Thoracic Flashcards
thoracic flexion
20-45
thoracic extension
25-35
thoracic rotation
35-50
thoracic lateral flexion
20-40
what is the doctor looking for when performing adam’s position
structural or functional scoliosis
when the doctor observes the patient as they rise from a side lying position
amoss’ sign
what is a positive amoss’ sign
if pain is elicited while rising from a side lined position and the patient uses upper body strength to assist them
doctor observes the umbilicus while the patient is lying supine and does an abdominal crunch
beevor’s sign
what does a positive beevor’s sign indicate
abdominal weakness
when the doctor uses a tape measure and wraps it around the patient’s chest and the patient is asked to inhale; the distance is measured
chest expansion test
what level on the chest is measured during the chest expansion test
4th intercostal space
how much is the normal measurement for chest expansion test
1.5-3 inches
what is a positive finding of the chest expansion test and what could it indicate
if the measurement of expansion is less than 1.25 inches it could indicate AS
doctor observes ROM while patient laterally bends side to side in a standing position
forestier bowstring
what is the doctor looking for in forestier bowstring
unequal ROM from one side compared to the other
a positive forestier bowstring could indicate what
- AS (classic indication)
- muscle spasm
- pain inhibiting motion
- stacking of the vertebrae
the doctor places both hands on the patient’s chest at the sternocostal angle while the patient is lying supine. the doctor is observing for movement of the ribs as the patient inhales and exhales
rib motion test
what is indicated during the rib motion test if the rib has restricted motion during inhalation
depressed rib
what is indicated during the rib motion test if the rib has restricted motion during exhalation
elevated rib
improper rib motion during the rib motion test could indicate what
- rib subluxation
- muscle strain
- pleuritis
- fracture
- arthritides
patient extends arms over their head and laterally flexes to the left and to the right while seated
schepelmann’s sign
positive schepelmann’s sign
it is indicated by intercostal pain
pain on the concave side during schepelmann’s sign
neuralgia (compression of intercostal nerve)
pain on the convex side during schepelmann’s sign
myalgia or myofascitis (stretching sensitive muscle or fascia)
segmental innervation and peripheral innervation: epigastric reflex
T5-T7; intercostal nerve
segmental innervation and peripheral innervation: upper abdominal reflex
T7-T9; intercostal nerve
segmental innervation and peripheral innervation: middle abdominal reflex
T9-T11; intercostal nerve
segmental innervation and peripheral innervation: lower abdominal reflex
T11-T12; intercostal, iliohypogastric, ilioinguinal nerves
segmental innervation and peripheral innervation: cremasteric reflex
L1-L2; ilioinguinal genitofemoral nerve
segmental innervation and peripheral innervation: gluteal reflex
L4-S2; inferior gluteal nerve
segmental innervation and peripheral innervation: plantar reflex
L4-S2; tibial nerve
segmental innervation and peripheral innervation: anal reflex
S2-S5; inferior hemorrhoidal nerve
