Spine - Midterm

Question 0

Relationship of thoracic spine kyphosis and scapula

Answer 0

Increased kyphosis adversely affects resting scapular alignment – incr likelihood for scapular dyskinesis and shoulder pathology

Question 1

The PRIMARY cause of upper thoracic hypo mobility is ..

Answer 1

Habitual fwd head posture (causes B loss of vertebromanubrial extension)

Question 2

In order to achieve FULL UE elevation, what must the trunk do?

Answer 2

Must have adequate U-thoracic extension and ROTATION of first 6 ribs
- at 150 degrees of unilateral elevation, the upper thoracic region begins to extend and ipsilaterally sidebend

Question 3

Moreso than other motions, what can predispose someone to cervical AND lumbar deterioration?

• specifically, stiff TLJ can cause..
• and a stiff UPPER thorax can cause..

Answer 3

Rotational HYPOmobility of thorax

• IF pt has stuff TLJ –> torsion generated during gait STAYS IN L SPINE –> breakdown of L4/L5
• • stiff upper thorax –> increases stress to C spine facets by 200-300 fold to achieve full head rotation

Question 4

IF pain in T spine changes with exertion but not with movement or posture , most likely due to ..

Answer 4

Rib dysfunction OR cardiac origin