T-spine

Question 1

common conditions of T-spine

Answer 1

Scheuermann’s disease
Osteoporosis
Excessive kyphosis
Muscle strain
Scoliosis
Scapular dyskinesis
Thoracic Outlet Syndrome

Question 2

T/S contributes to an estimated _% of total force and kinetic energy generated during a , ~% of total _, and is linked to the upper limb

Answer 2

T/S contributes to an estimated 55% of total force and kinetic energy generated during a throw, ~80% of total trunk rotation, and is linked to the upper limb

Question 3

Thoracic mobility program resulted in_% and % lower risk of problems

Answer 3

Thoracic mobility program resulted in 28% and 22% lower risk of shoulder problems

Question 4

Exercises should be classified according to

Answer 4

Exercises should be classified according to mobility, motor control, work capacity and strength

Question 5

Common Muscles that might get tight and influence movement of the thoracic spine

Answer 5

Lats
Erector spinae
QL
Pecs (major and minor)
Obliques
Rectus abdominus
Diaphragm
Serratus posterior inferior
UFT

Question 6

Passive techniques to help with relaxation of muscle

Answer 6

Foam rolling, trigger point release, breathing, myofascial releases (therapist or self)

Question 7

scoliosis coupled movement follow law 1 or 2?

Answer 7

1 -> L sB, R rot

Question 8

coupled movement of row and rotation + punch and rotation

Answer 8

row/rotation -> same side
punch/rotation -> opposite side

Question 9

give exemple of spinal dissociation in static spine

Answer 9

Birddog, deadbug, wall squat, pallof press
Note: can also be progressed to strengthening exercises

Question 10

spinal dissociait dynamic exemple

Answer 10

Cat/cow, open book, thread the needle, sitting side flexion (mermaid)

Question 11

exemple of whole body coordination

Answer 11

: Upper back rotation with lunge, Woodchoppers or lawn movers, row with knee drive, punch with knee drive

Question 12

exemple of pillar development static exercise

Answer 12

deadlift, prowler pushes

Question 13

exemple of pillar development dynamic exercise

Answer 13

battle ropes, med ball throw

Question 14

What You Might See With Increased kyphosis

Answer 14

Hypertonic flexors of T/S
Hypertonic rib depressors
Weak/inhibited extensors
Weak/inhibited rib elevators

Question 15

what you might see with decrease kyphosis

Answer 15

Decreased kyphosis
Hypertonic extensors of T/S
Hypertonic rib elevators
Weak/inhibited flexors
Weak/inhibited rib depressors

Question 16

what to do to help someone that have an increased kyphosis

Answer 16

: superman, foam roller T-spine extension, open book, 90-90 breathing, diapghram breathing

Question 17

what to do to help someone that have an decreased kyphosis

Answer 17

child pose, hugging a Swiss ball, crunch, dead bug, pec fly, 90-90 breathing with a balloon

Question 18

the scapula and humerus move in _ ratio

Answer 18

1:2

Question 19

when the arm is abducted, _ degrees and _ degrees occurs by rotation of scap and _ degrees by rotation of humerus at shoulder joint

Answer 19

180, 60 , 120

Question 20

thoracic osteoporosis rehab

Answer 20

Moderate weight bearing exercises (walking)
Resisted upper extremity weight training
Postural training exercises
Balance training exercises

Question 21

scoliosis is named for side of

Answer 21

convexity

Question 22

Typically in right handed individuals there is a mild _ thoracic, _ lumbar S-curve, or a mild _ thoracolumbar C-curve

Answer 22

right, left, left

Question 23

when is surgical option for scoliosis is advise

Answer 23

Surgical Options (typically >30degrees)
Failed conservative
Debilitating back/leg pain
Severely restricted ADL and function

Question 24

when does bracing is advised for scoliosis

Answer 24

Between 10-25 degrees observation

Typically bracing is prescribed when curve hits 25 degrees and adolescent has yet to reach skeletal maturity

Question 25

scoliosis bracing is use to

Answer 25

release load on concave portion and increase load on convex portion of curve

Question 26

what is the schroth method

Answer 26

Utilizing exercises to bring body into the natural curve
De-rotate, elongate and stabilize in the 3 planes of movement

Question 27

what can you use to help treat scoliosis with conservative treatment

Answer 27

schroth method

Question 28

what might be causing the hypo mobility of T-spine

Answer 28

What is causing the hypomobility?
Soft tissue restriction–> soft tissue mobilizations
Overactive sympathetic Nervous System breathing
Posture dysfunction–> Fryette’s laws
Articulation issue–> joint mobilizations

Question 29

pain between shoulder blades often associated with lack of

Answer 29

thoracic rotation

Question 30

L thoracic spine lateral flexion can be encouraged at T7 by

Answer 30

blocking excessive lateral flexion below T7

Question 31

Significant improvements in shoulder impingement syndromes following

Answer 31

thrust manipulation of the Thoracic spine at 48 hr follow up

Question 32

Tx of T.O.S

Answer 32

Scapular positioning
Anterior tilt, protraction
Clavicle mobilization
1st rib mobilization
UFT, scalene, pec minor/major release
Strengthening of scapular stabilizers
Neuromeningeal mobilizations
Sleeping position/ADL position education

Question 33

when to use cyriax method

Answer 33

When patients cannot avoid provocative positions
Lay on uninvolved side
Avoid prone
Goal of technique is to fully unload the neurovascular structures
May not have relief first few times with technique
Continue to repeat technique over time

Question 34

which technique can you use before sleeping to fully unload neurovascular structure

Answer 34

cyriax method

Question 35

what can also cause GH limitations

Answer 35

clavicule position that might decrease costoclavicular space