Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

S3- Musculoskeletal > T-Spine and Ribs Intervention/ C-Spine Manip > Flashcards

T-Spine and Ribs Intervention/ C-Spine Manip Flashcards

1
Q

INTRO

A

INTRO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q 
Scheuermann's Disease Interventions:
-\_\_\_\_\_\_\_ control muscle performance
-\_\_\_\_\_\_\_\_\_ of aggravating activities
-Strengthening and stretching of the ]\_\_\_\_\_\_
     -Seated rotation
     -Extension in lying (prone press up, prone on 
      elbows, etc.)
     -Thoracic extensor strengthening
     -Scapular abductor strengthening
-\_\_\_\_\_\_\_\_
A
  • Postural
  • Modification
  • trunk
  • Bracing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

With Ankylosing Spondylitis identify ___________/indicators for ________/interdisciplinary communication.

A

-risk factors/ indicators for referral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ankylosing Spondylitis Interventions:
-______ exercises with _________ focus.
-Spine _________ & peripheral joint exercises
-________ exercises
-_______ lying several times/ day for spine/ hip
extension
-Sleeping on firm mattress & avoidance of ___
position
-Swimming

A

Active exercises with mobility focus.

  • extension
  • breathing
  • prone
  • SL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SCOLIOSIS

A

SCOLIOSIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

__________ __________ Scoliosis has limited/poor/no compelling evidence regarding “correction” or limiting progression of curvature.

A

Adolescent Idiopathic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

With Adolescent Idiopathic Scoliosis we can have thoracolumbar bracing, which does what 2 things?

A
  • Prevention of curvature progression

- Correction of abnormal curvature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the goals with exercise for conservative management of Adolescent Idiopathic Scoliosis?

A
  • Strengthen postural muscles
  • Address muscle length
  • Maintain/Improve respiration and chest mobility
  • Address back pain impairments
  • Resume functional tasks
  • Strengthen abdominals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T4 SYNDROME

A

T4 SYNDROME

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T4 Syndrome is a controversial diagnosis with _____ evidence that supports standardized intervention.

A

poor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What interventions should we consider with T4 Syndrome (based on impairments)?

A
  • Thoracic manual therapy techniques (mobs, thrust manips) followed by thoracic mobility exercises
  • Scapulothoracic motor performance
  • Thoracic extensor strengthening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

THORACIC DISC LESIONS

A

THORACIC DISC LESIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the main intervention used for Disc Lesions?

A

Traction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Thoracic Disc Lesion Traction:

  • Not established with the T-Spine, though common practice to address _________ symptoms
  • ________ or __________
  • Pt positioned sitting or lying
  • Duration recommendation __ min – __ hours
  • Contraindications: “acute lumbago, instability, respiratory or cardiac insufficiency, respiratory irritation, painful reactions, large [disc] extrusion, medial disc herniation, altered mental state; this includes inability of the patient to relax”
A
  • radicular
  • continuous or intermittent
  • 2min-24hrs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the contraindications for mechanical traction?

A
  • acute lumbargo
  • instability
  • respiratory or cardiac insufficiency
  • respiratory irritation
  • painful reactions
  • large disc extrusion
  • medial disc herniation
  • altered mental state
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is acute lumbargo?

A

Low back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Z JOINT AND COSTOVERTEBRAL JOINT DYSFUNCTION

A

Z JOINT AND COSTOVERTEBRAL JOINT DYSFUNCTION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are some common impairment with z-joint pain?

A
  • muscle guarding
  • joint hypomobility
  • acute irritation/dysfunction
  • pain
  • ROM: commonly motions that close joint(ext/rot/lat flex)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What interventions may be used for z-joint pain?

A

Manual therapy interventions

  • Mobilizations (oscillations, stretch mobilizations)
  • Manipulation (neurophysiological effect, biomechanical theories)

Exercise

  • pain and guarding inhibition
  • neuro re-education
20
Q

We want to begin with ________ type exercises.

A

coordination

21
Q

What interventions may be done with Rib Dysfunctions?

A

Manual therapy interventions

  • Rib mobilizations (oscillations, static stretch mobs)
  • Rib manipulation
  • STM
22
Q

With rib manipulation, be careful not to manipulate ________ ribs.

A

floater

23
Q

THORACIC OUTLET SYNDROME

A

THORACIC OUTLET SYNDROME

24
Q

There is ____ evidence that supports standardized intervention for TOS.

A

poor

25
Q

What are some interventions that can be done with TOS?

A

Work/ activity modification
Nerve glides
Shoulder, upper rib/ thoracic manual therapy techniques
Scapulothoracic motor performance
Address tissue extensibility anterior trunk musculature

26
Q

IMPAIRMENT-BASED T-SPINE AND RIB INTERVENTION

A

IMPAIRMENT-BASED T-SPINE AND RIB INTERVENTION

27
Q

Generally, in addition to your working diagnosis, think _________ vs. ________ with MSK health conditions.

A

Stability vs. Mobility

28
Q

What are some other important things to address?

A
  • Education
  • Reduce Pain
  • Address Impairments
  • Improve Functional Activity Performance and Participation
29
Q

What are some ways to reduce pain?

A
  • Manual Therapy Intervention
  • Exercise
  • Improve Stability
30
Q

Thoracic Mobility Exercise examples.

A
  • Quadruped thoracolumbar AROM (flex/ext, rotationreaching diagonally in front of body/overhead)
  • Lying thoracic extension
  • Sitting rotation, extension
  • Assisted extension with towel
  • Prone on elbow/prone press up
31
Q

Exercise interventions for Upper Quarter and Thoracic Extensor muscle performance

A
  • wall splats
  • seated thoracic kyphosis “straightening”
  • resisted thoracic extension
32
Q

List some Upper Quarter muscle performance exercises for:

  • Mid Trap
  • Lower Trap
  • Rhomboids and Levator Scap
A

Mid Trap
-Prone row
-Prone horizontal abduction with 90 deg shoulder abduction & ER
Lower Trap
-Prone full can
-Prone shoulder ER at 90 deg of shoulder abduction
-Prone horizontal abduction with 90 deg shoulder abduction & ER
-Bilateral shoulder ER in shoulder neutral
Rhomboids & Levator Scap
-Prone Extension with shoulder ER
-Prone row
-Prone horizontal abduction with 90 deg shoulder abduction & ER

33
Q

What is a second function of the thoracic extensors?

A

Control flexion ROM eccentrically

34
Q

Modalities that can be used at the T-Spine.

A
  • Ultrasound (thermal, pain relief)
  • Cryotherapy (pain relief)
  • E-stim (muscle activation/neuromuscular re-ed, pain relief (TENS), aid in healing)
35
Q

T-SPINE AND RIBS MANUAL THERAPY

A

T-SPINE AND RIBS MANUAL THERAPY

36
Q

Studies with thoracic ______ demonstrate better short-term results than mobs for mechanical neck pain.

A

thrust

37
Q 
Prone Thoracic P-A Mobilization:
-Rate of Force: \_\_\_\_ velocity
-Location in Range of Available Movement:  \_\_\_-range
-Direction of Force: \_\_\_\_\_\_\_ force
-Target Force:  
     -Mobilizing:  \_\_\_\_\_\_ process
     -Stabilizing:  N/A
Relative Structural Movement:  spine segment on adjacent segments
Patient Position: \_\_\_\_\_\_\_\_
A
  • low
  • end-range
  • ventral
  • spinous
  • prone
38
Q

Seated Thoracic Extension Mobilization:

  • Rate of Force: ___ velocity or _______ hold
  • Location in Range of Available Movement: ___-range
  • Direction of Force: _______ force
  • Target Force:
    • Mobilizing: posterior aspect of bilateral upper arms for superior thoracic segments into relative ________
    • Stabilizing: dorsal surface of _______ ________ (or spinous process) of thoracic segment of choice
  • Relative Structural Movement: _______ segment on _________ segment
  • Patient Position: ______, fingers interlocked behind head
A
  • low velocity or static hold
  • end-range
  • anterior
  • extension
  • articular pillars
  • inferior segment on superior segment
  • sitting
39
Q

Facet Gapping In Supine “Pistol”:

  • Rate of Force: _____ velocity
  • Location in Range of Available Movement: ___-range
  • Direction of Force: ________ force
  • Target Force:
    • Mobilizing: cranial segment with relative _____ translation
    • Stabilizing: dorsal surfaces of ______ _______ caudal segment
  • Relative Structural Movement: _______ segment on _______ segment
  • Patient Position: ______, arms crossed in “gator position”
A
  • high
  • end-range
  • posterior
  • trunk
  • articular pillars
  • cranial segment on caudal segment
  • supine
40
Q

Seated Lower Thoracic Traction Thrust:
-Rate of Force: _____ velocity
Location in Range of Available Movement: ___-range
Direction of Force: _______ force
Target Force:
Mobilizing: __________ elbows
Relative Structural Movement: ____-thoracic spine on _____ thoracic spine
Patient Position: sitting with “______” position of arms

A
  • high
  • end-range
  • traction
  • posterior
  • mid thoracic spine on lower thoracic spine
  • “gator”
41
Q

Upper Thoracic Distraction Thrust:

  • Rate of Force: _____ velocity
  • Location in Range of Available Movement: ___-range
  • Direction of Force: _________ force
  • Target Force:
    • Mobilizing: _______ cervical/ ______ thoracic
    • Relative Structural Movement: upper thoracic/ lower cervical spine on ____-thoracic spine
  • Patient Position: ______ with fingers interlocked behind head
A
  • high
  • end-range
  • traction
  • lower cervical/upper thoracic
  • mid
  • sitting
42
Q

Supine 1st Rib:
-Rate of Force: ____ velocity for thrust, ____ velocity for oscillation
-Location in Range of Available Movement: ___-range for thrust, appropriate range for oscillation
-Direction of Force: ______,_____,______ force
-Target Force:
-Mobilizing: cranial surface 1st rib
-Relative Structural Movement: 1st rib on thoracic spine
-Patient Position: _______; c-spine
ipsilateral sidebending, contralateral
rotation, slight extension

A
  • high, low
  • end-range
  • caudal, medial, ventral
  • supine
43
Q

Costotransverse Mobilization:
-Rate of Force: ___ velocity for oscillation
-Location in Range of Available Movement: ___-range for thrust, appropriate range for oscillation
-Direction of Force:
-Costal force: ventral, caudal, ipsilateral lateral
-Thoracic force: ventral, contralateral lateral, slight cranial
-Target Force:
-Mobilizing:
-Thoracic: dorsal surface contralateral articular pillar
-Rib: dorsal surface
-Relative Structural Movement: rib on
transverse process of thoracic spine
-Patient Position: prone

A
  • low

- end-range

44
Q

C-SPINE THRUST MANIPULATION

A

C-SPINE THRUST MANIPULATION

45
Q

Are we allowed to do c-spine manipulations without a referral?

A

Yes

46
Q

C0:C1 Traction:

  • Rate of Force: ____ velocity
  • Location in Range of Available Movement: ___-range
  • Direction of Force: _______ force
  • Target Force:
    • Mobilizing: lateral aspect of _________ occipital protuberance
    • Stabilizing: _______ with chin cradle grip
  • Relative Structural Movement: ________ on c-spine
  • Patient Position: _______, ipsilateral sidebend and contralateral rotation upper cervical spine
A
  • high
  • end-range
  • cranial
  • ipsilateral
  • cranium
  • cranium
  • supine

S3- Musculoskeletal (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions