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OS CPA #4: Thoracic and Lumbar > Thoracic > Flashcards

Thoracic Flashcards

1
Q

Kirksville crunch

A
  • 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
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2
Q

AT1

A

-Midline on suprasternal notch

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3
Q

AT2

A

-Midline on manubrium

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4
Q

AT3

A

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

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5
Q

AT4

A

-midline …. same as 3

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6
Q

AT5

A

-midline about 1 inch superiour to the xyphoid

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7
Q

AT6

A

-Midline at sternal xiphoid junction

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8
Q

AT7

A

-at the tip of xiphoid

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9
Q

AT8

A

-Midline 1.5 inches inferior to xiphoid

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10
Q

AT1-8 treatment

A
  • 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
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11
Q

AT9

A

-midline 1-2 cm superior to umbilicus

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12
Q

AT10

A

-midline 1-2 cm inferior to umbilicus

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13
Q

AT11

A

-midline 3-4 cm below umbilicus

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14
Q

AT12

A

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

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15
Q

AT9-12 treatment

A
  • 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
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16
Q

Where are the posterior counterstain tenderpoints?

A
  • on their respective transverse processes of each vertebra

- or midline is on the spinous processes

17
Q

PT1-3 tx

A
  • pt prone, arms draped over side of table
  • doc at head, cups pts chin
  • fine tune by rotation and sidebending away from tender point
18
Q

PT4-6 tx

A
  • 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
19
Q

PT7-9 tx

A
  • 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
20
Q

PT10-12tx

A
  • 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

OS CPA #4: Thoracic and Lumbar (2 decks)

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