T Spine Flashcards
T1 and T12 are
transitional
T2-T11 are
typical
Bodies have ______ for articulation with ribs
demifacets
Spinous proceses slope
inferiorly
transverse processes thickened at
ends
Costovertebral joints are
very stable
costovertebral joint ligaments help to
prevent rib head subluxation/dislocation
Superior facets face mostly
posterior and slightly superior
Inferior facets face mostly
anterior and slightly inferior
What type of osteokinematic motion will the orientation of these facets favor?
lateral flexion
T spine has less mobility than
C or L spine
Upper t spine has
Minimal _____
Some _______
flexion/extension
Rotation and lateral flexion
Lower T spine
More _______
Slightly more ______
Less ______
flexion/extension
lateral flexion
rotation
T1,11, and 12 articulate with
1 vertebral body
T2-10 articulate with
superior and inferior vb
Ribs rotate and glide on
vertebral body
Costotransverse Joints
Ribs articulate with
transverse processes T1-10
Costotransverse Joints
Rotation and gliding of rib on
transverse process
what limits motion in the t spine
bony approximation of rib cage
Flexion ROM
Extension ROM
Flex: 30-40
Extension: 15-20
Lateral flexion ROM
Rotation ROM
25-30
25-35
Limitation of rib motion will limit
T/S motion
Rib cage articulating with ______ posteriorly and ______ anteriorly
T spine posteriorly
Manubriosternum anteriorly
Segments are interdependent and
motion restricted
Left rotation, rib distortion ipsilaterally
Anteriorly:
Posteriorly:
more convex
more concave
Left rotation, rib distortion Contralaterally
Anterior:
Posterior:
More concave
more convex
Inspiration
Intrathoracic volume increases by contraction of muscles attached to
ribs and sternum
Inspiration
Expansion of thorax decreases
interpleural pressure
Inspiration
suction created that
expands the lungs
Expiration
Passive process – does not depend on
muscle action
Expiration
Decreased volume increases
pressure, forcing air out
Joints Involved in Breathing
- Manubriosternal joint
Sternocostal joints
Interchondral joints
Costovertebral joints: costocorporal and costotransverse
Thoracic intervertebral joints
Muscles of breathing
Quiet inspiration
diaphragm
intercostals
scalenes
scalenes active with
COPD
will pull upper ribs superiorly
Muscles of Breathing
Forced Inspiration
Serratus posterior superior and inferior
Levator costarum
Sternocleidomastoid
Latissimus dorsi
Iliocostalis thoracis and cervicis
Pectoralis minor
Pectoralis major (sternocostal head)
Quadratus lumborum
Muscles of Breathing
Forced Expiration
Abs (primary)
Transversus thoracis
Intercostales interni (small)