Thoracic and Lumbar Dx Flashcards
Chronic Type 1 TART Changes
Cool dry skin, decreased edema, ropy, fibrotic
Acute Type 2 TART changes
Erythematous, boggy, increased moisture, hypertonic muscles
Muscles involved in Type 1 dysfxn
Long restrictors of the back
Muscles involved in Type 2 dysfxn
Short segmental muscles of spine
Rotatores Ms
Thoracic ROM Evaluation Positioning
Pt standing 4-6” apart Physician kneeling behind, eyes level with thoracic spine Hands on iliac crests monitoring ASIS anteriorly
Thoracic Sidebending ROM
Up to 40 deg
Thoracic Rotation ROM
90 deg
Lumbar ROM evaluation positioning
Pt stands 4-6” apart Physician kneeling behind, eyes level with lumbar spine Hands on iliac crests monitoring ASIS anteriorly
Lumbar forward flexion ROM
40-90 deg
Lumbar backward extension ROM
20-45 deg
Lumbar sidebending ROM
15-30 deg
Lumbar Rotation ROM
3-18 deg
Motion Testing T1-6
Palpate T1-6 Use Head/Neck as a lever Sidebending: bring pt’s ear toward shoulder, evaluate end feel, one side and the other Rotation: Have pt turn head, note end feel, one side then the other
Motion Testing T7-12
Use trunk as a lever Monitor T7-12 Assess quality and range of motion in all planes
Prone Short Lever Segmental Rotation Motion Testing
Load and Spring rotation, prone Use thumbs to load into transverse processes, applying anterior pressure Rotation on hard end feel side
Static Vertebral Motion Testing: Lumbar Area
Dynamic Segmental Motion Testing L1-5 Lateral Recumbent
Dynamic Segmental Motion Testing Thoracic Sphinx Postion T1-6
Dynamic Segmental Motion Testing Thoracic Lateral Recumbent T7-12
Static Vertebral Motion Testing Thoracic Area
Seated Short Lever Segmental Motion Testing
