NMS Thoracics

Question 0

Amoss sign

Answer 0

Patient gets off a bench, pain from side lying posture.

Thoracic or lumbar pathology

Question 1

Adam’s Postion

Answer 1

Patient bends forward, analyze A and P.
Scoliosis doesn’t change = positive and structural scoliosis
Does change = Functional scoliosis

Question 2

Beevor’s Sign

Answer 2

Crunch like sit up
Bellybutton towards head - lower thoracic involvement
drifts downward - upper thoracic involvement

Question 3

Chest expansion test

Answer 3

inhale deeply measure expansion
Should measure between 1.5 to 3 inches
w/o trauma indicates ankylosing spondylitis

Question 4

Forestier Bowstring

Answer 4

arms at sides laterally flex trunk, muscle contraction on ips. side is positive.
poor intersegmental motion

Question 5

Rib motion test

Answer 5

Palpate rib cage during inspiration and expiration.

Dec. motion indicates thoracic or rib Sx.

Question 6

Schepelmann’s Sign

Answer 6

Arms up bend side to side
pain on concave side - intercostal neuralgia
convex side - myalgia
localized T or rib Sx.