Thoracic and ribs Flashcards

1
Q

Ligaments of the ribs serve as attachments

A

to the sternum and cartilage of the vertebrae

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2
Q

ligaments allow for torsioning of the ribs during

A

movement and respiration

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3
Q

The normal functioning thoracic spine has_______ curve.

A

A structural Kyphotic curve

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4
Q

The client is presenting with an FRSlt at T7. Which rib dysfunctions may be associated to this?

A

Inferior torsion of Rt rib 7 and superior Torsion of Lt Rib 7

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5
Q

The thoracic spine is rotating to the right. What motion is occurring in the right ribs?

A

Superior Torsion

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6
Q

Which of the following represents the force creating inhalation at ribs 3-5?

A

CC of Pec Minor

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7
Q

Understanding the biomechanics of an injury assists the Therapist in?

A

indicates which tissues may have been strained

indicates the potential severity of the injury

indicates the potential pattern of secondary muscle guarding

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8
Q

If T4 is fully flexed and right side bending is introduced, which rotation will occur?

A

right

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9
Q

Rotation in the Thoracic spine will ________ if the segments are extended first.

A

decrease

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10
Q

Contraction of the Pec Minor will create?

A

Inhalation motions of Ribs 3-5

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11
Q

What position indicates the bilateral closed position of Thoracic facet joints?

A

extension

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12
Q

Which plane best describes the facet orientation in the majority of the Thoracic Spine?

A

Frontal Plane orientated

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13
Q

The thoracic spine is rotating to the right. What motion is occurring in the left ribs?

A

Inferior Torsion

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14
Q

Forced inhalation is created by?

A

Concentric contraction of agonists

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15
Q

What is a representation of the control of right thoracic sidebending?

A

EC of Left Erector Spinae

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16
Q

The client is presenting with an ERSrt at T4. What may also be present?

A

Superior Torsion of Rib 4 on the right

Inferior Torsion of Rib 4 on the left

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17
Q

What motion is most restricted in the thoracic spine due to the orientation of both the Spinous Processes and the Articular Facets?

A

extension

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18
Q

What direction does rotation occur during non-neutral mechanics in the vertebral column?

A

rotation occurs to the same side as sidebending

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19
Q

When the client performs forced exhalation at ribs 11 and 12, which muscle is responsible for stabilization?

A

Quadratus Lumborum

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20
Q

What represents Type 1 mechanics?

A

vertebra rotating lt and sidebending rt

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21
Q

How many pairs of ribs are there

A

12

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22
Q

the true ribs are______ they attach to the ______

A

1-7
sternum

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23
Q

false ribs are_____ They attach to_______

A

8-10
costal cartilage of rib 7

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24
Q

Floating ribs are______ they have no______

A

11-12
Ant. attchment

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25
Q

the diaphram is shaped like a

A

dome

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26
Q

the diaphram inserts

A

on to its self

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27
Q

when the diaphram contracts it __________interthoracic pressure-which in turn __________ the volume of the lungs. a vaccum is thus created causing air to ______ the lungs. this is called______

A

Decreases
increases
enter
inspiration

28
Q

relaxation of the diaphragm _______interthoracic pressure. this is how air is _________from the lungs. this is normal exhalation.

A

increases
expelled

29
Q

Normal inspiration

A

-Diaphragm contracts
-interthoracic pressure decreases
-creates a vaccum
air enters the lungs

30
Q

Normal exhalation

A

-diaphragm relaxes
-interthoracic pressure increases
-air is expelled from the lungs

31
Q

paradoxical breathing

A

-occurs with elevation and expansion of the rib cage

32
Q

in paradoxical breathing the abdomen _________ protrude.

A

does not

33
Q

paradoxical breathing is most likely done/created for _________reasons

A

aesthetic

34
Q

paradoxical breathing may indicate__________

A

pulmonary disorder like asthma or pulmonary distress.

35
Q

pulmonary disorders may present with

A

parasthesia of the diaphram

36
Q

Paradoxical breathing is

A

FORCED

37
Q

paradoxical breathing will
over work the

A

scalene and intercostal muscles by increasing their contribution to the respiration process

38
Q

Muscles with an inferior insertion assist with

A

forced inhalation

39
Q

muscles with an superior insertion help with

A

forced exhalation

40
Q

the rib facets articulate with the bodies of the thoracic vertebrae at the

A

demifacets
(one above and one below)

41
Q

The rib tubercle articulates with ______ and serves as attachment for _______

A

the TPS
ligaments

42
Q

the shaft of the rib is torsioned along its _________. this creates ______ in the ribs

A

long axis
tension

43
Q

Ribs __, ___, and ___ only articualate with the full facet on the corresponding vertebrae

A

1
11
12

44
Q

Ribs 1, 11, and 12 ______ articulate with the TPs of thoes vertebrae

A

DO NOT

45
Q

At the posterior articulation, the rib ______/______ on the axis passing through the joints.
This relationship changes dependant on the shape of the thoracic vertebrae

A

Glides/pivots (roll)

46
Q

in the superior thoracic, the axis is directed more _______ thus the elevation of the ribs increases the__________ of the thoracic cage

A

lateral
anterior diameter

47
Q

in the inferior thoracic the axis is directed more _______, thus elevation of the ribs increases the ________of the thoracic cage

A

posterior
Lateral diameter

48
Q

Inhalation elevates the thoracic cage and moves the ribs________, articulating surface (tubercle) rolls_______

A

superior
inferior

49
Q

Exhalation depresses the thoracic cage and moved the ribs ________, Articulating surface (tubercle) rolls_________.

A

Inferior
superior

50
Q

The thoracic vertebrae glide ________on inhalation ________ the thoracic cage with them.

A

posterior
pulling

51
Q

The thoracic vertebrae glide _________ on exhalation _______ the thoracic cage with them

A

anterior
pulling

52
Q

As the thoracic spine extends, the rib heads ______. This motion is described from neutral position as a __________

A

torsion
superior torsion

53
Q

One rib articulates with

A

2 vertebral bodies and 1 TP

54
Q

The articular processes of throacic vertebae

A

help to control and limit movement

55
Q

upper ribs move in a _____ motion

A

pump handle

56
Q

the mid ribs move in a _________ motion

A

bucket handle

57
Q

the lower ribs move in a _________ motion

A

caliper

58
Q

external inter costals are muscles of_______

A

inspiration
insertion to the rib below

59
Q

internal intercostals are muscles of _______

A

expiration
insertion to the rib above

60
Q

quiet expiration is

A

passive

61
Q

ACCESSORY MUSCLES of inspiration

A

SCM
SCALENES
Surratus ant.

62
Q

ACCESSORY MUSCLES of expiration

A

abdominal muscles

63
Q

bowals law

A

Increasing volume = decrease in pressure creating a vaccume and vise versa

64
Q

Thoracic Flexion KIN

A

Plane - sagital Axis -X
Translation-Horizontal
Osteo- Vertebrae translated anterior, TPs and SPs distract
Arthro - Disc displaces posterior and fecets open
Force - concentric contration of RA, Obliques then gravity
Control - EC of errector spinae
Secondary motion roll and glide

65
Q

Thoracic Extension Kin

A