Thoracic

Question 1

Kirksville crunch

Answer 1

• pt supine, doc on opp side of df
• pt. crosses arms over chest, with df side on top
• roll pt toward doc, place thenar eminence on PTP
• place other hand and arm under pts head and neck
• can sidebend slightly into the direction of df

Question 2

AT1

Answer 2

-Midline on suprasternal notch

Question 3

AT2

Answer 3

-Midline on manubrium

Question 4

AT3

Answer 4

-Midline at the level of the costal cartilage related to the named vertebra

Question 5

AT4

Answer 5

-midline …. same as 3

Question 6

AT5

Answer 6

-midline about 1 inch superiour to the xyphoid

Question 7

AT6

Answer 7

-Midline at sternal xiphoid junction

Question 8

AT7

Answer 8

-at the tip of xiphoid

Question 9

AT8

Answer 9

-Midline 1.5 inches inferior to xiphoid

Question 10

AT1-8 treatment

Answer 10

• position: pt supine with feet flat on table, doc at head
• doc places knee under pt.s head or trunk to use as a wedge to flex pt to involved vertebrae
• docs hand supports upper back and fine tunes flexion
• more flexion needed the lower the TP’s

Question 11

AT9

Answer 11

-midline 1-2 cm superior to umbilicus

Question 12

AT10

Answer 12

-midline 1-2 cm inferior to umbilicus

Question 13

AT11

Answer 13

-midline 3-4 cm below umbilicus

Question 14

AT12

Answer 14

-mid axillary line on the superomedial surface of the iliac crest

Question 15

AT9-12 treatment

Answer 15

• pt supine, doc same side of tp with foot on table
• doc uses pt’s legs to cause flexion at waist, so pt’s hips and knees bent to 90 degrees with fine tuning by adding totation towards doc
• flexion can be assisted w/ a pillow under pelvis or thorax

Question 16

Where are the posterior counterstain tenderpoints?

Answer 16

• on their respective transverse processes of each vertebra

- or midline is on the spinous processes

Question 17

PT1-3 tx

Answer 17

• pt prone, arms draped over side of table
• doc at head, cups pts chin
• fine tune by rotation and sidebending away from tender point

Question 18

PT4-6 tx

Answer 18

• pt prone, arms draped over top of table
• doc at head, cups chin, other hand monitors
• extend neck, fine tune with rotation and sidebending away from the tender point

Question 19

PT7-9 tx

Answer 19

• pt. prone, arms over top of table, with a pillow under the chest
• doc at head, cups chin, other hand monitor
• extend neck, fine tune with rotation and sidebending away from tp

Question 20

PT10-12tx

Answer 20

• pt prone, arms over top, pillow under chest
• doc at side of table
• grab pts ASIS on opp side of df, raising the pts hip, and inducing extension of lower t spine