T Spine & Ribs

Question 1

how are the TPs oriented in the T spine?

Answer 1

posterolateral and slightly superior

Question 2

describe how the T spine SPs are oriented

Answer 2

T1-3 same level
T4-6 1/2 level lower
T7-9 1 level lower
T10-11 same level

Question 3

sternal notch is at T___
Xiphoid process is at T___

Answer 3

sternal notch T2/3
xiphoid process T9/10

Question 4

what are the atypical ribs?

Answer 4

1, 10, 11, 12
only attach to 1 facet on the corresponding vertebral body

Question 5

2nd rib attaches to _____, but is considered atypical bc it attaches anteriorly to _____

Answer 5

T1 & T2
manubrium and sternum

Question 6

true ribs:
false ribs:
floating ribs:

Answer 6

true ribs: 1-7
false ribs: 8-10
floating ribs: 11-12

Question 7

superior articulation of T spine facets are oriented ___ deg from the transverse plane and ___ deg from the frontal plane

Answer 7

60 deg - transverse
20 deg - frontal

Question 8

superior articulation of T spine facets face _____, _____, & _____

Answer 8

anterior, inferior, and slightly medial

Question 9

upper thoracic costotransverse joints have ___ TP with ___ rib

Answer 9

convex TP with concave rib

Question 10

lower thoracic costotransverse joints are ____ joints

Answer 10

planar

Question 11

upper ribs move more in the ___ plane to produced ____ action

Answer 11

sagittal
pump handle

Question 12

lower ribs move more in the ___ plane to produced ____ action

Answer 12

frontal
bucket

Question 13

normal thoracic posture is ____ deg of kyphosis

Answer 13

40 (2/2 anterior wedging)

Question 14

normal infrasternal angle (costal margin of ribs 7-10)

Answer 14

90-100 deg

Question 15

which posture is most likely to have scapular winging?

Answer 15

flat back

Question 16

a wide infrasternal angle is seen with what conditions

Answer 16

L lordosis
T kyphosis
upper cross syndrome
sacral nutation
innominate extension, adduction, IR

Question 17

which position do you treat wide infrasternal angle in? why?

Answer 17

supine
allow more posterior expansion

Question 18

what is tight with wide infrasternal angle?

Answer 18

internal oblique

Question 19

what is tight with narrow infrasternal angle?

Answer 19

external oblique

Question 20

how is breathing effected with narrow infrasternal angle?

Answer 20

can’t pump handle properly
decreased lower rib expansion and increased upper rib expansion

Question 21

what position do you treat narrow infrasternal angle in? why?

Answer 21

prone or quadruped
allow more anterior expansion

Question 22

how is breathing effected with wide infrasternal angle?

Answer 22

decreased upper rib expansion
increased lower rib compression

Question 23

ribs should expand average of ___ cm with max inhalation

Answer 23

5-10 cm

Question 24

what rib expansion dysfunction is seen with shortness of abdominal obliques?

Answer 24

less than 3 cm rib expansion with max inhalation

Question 25

how to test shortness of external obliques in relation to rib expansion?

Answer 25

subcostal margin does not expand with arms raised inhalation

Question 26

thoracic ______ occurs with bilateral shoulder elevation

Answer 26

extension

Question 27

thoracic ______ occurs with unilateral shoulder elevation

Answer 27

ipsilateral rotation and lateral flexion

Question 28

intervention for upper back/rib restriction

Answer 28

crime scene pose (60 sec with breathing)

Question 29

intervention for lower chest restriction

Answer 29

swiss ball backward bend with hands behind head
(3-4 sets of 60 sec)

Question 30

intervention for upper chest restriction

Answer 30

swiss ball backward bend hands down
(3-4 sets of 60 sec)

Question 31

what restrictions does crocodile breathing help with?

Answer 31

lower back/rib
front upper chest