thoracic Flashcards
thoracic rom
flexion 80deg
sitting rotation 45deg
lateral flexion 35deg
extension 25deg
how to measure ROM - thoracic flexion/extension
standing
tape measure between T2-S1 or bubble goniometer /inclinometer between T1-T2
how to measure ROM - thoracic lateral flexion
standing, stability pelvis
axis: posterior spinous process S2
stationary: perpendicular to ground
moving: along posterior spinous process T1
how to measure ROM - thoracic rotation
sitting
axis: center of cranial aspect of head
stationary: parallel to line between iliac crests
moving: middle line between two acromion
thoracic spine - open and closed pack positions
open: midway between flexion, extension
closed: extension
thoracic spine capsular pattern
lateral flexion and rotation equally limited
extension
thoracic spine rule of 3
T1 -T3 spinous process same transverse plane as the transverse process of the same vertebrae
T4-T6 SP halfway between its own TPs the adjacent vertebrae below
T7-T9 SP same transverse plane as the TPs of the adjacent vertebrae below
T10 one below
T11 half below
T12 same plane
coupled motion of thoracic spine
what does this mean for ZPG movements?
side bend and rotation same direction
ipsilateral side- downglide, ZPG joint closes
contralateral side - upglide, ZPG joint opens/gaps
what kind of scoliosis?
- Right shoulder that is higher than the left,
- left iliac crest that is higher than the right.
- Right thoracic rib hump with trunk forward flexion
Right structural scoliosis
- R side - hump more prominent on R, backward C (L shoulder down, L hip up)
- structural = irreversible lateral curvature with fixed rotation of the vertebrae, indicated with forward flexion
what intervention?
children who have idiopathic scoliosis and who are skeletally immature and have a Cobb angle of 25° to 45°.
Orthotic management
what intervention?
progressive idiopathic curve and a Cobb angle greater than 40°.
spinal fusion surgery
