MET pt2

Question 1

what is flexion and extension limited in tx-s

Answer 1

because of attachement on sternum of ribs

Question 2

primary and secondary motion of the tx-s

Answer 2

primary: rotation
secondary: side bend

Question 3

true ribs vs floating

Answer 3

true= 1-7
float: 11-12

Question 4

rib 1

Answer 4

• flattest shortest and broadest
  has sharpest curve
• has grooves for subclavian artery and cervical plexus

Question 5

rib 2

Answer 5

• articulates with anubrosternal jnt
• 9 muscles attach to it

Question 6

9 muscles attached to rib 2

Answer 6

• pec major
• serratus ant
• post scalene
• levatorcostae
• iliocostal cervicalis
• iliocostal dorsi
• serrates post sup
• int and ext intercostal

Question 7

rib mechanic during breathing

Answer 7

• ribcage expands in AP and lateral direction
• pump-handle
• buckethandle motion
• ribs 11-12 = pince/caliper motion

Question 8

organ and rib associations
t1-t4

Answer 8

sympathetic to head and neck, w/ t/-t6 to the heart and lungs

Question 9

organ and rib associations
t5-t9

Answer 9

all upper abdominal viscera, stomach, duodenum, liver, gall bladder, pancreas and spleen

Question 10

organ and rib associations
t10-t11

Answer 10

remainder of the small intestines, kidney, ureters, gonads and right colon

Question 11

organ and rib associations
t12-l2

Answer 11

left colon and pelvic organs

Question 12

what does skin drag detect

Answer 12

function of the sympathetic nervous system

Question 13

are rib torsion more common with ers or frs

Answer 13

ers

Question 14

inhalation dysfunction explanation

Answer 14

ribs move in inhalation
but stay in inhale dureing exhale

Question 15

oreder of tx for tx-s

Answer 15

spine before rib

structural lesions/restriction before respiratory restriction

key ribs before group

Question 16

check rib corrections

Question 17

how many muscles attach c0-c1

Answer 17

15

Question 17

what level is affected with the vagus nerve

Answer 17

c2

Question 18

C0-C1

Answer 18

forward and backward bending

Question 19

condyle mvt at c0-c1

Answer 19

left rotation of occiput on atlas = ant displacement of right occipital condyle and posterior displacement of left occipital condyle

Question 20

c1-c2

Answer 20

atlas and axis
no disc
50% of rotation

Question 21

c3-c7

Answer 21

other 50% of lex/ext and rot
SB and rot coupled

Question 22

5 main somatic dysfucntion of cx-s

Answer 22

1- cervical segments in flex w/ coupled SB and rot to same side
2- cervical segments in ext w/ coupled SB and rot to same side
3- c1-c2 restriction in rotation
4- c0-c1: flexion with coupled SB and rot in opposite directions
5- c0-c1: ext w/ coupled SB and rot in opposite directions

Question 23

cx-s tx order

Answer 23

begin in the lower cervical spine and move upward

exception: tx most restricited segment first in order to influence the system to the max (careful if most acute)

acute= indirect approach better

Question 24

occulocephalogyric reflex

Answer 24

turning the eyes and head towards the source of an auditory, visual or other form of stimulation

Question 25

arthrokinomatix Atlanto-occipital jnt during flex/ext

Answer 25

extension: ant displacement of condyles on C1 flexion: posterior displacement of condyles on C1

Question 26

C0-C1: side bending motion

Answer 26

right side bend: right condyle ant, left condyle post L sidebend : L side condyle ant, R condyles post

Question 27

what condyle is the issue in a FSlRr

Answer 27

right condyle cant glide forward

Question 28

what condyle issue in ESlRr

Answer 28

left condyle cant glide post

Question 29

what is the only articulation of the upper ext with the trunk

Answer 29

SC jnt

Question 30

AC jnt mvt

Answer 30

- abd - int/ext rot