Kuchera 3 Flashcards
Anatomic barrier
Limit of joint motion by anatomic structure
Physiologic barrier
Functional limits within anatomic range of motion. Soft tissue tension accumulation further limits voluntary motion of joint
Further motion to anatomic barrier can still be induced by PROM
Pathologic barrier
A functional limit within the anatomic range of motion which abnormally decreases the normal physiologic range.
May be associated with somatic dysfunction
Restrictive barrier
Term Used by some physician in place of pathologic and means the same.
The spinous processses of T 7,8&9 are
In the same plane as the TVPs of the next vertebrae
The spinous processes of T10,11&12
Gradually return to the same plane of the TVPs on the vertebrae of the spine being palpated
T11 & T12 lack what?
Facets for costotransverse synovial joint attachement with the ribs
The spinous processes of T1,2&3
Lie in the same horizontal plane as their own TVP
The spinous processes of T4,5,6
Are in the horizontal plane about 1/2 way toward the next vertebrae
Inferior border of manubrium forms a
Fibrocartilagenous joint called sternal angle
Sternal angle also known as
Angle of Louis
True ribs also known as
Vertebrosternal ribs
False ribs also known as
Vertebrochondral ribs
Name the atypical ribs
1,11&12
Functional thoracic inlet defined by
Manubrium with the joint of Louis
First two ribs on either side
First 4 thoracic vertebrae
Anatomical thoracic inlet defined by
Manubrium
Right and left first rib
T1 vertebrae
What forms the functional cervicothoracic diaphragm
Sibson’s fascia
The distal end of each rib is firmly joined to
Costal Cartilage through a non synovial costochondral joint
What type of joints are at ribs 8,9 and 10
Synovial costochondral joints
The costosternal joint of rib 1 is a
Synchondrosis (not synovial)
AP / longitudinal axis of the ribs
Passes through the posterior tubercle and anterior end of the rib
Which ribs move about the AP/longitudinal axis
Ribs 8,9&10
Transverse axis of the ribs
Passes through the posterior tubercle and the head of the rib
What ribs move about the transverse axis and why
Ribs 2-7 (upper thoracic) because the spinotransverse angle is larger
What direction do the TVP’S of the T spine project
Posteriorly, Laterally and Superiorly
Spinous processes of the thoracic spine increase in length up to which vertebrae
T7
Why is good function of the sternal angle imporant
For efficient breathing - allowing the sternum to participate in changing the AP diameter of the thoracic cage
What type of joint is the angle of louis
Fibrocartilagenous
What rib acts as a stabilizer for the superior part of the ribcage
Rib 1
What forms the superior thoracic outlet
Clavicle, first rib & scapula
The inferior thoracic outlet is
the inferior boundary of the thorax
The inferior thoracic outlet is defined by
Abdominal diaphragm (xiphoid, lower 6 ribs, L1,2,3)
What ribs act as anchors for the lower rib cage
11&12
