Thoracic

Question 1

Transverse Process: Rule of 3’s

Answer 1

T1-3: SP + TP same level
T4-6: TP are half segment above its SP
T7-9: TP are full segment above its SP
T10-12: Gradual return to same level

Question 2

Coupled Motion in Cervicothoracic region

Answer 2

SB + Rot = Same side

Question 3

Coupled Motion in Mid TS region

Answer 3

varying coupling of SB + Rot, but assume SB + Rot = same side

Question 4

Coupled Motion in Thoracolumbar region

Answer 4

SB + Rot = opposite side

Question 5

Describe rib articulation of costotransverse joints

Answer 5

Rib articulates with TP

Question 6

Describe rib articulation of costovertebral joints

Answer 6

Rib articulates with disc and vertebral body (at same level)

Question 7

Describe articulations of sternocostal joints

Answer 7

Cartilaginous attachments to sternum

Question 8

Describe articulations of costochondral joints

Answer 8

cartilaginous attachments to ribs

Question 9

Which attachment sites are areas of common somatic dysfunction?

Answer 9

Costotransverse and Costovertebral joints

Question 10

The first rib only attaches to the vertebral body at what spinal level?

Answer 10

T1

Question 11

The thoracic region is __________ring

Answer 11

Osseous ring

Question 12

What does it mean that the thoracic region is an osseous ring?

Answer 12

If there’s an injury/trauma to one point, the whole osseous ring is off. Transfer load is affected

Question 13

What muscles are attached to the first rib?

Answer 13

Anterior and Middle scalenes

Question 14

If the anterior and/or middle scalenes are shortened or increased in tone, what happens to the first rib?

Answer 14

Can be elevated

Question 15

Sympathetic Trunks innervation

Answer 15

heart, esophagus, abdominal viscera

Question 16

Cord Segments (T1-6) innervation

Answer 16

head, neck, UE, thorax

Question 17

Cord Segments (T7-L2) innervation

Answer 17

LE, abdominal cavity, pelvic cavity

Question 18

What is the critical zone of the T-spine?

Answer 18

T4-9

Question 19

Why are T4-9 segments are critical zones?

Answer 19

Central canal is narrow, can lead to cord compression

Question 20

Which thoracic region has the most rotation?

Answer 20

Mid TS

Question 21

During Thoracic Flexion, ribs rotate ________

Answer 21

anteriorly

Question 22

During Thoracic Extension, ribs rotate _________

Answer 22

posteriorly

Question 23

During Thoracic SB + Rot, ___________ glide closing on ipsilateral side

Answer 23

Inferior

Question 24

During Thoracic SB + Rot, ipsilateral rib rotates ________

Answer 24

Posteriorly

Question 25

During Thoracic SB + Rot, contralateral rib rotates _______

Answer 25

Anteriorly

Question 26

During respiration, describe the “Pump Handle” motion of ribs

Answer 26

Upward movement of upper ribs and sternum
Increase in ANT-POST dimensions of thorax

Question 27

During respiration, describe the “Bucket Handle” motion of ribs

Answer 27

Lateral and upward movement of lower ribs
Increase in lateral dimensions of thorax