MET suite

Question 1

normal rib motion require mobility of the _ and mobility at the _, _, _ articulations

Answer 1

thoracic vertebra, costovertebral, costotransverse and costochondral articulation

Question 2

thoracic intlet is important for

Answer 2

lymphatic drainage

Question 3

rib house _

Answer 3

the viscera (heart, lunge, trachea, esophagus)

Question 4

which ribs can be subluxed superiorly

Answer 4

1

Question 5

with a rib anterior subluxation, rib angle is _ prominent in posterior rib cage contour

Answer 5

less

Question 6

with rib posterior subluxation, rib angle is _ prominent in posterior rib cage contour

Answer 6

more

Question 7

Superior First Rib Subluxation:
*
Palpation of the superior aspect of the fi rst rib anterior to the upper trapezius muscle shows dysfunctional rib to be _ mm cephalic in relation to the contralateral side.

Answer 7

5-6

Question 8

with superior first ribs subluxation, hypertonicity of which muscle is found ipsilateral and restriction of respiratory motion is primarly in inhalation or exhalation?

Answer 8

scalene, exhalation

Question 9

rib torsion usually occurs with ERS or FRS

Answer 9

ERS, rarely found in FRS

Question 10

with ERS R the finding for a ribs torsion will be what

Answer 10

right ribs stuck in external torsion

Question 11

inhalation somatic dysfunction
- able to move freely during ?
- unable to move freely during ?
- ease is :
- diagnosis is:

Answer 11

• inhalation
• exhalation
• inhalation
• inhalation

inverse for exhalation

Question 12

during inhalation dysfunction (exhalation restriction) the key rib is the most _ rib

Answer 12

inferior

Question 13

during an exhalation dysfunction (inhalation restriction) the key ribs is the most _ rib

Answer 13

superior

Question 14

• T/S will be treated before/after any ribs dysfunction
• structural lesion/restriction are treated before/after respiratory restriction
• key ribs in respiratory restriction before/after group

Answer 14

• before
• before
  -before

Question 15

small branch of C2 connect with which nerve

Answer 15

vagus

Question 16

somatic dysfunction at the cervical level can affect what

Answer 16

brachial plexus

Question 17

somatic dysfunction at c2 is found in pts with _ syndrome and _

Answer 17

cervicocephalic and internal visceral

Question 18

when we put the head in flexion we test the ability of the C/S condyle to go anterior or posterior

Answer 18

posterior

Question 19

rotation and SB are opposite or same at C/S

Answer 19

opposite

Question 20

the primary movement of occipitoantlantal articulation is

Answer 20

forward and backward bending

Question 21

with left rotation of occiput on atlas there is a anterior displacement of _ condyle and posterior displacement of _ condyle

Answer 21

right, left

Question 22

at which C/S level there’s no flexion or extension

Answer 22

C1-C2

Question 23

approximatif 50% of rotation of c-spine occurs where

Answer 23

c1-c2

Question 24

which level of c/s is there no disc

Answer 24

c1-c2

Question 25

facet of C3-C7 are positioned

Answer 25

upward and backward

Question 26

SB and rot are couple in same of opposite direction at C3-C7

Answer 26

same so type 2 dysfunction only, if you seems to find a NRS it's probably a muscle spams

Question 27

what is cal uncinate process

Answer 27

bony elevation on the superior lateral margin of the cervical vertebra

Question 28

what is also know as joint of luschka

Answer 28

uncovertebral joint -> not true joint

Question 29

what is a cervicocephalic syndrom

Answer 29

restriction in upper cervical associated with deep pain in head

Question 30

what is a cervical syndrome

Answer 30

acute spastic torticolls

Question 31

what is cervicobrachial syndrome

Answer 31

pain and stiffness in spine with symptom in shoulder and UE

Question 32

what can contribute to cervicobrachial syndrome

Answer 32

TOS, 1st/2nd rib and ribcage up to T6

Question 33

fwd head posture result in increase in _ and flatting in the _. thightness in _ and weakness of _

Answer 33

upper cervical lordosis, lower cervical spine, neck extensor, deep neck flexor

Question 34

what are the 5 somatic dysfunction

Answer 34

1-2. cervical segment in flexion + extension coupled with SB and rotation to the same side 3. C1-C2 restriction in rotation 4. C0-C1 flexion coupled with SB and rot to opposite direction 5. C0-C1 extension with coupled SB and rot in opposite directions

Question 35

in flexion, we test if the facet can open/close

Answer 35

open

Question 36

in extension, we test if the facet can open/close

Answer 36

close

Question 37

in R sB the right facet open/close and the left open/close

Answer 37

close, open

Question 38

if you translate the vertebra anterior your are bringing it into _ and testing to see if both facet can _

Answer 38

extension, close

Question 39

translation from right to left = _ SB

Answer 39

right

Question 40

translation from left to right = _ SB

Answer 40

left

Question 41

it is recommended that the treatment sequence begin in the _ and move _

Answer 41

lower cervical spine and move upward toward the crania-cervical junction

Question 42

what is occulocephalogyric reflex

Answer 42

a nonspecific term for co-ordinated movement of the head and eyes in response to to any stimuli

Question 43

after evaluation, if you find that several typical cervical segment have a decreased translation to the same, there is a high probability of asymmetrical _ hypertonicity

Answer 43

scalene

Question 44

how the condyle displace on C1in extension and flexion

Answer 44

ext: anterior displacement of condyle on C1 flx: posterior displacement of condyle on C1

Question 45

right to left translation (R SB) -> right condyle anterior/posterior and left condyle anterior/posterior

Answer 45

anterior, posterior

Question 46

Before treating the upper extremity, be sure to evaluate what

Answer 46

T/S and C/S

Question 47

transional area like _ are often area of increased tension/restriciton

Answer 47

C7/T1

Question 48

what have a huge significance to problem and injurie to the upper extremity

Answer 48

relationship between C7, T1, first rib

Question 49

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

Answer 49

sternoclavicular

Question 50

the ability of the _ to smoothly move over the thoracic cage is of major importance in upper extremity function

Answer 50

concave costal surface of the scapula

Question 51

what are the direct restrictor of scapulo-costal motion

Answer 51

muscle and fascia that hold the scapula to the trunk

Question 52

the medial end of the clavicle where it articulates with the sternum, should move _ with the movement of shoulder elevation, GH abd and flexion

Answer 52

inferiorly

Question 53

with scapular protraction and horizontal adduction, the SC should move _ and with retraction of horizontal abduction it should move _

Answer 53

posterior, anterior

Question 54

the primary movement of the AC joint are

Answer 54

abduction, internal and external rotation

Question 55

study show that lack of movement of this joint affect abduction of the shoulder

Answer 55

AC

Question 56

what is the most somatic dysfunction within the elbow

Answer 56

dysfunction of the radial head

Question 57

restore normal mobility to internal and external tibial rotation before correcting the

Answer 57

proximal tibiofibular joint

Question 58

is there direct muscle attachement to the talocrural joint

Answer 58

no

Question 59

what is one of the most common dysfunction in the lower extremity

Answer 59

dysfunction at the talocrural joint