Module #7: Thoracic & Lumbar Flashcards
The lumbar plexus runs from which vertebrae?
L1-L4
Which nerve roots does the lumbar plexus divide into?
Iliohypogastric, Ilioinguinal, Geniofemoral, Lateral Cutaneous, Femoral, Obturator
What does the femoral nerve innervate?
L2-L3: Illiacus, pectineus, Sartorius, Rectus Femoris, Quadriceps
What is the pathway of the femoral nerve?
L2-L4: Motor for hip flexors and knee extensors. Sensory: skin over the anterior and medial thigh and medial side of leg and foot. Runs more medial
What muscles does the sciatic nerve innervate?
biceps femoris
adductor magnus
semimbranosus
semitendonisus
What is the pathway for the sciatic nerve?
L4-S3:Runs through the greater sciatic notch or foreman,, over piriformis muscle in between greater trochanter and ischial tuberosity through posterior thigh. splits at bath of knee or above knee into the peroneal and tibial nerves.
What are your true ribs?
Ribs 1-7
What are your false ribs?
8-10
What are your floating ribs?
11-12
Which part of the spine is ROM limited?
Thoracic
Where does mild Kyphosis (Posterior Curvature) happen?
Thoracis Spine
Where does Mild Lordosis (Anterior Curvature) happen?
Lumbar Spine
How many facet joints are on each vertebrae?
Four-Allows for movement
True or False- Facet joints are richly innervated:
True
what are costal Facets?
the site where rib forms a joint with the inferior aspect of the thoracic vertebrae.
What are the four ligaments of the spine?
Posterior Longitudinal Ligament
Anterior Longitudinal Ligament
Ligamentum Flavum
iliolumbar Ligament
What is COPD?
Increased mucus production in bronchioles, characterized by smooth muscle spasm. Can cause congestion compromise air passage diameters.
What condition commonly cause COPD?
Asthma
How do you treat COPD?
MFR, diaphragm stripping, increase rib capacity with joint play and rib springing. TRP decrease
What should you avoid with COPD?
essential oils, aromatherapy, deep pressure
What ROM do we not test and why?
Passive because it is too hard on the therapist’s body
When is bronchitis usually diagnosed?
When the cough is present for at least three months of the year over two consecutive years
What is bronchitis also know as?
Blue Bloater
what is the pathway of the Lumbar Plexus?
Travels Obliquely between superficial and deep heads of psoas major and anterior to QL, then roots split into anterior and posterior divisions.
Origin of Multifidi and Rotators
Multifidi: Sacram and TVP’S of lumbar to cervical vertebrae
Rotators: TVP’S of lumbar to cervical vertebrae
Insertion of Multifidi and Rotators
Multifidi: Spinous Processes of Lumbar through 2nd Cervical Vertebrae (2-4 Vertebrae span
Rotatores: Same but 1-2 Vertebrae span
Innervation of Multifidi and Rotatores
Spinal
Actions of Multifidi and Rotatores
Uni-Laterally rotate vertebral column to opposite side
Bilaterally extend vertebral column.
What is the deepest abdominal Muscle?
Transverse Abdominis
The action(s) of the transverse abdominis
Compress the Abdominal contents
Origin of the transverse abdominis
Lateral Inguinal ligament, iliac crest, thoracolumbar fascia, internal surfaces of lower six ribs