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T-Spine & Ribs
T-Spine & Ribs
37
Health Care
Graduate
02/18/2013

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Cards

Term
Eval of t-spine & ribs: categories (3)
Definition
posture
active mvmts (sitting)
passive mvmts
Term
Components of posture eval (3)
Definition
breathing pattern & coughing
kyphosis
scoliosis
Term
Components of AROM eval (4)
Definition
flex (elbows toward hips)
ext (elbows to ceiling)
sidebend (elbows pointing out)
rotation (hug yourself)
Term
Coupling: T1-T3
Definition
upper: follows cervical
mid/lower: variable
Term
Coupling: T4-T10
Definition
dependent on initiating mvmt:

sidebend >> rot opposite
rotation >> sidebend same
Term
Coupling: T10-T12
Definition
dependent on flex/ext (neutral lumbar = ext, 2º to lordosis)

flex >> same side
ext >> opposite side
Term
Pressures used on the T-spine (3)
Definition
CPA
UPA
transverse (on sp process)
Term
Special tests for t-spine (4)
Definition
traction
compression
isometric mm tests
TOS testing
Term
Rib exam: tests (4)
Definition
1st rib PAM
general rib test
PA rib pressures
rib palpation (spacing, a/p prominence; in supine & prone)
Term
Look-fors in t-spine palpation (5)
Definition
temp
soft tissue (skin rolling; stripping)
bony anomalies
facilitated segment
positional testing (palpate transverse prs., determine if segmental rot)
Term
TOS tests (3)
Definition
Allen's test
Adson's test
Roos test
Term
Allen's test
Definition
elbow 90º √
GH 90º abd, ER, horiz abd
head contralat rot

Palpate radial pulse continuously
Term
Adson's test
Definition
GH 45º abd, ext, ER
shldr depr
head ipsilat rot, ext (stretch scalenes)
deep breath

Pulse monitored continuously
Term
Roos test
Definition
GH ER, 90º abd
elbow 90º √
hands open/close for 3 minutes

+ test = symptom reproduction, early fatigue
Term
Rib spacing: inspiratory lesion
Definition
rib stuck to rib BELOW
Term
Rib spacing: expiratory lesion
Definition
rib stuck to rib ABOVE
Term
Scoliosis: types (4)
Definition
idiopathic
functional
structural
sciatic
Term
Scoliosis: functional - facts
Definition
2º to mm imbalance/posture
disappears in sitting/flex (unless due to small hemipelvis)
Term
Scoliosis: structural - facts
Definition
more apparent on flexion (due to vertebral rotation)
90% girls
90% right convexity
Term
Scoliosis: degree of curve - greater curve >>
Definition
worse prognosis
Term
Scoliosis: sciatic - facts
Definition
2º to acute LBP
deviation away from pain
not present in lying
Term
Scoliosis assessment: standing
Definition
iliac crests
ASIS
PSIS
gr troch
fib heads
flex (hands together)
sidebending
Term
Opening manip for C7-T3
Definition
pt seated, arm draped over PT knee
PT thumb/pisiform on sp pr, contralat UE across pt shoulder
pt moves head into opening pattern
oscillate sp pr
Term
PA central vertebral pressures: indicated for...
Definition
central pain
Term
Sympathetic response results from mob of...
Definition
T4
Term
UPAs: mobilize which side?
Definition
painful side
Term
Transverse vertebral pressures: indicated for...
Definition
unilateral symptoms
Term
Ribs 2-5: motion
Definition
pump handle (M/L axis)
Term
Ribs 6-10: motion
Definition
bucket handle (A/P axis)
Term
Ribs 11-12: motion
Definition
calipers (vertical axis)
Term
Inhalation restriction manip (ribs 2-5)
Definition
pt supine or sidelying
PT tractions shoulder, places web space on intercostal space
rib resisted during inspiration/expiration
Term
Mm energy techniques for ribs (2)
Definition
ant sublux
post sublux
Term
MET for ribs: ant sublux - position
Definition
pt sitting c hand on opposite shoulder
PT behind pt, c hand on pt elbow and webspace on displaced rib
Term
MET for ribs: ant sublux - pt elbow pull
Definition
pull laterally
Term
MET for ribs: ant sublux - PT pull
Definition
postlat pull on rib
Term
MET for ribs: post sublux - pt elbow pull
Definition
pull ant
Term
MET for ribs: post sublux - PT pull
Definition
antmed push on rib
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