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PHTH 565 - MSK > THORACIC CAGE > Flashcards

THORACIC CAGE Flashcards

1
Q

Ribs create costovertebral joints with which vertebrae

A

the corresponding one and the one above

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2
Q

Which ribs only articulate with their vertebrae of the same number

A

1, 10, 11, 12

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3
Q

Which ribs do not have a costotransverse joint

A

R11, R12

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4
Q

how many ribs

A

12 pairs

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5
Q

Where do you find sympathetic trunks

A

just anterior to heads of ribs

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6
Q

What are all the joints found in one functional unit of the thorax

A
  • 2 zygapophyseal joints
  • interbody joint
  • 2 costotransverse joints
  • 2 costovertebral joints
  • 2 costochondral joints
  • 2 sternocostal joints
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7
Q

What do you need to watch for when moving the costovertebral joints

A

you could affect the sympathetic ganglia - increase HR, sweating, Icrease BR, feeling of fight or flight

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8
Q

What is the osteo and arthro kinematic movement seen with flexion of the thoracic spine

A

anterior roll, anterior shear

cranial glide

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9
Q

What is the osteo and arthro kinematic movement seen with extension of the thoracic spine

A

Posterior roll, posterior shear

Cuadal glide

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10
Q

What are the glides seen with side flexion of the thoracic spine

A

Ipsilateral caudal glide and contralateral cranial glide

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11
Q

What is happening at rib during inspiration

A

posterior roll

rib glides inferiorly on TP

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12
Q

Are resisted isometrics helpful in the thorax

A

no - so many muscles doing each movement. only useful to get a general idea of global strength

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13
Q

What do you need to watch for when moving the costovertebral joints

A

you could affect the sympathetic ganglia - increase HR, sweating, Icrease BR, feeling of fight or flight

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14
Q

at what angle should you do SP springing

A

perpendicular to spine - you have to account for kyphosis but being angled caudally for this area

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15
Q

What is the osteo and arthro kinematic movement seen with extension of the thoracic spine

A

Posterior roll, posterior shear

Cuadal glide

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16
Q

What is the osteo kinematic movement in the thoracic spine seen with shoulder flexion

A

Drives thoracic extension, ipsilateral rotation/side flexion

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17
Q

What is happening at rib during inspiration

A

posterior roll

rib glides inferiorly on TP

18
Q

What occurs to rib angles as you move caudally in the rib cage

A

they diverge

19
Q

What occurs to the rib orientation as you move caudally in the rib cage

A

oriented more obliquely

20
Q

For the thoracic spine subjective you should ask all the usuals PLUS

A 
Relation to 
- Exertion 
- Eating
- Lifting
- Coughing, deep, or normal breathing 
Cord symptoms 
Posture, ergonomics of work or leisure
21
Q

What is apical breathing indicative of

A

C-spine pain

22
Q

Are resisted isometrics helpful in the thorax

A

no - so many muscles doing each movement. only useful to get a general idea of global strength

23
Q

What are 10 components to a thoracic objective

A
  1. Posture (standing + sitting)
  2. AROM (thoracic, cervical, shoulder flexion)
  3. Resisted trunk
  4. respiration
  5. traction
  6. compression
  7. Neural conduction (LE reflexes, long tract)
  8. Slump
  9. Springing
  10. facilitated segment
24
Q

What does a caudally direction PA to the TP help with

A

extension

ipsilateral side flexion

25
Q

at what angle should you do SP springing

A

perpendicular to spine - you have to account for kyphosis but being angled caudally for this area

26
Q

What does PPIVM stand for

A

Passive physiological intervertebral movements

27
Q

What is a PPIVM

A

One spine segment passively moving on another

28
Q

How are stability tests names

A

by the movement of the top bone

29
Q

What is a PAVM

A

What is happening at the facet joint or costo-transverse joint (like arthrokinematics)

30
Q

Are PPIVMs dangerous for people with OP

A

no

31
Q

How many segments do you assess when doing PIVMs

A

3 - the one of interest and one above and below

32
Q

Are PAVMS safe in osteoporotic patients

A

take precaution

33
Q

What motion does a straight PA on the SP help with

A

extension

34
Q

What motions does a cranially directed PA on the SP help with

A

Flexion

35
Q

What does a cranially direction PA to the TP help with

A

Flexion
Contralateral side flexion
Contralateral rotation

36
Q

What does a caudally direction PA to the TP help with

A

extension

ipsilateral side flexion

37
Q

When rotating what motion do you get at the Facet joints

A

Inferior glide on ipsilateral side of rotation

Superior glide on contra

38
Q

What hand positioning do you use for anterior translation stability test ? and how do you conduct the test

A

Two key grips on lamina - move cranial vertebra anteriorly - sustain hold for 10 seconds

39
Q

what are you assessing for in thoracic stablity tests

A

quality of motion (how smooth it is)
Quantity of motion (how far does it go)
endfeel (what stops you)

40
Q

How are stability tests names

A

by the movement of the top bone

PHTH 565 - MSK (8 decks)

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