Thoracic and Lumbar Palpation & Diagnosis

Question 1

Important diagnosis procedures.

Answer 1

Note bumps in back (rotated segment), notice restriction of rotation.

Question 2

What landmark denotes the TV2 process?

Answer 2

superior angle of the scapula

Question 3

TV3

Answer 3

spine of scapula

Question 4

TV7

Answer 4

inferior angle of scapula

Question 5

LV4

Answer 5

Iliac crest

Question 6

Diagnostic criteria for SD

Answer 6

TART

Question 7

In what plane must motion testing be done?

Answer 7

3 planes

Question 8

List freedom of movement by motion

Answer 8

Rotation>flexion>sidebending>extension

Question 9

In what order should you then check.

Answer 9

Rotation, then sagittal plane, then sidebending.

Question 10

Rule of 3’s?

Answer 10

Not really sure the slides weren’t clear, someone explain. My view was that three vertebrae will be rotated together, opposite sides.

Question 11

Type I fryette’s?

Answer 11

Rotation and sidebending to opposite sides, in neutral. Usually multiple segments. (3+)
Usually long sidebending muscles.

Question 12

Type II Fryette’s

Answer 12

Rotation and sidebending to same side in flexion or extension. Usually single segment.
Usually intersegmental paraspinal muscles.

Question 13

Describe Type II facets in flexion

Answer 13

Both facets should “close” but with a unilateral flexed SD one of the facets is “locked open”
The “open” side won’t extend so the vertebrae rotates and sidebends to the opposite side as the “locked open” facet (around the “closed” facet)

Question 14

Describe Type II facets in extension.

Answer 14

Both facets should “open” but with a unilateral extended SD one of the facets is “locked closed”
The “closed” side won’t flex so the vertebrae rotates and sidebends to the same side as the “locked closed” facet