Thoracic and Lumbar Dx OSCE

Question 1

Type 1 Summary

Answer 1

Chronic
Cool, dry skin, decreased edam, ropy
"Group" dysfunction
Neutral
Rotation and Sidebending in OPPOSITE direction
Long restrictor muscles of back
Ex) T3-T7 NRlSr

Question 2

Type 2 Summary

Answer 2

Acute
Erythematous, boggy, increased moisture, hypertonic
1 segment
Flexed or Extended
Rotation and Sidebending in SAME direction
Short segmental muscles of spine
Ex) T5 FRlSl

Question 3

Prone and Seated segmental evaluation (Thoracic/Lumbar)

Rotation

Answer 3

• patient seated
• apply pressure on TP with thumb
• if one is more posterior (PTP), it is rotated that way