T spine

Question 1

Flexion upper T

Answer 1

in situ, hands on opposite shoulder
I block from the front with arm across chest, other hand feels on back

Question 2

Extension upper T

Answer 2

lift from under crossed elbows with one hand and other feels at back

Question 3

Palpation

Answer 3

T1 SP
medial scap spine
inferior scap angle
paraspinal muscles
TPs
Ribs and post rib angles
1st rib - in suprascap fossa
sternochondral joints and intercostal spaces 1-3

Question 4

PAIVMS

Answer 4

(on the bone)
central PA upper T
central PA mi-lower T
unilateral PA
costo-vertebral/transverse (C grip)
longitudonal caudad on 1st Rib (supine/prone)
costo-sternal AP

Question 5

T SNAGS (MWM)

Answer 5

rotation/lateral flexion- on TP
flexion/extension - on SP

Question 6

Manip TP

Answer 6

prone, hands to side
thenar emminence of one hand on TP and other on the contralateral one a level lower (hands in towards each-other
breath out, in twist and push
thrust.

Question 7

Pistol Manip

Answer 7

supine, hands on opposite shoulders.
roll them to side to position pistol hand.
as they roll back, put other arm under their neck to hold them up.
nestle their elbows under chest and slowly release head back.
push elbows down and away.
breath and thrust.