Lecture 8: Ribs Flashcards
What ribs perform primarily pump handle motion?
2-5
What is the motion of the 1st rib?
50% pump/50% bucket
What does BITE stand for?
Bottom Inhalation/Top Exhalation
What muscles attach to the first rib?
Anterior and MIddle scalenes
What muscle attaches to rib 2?
Posterior scalene
What muscle attaches to ribs 3-5?
Pectoralis minor
What muscle attaches to ribs 6-9?
Serratus anterior
What muscle attaches to ribs 10-11?
Latissimus dorsi
What muscle attaches to rib 12?
Quadratus lumborum
What innervates the diaphragm?
C3/4/5 keeps the diaphragm alive!
What structure pierces through Simpons’s fascia twice during its course?
the thoracic duct
What is the sympathetic innervation of the lungs?
Approx. T 2-7
Where are the crura of the diaphragm located?
L1-L3
Where are the respiratory centers located in the brain?
Medulla, dura
Where are the Chapman points for the bronchus located? (anterior and posterior)
Ant: 2nd intercostal space near sternum, bilateral
Post: In soft tissue between spinous process of T2 and transverse process of T3, bilateral
Where are the Chapman points for the Upper Lung located? (Anterior and posterior)
Ant: 3rd intercostals space near sternum, bilateral.
Post: In soft tissue between spinous process of T3 and transverse process of T4, bilateral.
Where are the Chapman points located for the lower lung?
Ant: 4th intercostals space near sternum, bilateral.
Post: In soft tissue between spinous process of T4 and transverse process of T5, bilateral.
Who “discovered” counterstrain?
Dr. Lawrence Jones
What is the first thing you have to do when treating a tender point?
Monitor the point with one finer and establish a 10/10 pain scale
What is the most important thing to remember when assessing a tender point?
Maintain finger contact with the point!
What is the reduction goal of counterstrain?
70% reduction or below a 3 on the pain scale
Where is AR 1 located?
Sternoclavicular Joint
Where is AR 2 located?
2nd rib at the midclavicular line
Where are AR 3-6 located?
Anterior Axillary Line for 3rd-7th ribs
What is the treatment for ALL Anterior points??
Seated, flexed neck F-STRT
Mermaid position: Are the pt’s feet on the same of opposite side of the tender point?
SAME SIDE
Where is the physician’s leg?
OPPOSITE SIDE
Where is the location of PR 1?
Posterior portion of rib 1
Where is the location of PR 2-6?
Superior surface of the rib angles 2-6
How do you Tx PR 1?
Seated, Extended neck, SART
One finger on point, one is extending the head.
Physician’s knee is up under the armpit opposite the Dx. Wrap them around the point.
How do do you Tx PR 2-6?
Seated, Flexed Neck, SART
Pt is mermaid style with legs OPPOSITE the Dx. Physician’s foot goes on the table on the SAME SIDE as the tender point
What type of dysfx do the anterior points indicate?
Depressed rib
What type of dysfx do the posterior points indicate?
Elevated rib
