep to the serratus posterior superior and inferior muscles

Erector spinae plane block is a relatively new regional anesthetic technique but there is limited experience in infants and children. What this study adds to existing knowledge. Erector spinae plane block in neonates to adolescents is relatively easy to perform with no reported complications to date in nearly 300 children The erector spinae is not a muscle group that is often talked about when it comes to working out, however, it is undoubtedly one of the most important. It is one half of our core and more. If you aren't doing exercises that hit the erector spinae strengthening exercises, you are creating a major weak link in your body Erector spinae plane block (ESPB) requires less technical expertise and may be an alternative to TPVB. However, whether ESPB has similar analgesic effects to TPVB for breast surgery is still inconclusive. Moreover, information on sensory blockade of ESPB is scarce Background: Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. ESPB has aroused the interest of many nerve block experts

Erector spinae muscles - Wikipedi

M. erector spinae (video) M. quadratus lumborum (video) Bukmusklene (video) M. iliopsoas (video) Setemuskulatur 1 (video) Setemuskulatur 2 (video) Den mediale lårmuskelgruppen (video) Den ventrale lårmuskelgruppen 1 (video) Den ventrale lårmuskelgruppen 2 (video) Den dorsale lårmuskelgruppen (video) Gåsefoten (video) Ligamenter (video The erector spinae plane (ESP) block is a newer regional anesthetic technique that can be used to provide analgesia for a variety of surgical procedures or to manage acute or chronic pain. The technique is relatively easy to perform on patients, and it is performable with minimal or no sedation in the pre-operative holding area

Erector spinae (ryggmuskel) triggerpunk

The erector spinae muscles are a group of muscles that belong to an even broader group of muscles called the paraspinal muscles. You can get a sense from breaking down the name where this larger group of muscles is located. 'Para' means alongside or beside Strengthening of the erector spinae muscles may be important because they are the primary source of extension torque for lifting tasks. 71 The lumbar extensors can be divided into two groups: the multisegmental erector spinae muscles that attach to the thoracic spine and the pelvis, with most fibers spanning the lumbar region without any attachment, and the segmental extensors, which attach to.

Erector Spinae catheter - YouTub

Erector Spinae Plane Block - PubMe

  1. The intermediate intrinsic musculature of the back is comprised of the three erector spinae muscles, which collectively work to bilaterally extend, and unilaterally rotate and laterally flex the spine. They are the middle layer of intrinsic back muscles overlaying the deep intrinsic layer and beneath the most superficial layer located in the upper thoracic and cervical portions of the.
  2. Erector spinae, a deep muscle of the back; it arises from a tendon attached to the crest along the centre of the sacrum (the part of the backbone at the level of the pelvis, formed of five vertebrae fused together). When it reaches the level of the small of the back, the erector divides into three columns, each of which has three parts. The muscle system extends the length of the back and.
  3. al analgesia at T7-9 level (Restrepo-Garces et al. 2017).Thus, ESPB may be a good alternative to other invasive techniques such as epidural analgesia in the postoperative analgesia treatment following abdo
  4. Rehabilitation for the back's erector spinae muscles, or a lumbar strain, can begin after the acute inflammation resolves with time. Rehabilitation of the erector spinae muscles is performed with stretching and extension based strengthening exercises and modalities such as ice and anti-inflammatory medications
  5. Erector Spinae Plane Block . Lesson / 8 . Indications: Analgesia for rib fractures, back and chest wall surgeries. Goal: Injection of local anesthetic in the plane deep to the erector spinae muscles and superficial to the transverse processes, to achieve a craniocaudal distribution along several vertebral levels
  6. Recently, several thoracic wall blocks have been introduced including erector spinae plane block (ESPB), a new interfascial plane block which requires less technical expertise and is an expected alternative to TPVB. 8 Previous case reports have described its analgesic efficacy in patients with rib fracture and chronic pain, and after lung resection, spine surgery and breast surgery. 8-12.

The erector spinae, rhomboid and trapezius muscles are identified superficial to the transverse process respectively. The block needle is inserted using the in plane cranial to caudad approach. The transverse process may be used as a target for the block needle to minimized the chance of entering the paravertebral space which would increase chances for a pneumothorax Erector Spinae are extensor muscles encompasing the neck and trunk. Extensor movement is antagonistic to flexor movement. Therefore, find a muscle of the neck and a muscle of the trunk that act as.

Kinesiotaping - Erector Spinae Inhibition - YouTub

  1. The erector spinae plane (ESP) block was described in 2016 as a novel regional anesthetic technique for acute and chronic thoracic pain. [3-4] It is a paraspinal fascial plane block that involves injection of local anesthetic deep in the erector spinae muscle and superficial to the tips of the thoracic transverse processes. The site of injection is distant from the pleura, major blood vessels.
  2. Since the erector spinae plane (ESP) block was first described for the treatment of thoracic neuropathic pain by Forero et al. in 2016, [1] more than 200 articles have been published about the procedure. Most are positive case studies or case series reporting its analgesic efficacy for clinical indications ranging from tension headache to transfemoral knee amputation
  3. Erector spinae plane block (ESPB) requires less technical expertise and may be an alternative to TPVB. However, whether ESPB has similar analgesic effects to TPVB for breast surgery is still inconclusive. Moreover, information on sensory blockade of ESPB is scarce
  4. Definition. Erector spinae muscles or paraspinal muscles run vertically along the spinal vertebrae and work to stabilize the back from the lower sacral to the cervical vertebrae and enable spinal flexion, extension, and rotation. The erector spinae is not a single muscle but a group that consists of the spinalis, longissimus, and iliocostalis muscles deep in the back; these are further.
  5. If the erector spinae plane block is inserted for pain management only do we still need to code it? Response. Yes. As per ACS 0042 Procedures normally not coded - classification point 2 'cerebral anaesthesia is required in order for the procedure to be performed' a code from block.
  6. Erector spinae er en gruppe af muskler der retter og roterer ryggen.. Træning. Eksempler på øvelser, hvorved erector spinae kan blive styrket for terapeutiske eller atletiske formål, inkluderer blandt andet

M. erector spinae. Ursprung, fäste, funktion och innervation. Kallas även för det sacrospinala systemet. Muskeln består av flera mindre muskler som tillsammans utgör m. erector spinae Continuous erector spinae plane catheterization. A) Transverse ultrasonographic posterior view with a linear array transducer (12-15 mHz, X-Porte, SonoSite, Bothell, MA, USA) shows the in-plane needle insertion path with the transit through the layers of the trapezius, levator scapulae, and erector spinae muscles (m.) until it contacts the tip of the cervical C7 transverse process that was. The erector spinae functions to straighten the back and provides for side-to-side rotation. Clinical significance. This section requires expansion. (April 2014) Training. Examples of exercises by which the erector spinae can be strengthened for therapeutic or athletic purposes include, but are not limited to

Erector Spinae - Anatomy, Injury Cause, and Treatment

The erector spinae is a collection of nine different muscles that all work together for a common function. Continue reading this lesson to educate yourself on the definition, function, and. Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. 6 ESPB has aroused the interest of many nerve block experts. The benefits of ESPB are not yet demonstrated. The specific mechanism is still controversial The erector spinae plane block is a new regional anaesthesia technique that provides truncal anaesthesia for breast surgery. This systematic review and meta‐analysis was undertaken to determine if the erector spinae plane block is effective at reducing pain scores and opioid consumption after breast surgery Ultrasound-guided erector spinae plane block versus oblique subcostal transversus abdominis plane block for postoperative analgesia of adult patients undergoing laparoscopic cholecystectomy: Randomized, controlled trial. Altıparmak B(1), Korkmaz Toker M(2), Uysal AI(2), Kuşçu Y(3), Gümüş Demirbilek S(3) The newly introduced erector spinae plane block (ESPB) has given anesthesiologists an alternative regional anesthetic technique for thoracic analgesia. Although ESPB and retrolaminar block (RLB) have similar puncture sites, no clinical study comparing ESPB and RLB has been reported. The aim of this study was to compare ESPB and RLB in terms of analgesic efficacy in the context of multimodal.

Erector spinae plane block for bilateral lumbar transverse process fracture in emergency department: a new indication. Am J Emerg Med. 36(10)1927. 4. Ciftci B, et al. 2019. Ultrasound-guided single shot preemptive erector spinae plane block for postoperative pain management Erector Spinae Functions. The erector spinae muscles have several functions. The following are the descriptions and examples of these functions. Back extension: Bending the back in reverse, such as when you bend slightly backward to look straight over your head. Lateral back flexion: Bending to the side, such as when you are bending to the left in order to expanse out your right side

The erector spinae plane (ESP) block is a regional block that has become more commonly utilized in the setting of acute pain and post-operative analgesia. This block has been successfully utilized for pain management after a variety of surgical procedures for immediate post-operative pain management. This block is now gaining more utilization in the chronic pain setting for neuropathic pain. The erector spinae plane block (ESPB) represents an example of the difficulty of adopting an appropriate nomenclature. Dr Murouchi2 was the first to draw attention to this difficulty as ESPB may be identical to retrolaminar block and that a different name for the same maneuver could be quite ambiguous and misleading

ribbena - Store medisinske leksiko

Erector spinae - består egentligen av många mindre muskler, men kan sammanfattas som ländryggsmuskeln. Några av dessa muskler pratade vi om när vi diskuterade axelträning och de återkommer även här The management of pain during labour is central to obstetric anaesthetic practice. While epidural analgesia has long been considered the gold standard for intrapartum analgesia, neuraxial techniques. Erector spinae plane blocks and thoracic paravertebral blocks seem to provide comparable benefits for thoracoscopic and breast cancer surgery when performed with a similar number of injections. Currently, ESP blocks should be favored over intercostal blocks since, at best, the latter provide similar analgesia to ESP blocks despite requiring multiple-level injections

Erector spinae plane block: A narrative review with systematic analysis of the evidence pertaining to clinical indications and alternative truncal blocks. Overview of attention for article published in Journal of Clinical Anesthesia, February 2021. Altmetric Badge. About this Attention Scor Gross anatomy Attachments. Several texts state that the erector spinae muscles have a single, common insertion point of a large broad tendon on the back of the sacrum, the inner side of the iliac crest, sacroiliac ligaments, and lumbosacral spinous processes 2-5.. The reference for the following origin and insertion points is Gray's Anatomy (40 th edition) 1 unless otherwise referenced The erector spinae, which is also known as the sacrospinalis, is a group of muscles along your spine. Three muscles are part of the erector spinae: the iliocostalis, longissimus, and spinalis. Each of these muscles is a group in an of itself, with a portion of each muscle in the low back, middle back, and neck The Erector Spinae as Grouped Functionally into Superficial and Deep Divisions - Both Porterfield [4] p70-75 and Levangie [3] p180 base this grouping on Bogduk and Adams [1, 2, 5]. They discuss the separate actions of the superficial and deep erector spinae

Erector Spinae - Physiopedi

  1. The erector spinae (erigere, to erect ; spina, spine.) consists of three long, thin muscle groups running vertically up each side of the vertebral column: the iliocostalis, longissimus and spinalis.These muscles act on different segments of the vertebral column (i.e. lumbar, thoracic, cervical). Collectively, they are the prime movers in spinal extension and spinal lateral flexion
  2. Stretching the erector spinae requires rounding, or flexing the back. This can be done with the four stretches presented in the article
  3. Erector spinae; Longissimus; Semispinalis muscle; Spinalis; References. This article incorporates text in the public domain from page 399 of the 20th edition of Gray's Anatomy (1918) External links. Anatomy figure: 01:06-06 at Human Anatomy Online, SUNY Downstate Medical Center - Intrinsic muscles of the back. Dissection at ithaca.ed
  4. The erector spinae muscles also include tendons and combine and extend mostly vertically. This large muscle mass may vary in size and structure depending on the area. For example, in the lumbar region, it's larger. Exercises to strengthen the erector spinae muscles
  5. Erector Spinae Plane block (ESPB), first described by Forero et al., for analgesia in thoracic neuropathic pain has also been reported for the management of other causes of acute and postoperative pain.[4,5,6] In this ultrasound-guided (USG) technique, local anesthetic (LA) is applied between the erector spinae muscle and the transverse process of the thoracic vertebra leading to spread of LA.

The erector spinae is not just one muscle, but a bundle of muscles and tendons: Iliocostalis lumborum, Iliocostalis thoracis, Iliocostalis cervicis, Longissimus thoracis, Longissimus cervicis, Longissimus capitis, Spinalis thoracis, Spinalis cervicis, and Spinalis capitis. Paired, they run more or less vertically. It extends throughout the lumbar, thoracic and cervical regions, and lies in the. Low Back Erector Spinae Strain involves damage to the muscles, ligaments, or connective tissues in the lower back. This may take the form of an overstretch, muscle tear, or rupture which causes inflammation and pain into the affected area

Your erector spinae muscles, or your extensor muscles, help extend and rotate your back. So the best way to stretch them is to curl your body forward and do rotational movements. The first stretch is the cat/camel stretch. Get on all fours in a quadruped position. Arch your back upwards while you are tucking in your chin. You can hold the stretch for 30 seconds and do three Patients with failed back surgery syndrome (FBSS) experience chronic back pain following spinal surgery, and effective treatment is difficult because of multiple contributing factors. Here we report a case involving a 72-year-old woman who experienced recurrent low back pain after undergoing two back surgeries. She was treated with erector spinae plane (ESP) block, which affected the dorsal.

Explore and learn about the deep muscles of the back with our 3D interactive anatomy atla Erector spinae plane block for bilateral lumbar transverse process fracture in emergency department: a new indication. Am J Emerg Med. 36(10)1927. 4. Ciftci B, et al. 2019. Ultrasound-guided single shot preemptive erector spinae plane block for postoperative pain management Ultrasound guided erector spinae plane block. Tuohy needle was inserted in a cephalad-to-caudal direction, toward the 3 muscles and the transverse process of T5. After contacting the transverse process, the needle was advanced forward. After confirming that the needle was deep to the erector spinae muscle, we injected the local anesthetic

Treningsforum er Norges største side om trening og kosthold for alt om kraftsport, som bodybuilding, fitness, strongman og styrkeløft. Daglige artikler og oppdatert informasjon Erector Spinae $2.40. Reference: Style type . Add to cart Add to wishlist Tweet Share Google+ Pinterest More info. File format: PNG (Portable Network Graphics) and JPG. Properties: I llustrations with transparent and dark background. Resolution: 480x320 (small size), 1024x768 (medium), maximum. The ultrasound guided erector spinae plane (ESP) block is a recent block described for various surgeries for postoperative analgesia. ESP block has effect on both visceral and somatic pain; therefore, its use in laparoscopic cholecystectomy and other abdominal surgeries can be advantageous. We describe successful ESP block application in three different cases for postoperative pain Treating Erector Spinae Trigger Points - Dr. Jonathan Kuttner M.D. Trigger Point Therapy - Where to Start? Over 30 million Americans experience lower back pain, and it is one of the most common reasons for missed work and the second most common reason for a doctor's visit The Erector Spinae muscle actually con Erector spinae plane block for postoperative pain. To compare the analgesic efficacy and safety of erector spinae plane blocks versus no treatment, sham treatment or other regional anaesthetic techniques in adults undergoing surgery with general anaesthesia (GA)

The erector spinae plane block: a narrative revie

Recently, the erector spinae plane block (ESPB) has been reported to provide effective analgesia after thoracic surgery, as well as analgesia for neuropathic pain. The ultrasound-guided ESPB is an easily performed fascial plane technique that can provide sensory blockade from T2-4 to T12-L2 The erector spinae plane block (ESPB) is an interfascial plane block that has been used to provide perioperative analgesia for a variety of indications. This case report describes the novel use of the sacral ESPB on a transgender patient undergoing male-to-female gender reassignment surgery for perioperative pain control. The sacral ESPB technique was described and post-operative pain score. Learn erector spinae group with free interactive flashcards. Choose from 500 different sets of erector spinae group flashcards on Quizlet

The Best Exercises for Erector Spinae - How to exercise

5 Steps to Release The Erector Spinae & Balance Organ

Erector spinae muscle extends along the length of the thoracolumbar spine, so its plane permits the extensive craniocaudal spread of the drug, covering multiple spinal levels. As the tip of the transverse process is directly or indirectly related to the two layers of thoracolumbar fascia, so in ESPB, the drug may spread directly or indirectly into the fascial plane of the thoracic-lumbar fascia The erector muscles, as I wrote last week, work in a chain up and down the spine. All links in the chain need to be aligned for the chain to work well. The chain can only work well if the legs, pelvis and lower back are aligned so that the psoas when properly placed, allows access for the extension of the vertebral column

Video: Ultrasound-guided erector spinae plane block for

The erector spinae plane block: plane and simpl

Good Afternoon, We received a denial from Medicare for a CRNA performed Erector Spinae block billed with code 64999. The redetermination letter states that they are denying this as they do not consider the providers current qualifications as a CRNA to be sufficient to provide the service and there is no evidence to support the practitioner has undergone training to be able to provide the. Erector spinae plane block (ESPB) is useful for providing analgesia after thoracic surgery. Previous reports show that ESPB is safely performed in patients receiving antithrombotic drugs. We effectively performed continuous ESPB in a patient receiving aspirin after coronary artery bypass grafting. A 62-year-old man with mediastinitis was scheduled for sternum closure using a latissimus dorsi. Background Erector spinae plane (ESP) block has been reported to provide analgesia in spine surgery in case reports or case series, and there have been no controlled studies to date evaluating its efficacy. We aimed to exam the roles of ESP block in lumbar surgery in a single center randomized control trial by injecting local analgesic into the interfacial plane between the erector spinae. Spare a thought for the fearless photographers who scaled the lofty heights of the bridge to capture the work of the engineers and the steel erectors

Technique - NYSORA e-Learning Syste

Erector spinae/Ryggstrekkerne - Testsid

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