PRAC BOOK

Question 1

rib mvmt

Answer 1

• anterior rotation of the ribs in flexion

- posterior rotation in extension

Question 2

Thoracic lateral flexion and rotation

Answer 2

• LF is limited by rib approximation
• can be hypomobility in a block of segments or at one or two
segments

Question 3

Thoracic rotation

Answer 3

is the principal movement of the thoracic region

Question 4

PPIVMs t4-12 rotation

Answer 4

Palpating finger feels for the downward movement of the spinous process
of the vertebra above on the spinous process below (which is
stabilised by the therapist’s finger)

Question 5

Costo-transverse/costo-vertebral joints

Answer 5

• The unilaterals can be directed in a:
• cephalad direction (anterior rotation) - expiration
• caudad direction (posterior rotation) - inspiration

Question 6

for upper ribs

Answer 6

position the patient with their hand behind
their back which will lift the scapula off the chest wall to
permit access to the ribs

Question 7

SC PA hand positions

Answer 7

Pt in supine w/ pillow under head

thumb over the other, medial border of clavicle or medial end of ribs 2-6

Question 8

first rib PA

Answer 8

pt in prone w/ head of bed

• PT thumb by side - push with thumbs in caudad direction
• lift bulk of trap and slide thumbs down into superiod border of 1st rib btwn traps and clavicle