THORACIC CAGE Flashcards
Ribs create costovertebral joints with which vertebrae
the corresponding one and the one above
Which ribs only articulate with their vertebrae of the same number
1, 10, 11, 12
Which ribs do not have a costotransverse joint
R11, R12
how many ribs
12 pairs
Where do you find sympathetic trunks
just anterior to heads of ribs
What are all the joints found in one functional unit of the thorax
- 2 zygapophyseal joints
- interbody joint
- 2 costotransverse joints
- 2 costovertebral joints
- 2 costochondral joints
- 2 sternocostal joints
What do you need to watch for when moving the costovertebral joints
you could affect the sympathetic ganglia - increase HR, sweating, Icrease BR, feeling of fight or flight
What is the osteo and arthro kinematic movement seen with flexion of the thoracic spine
anterior roll, anterior shear
cranial glide
What is the osteo and arthro kinematic movement seen with extension of the thoracic spine
Posterior roll, posterior shear
Cuadal glide
What are the glides seen with side flexion of the thoracic spine
Ipsilateral caudal glide and contralateral cranial glide
What is happening at rib during inspiration
posterior roll
rib glides inferiorly on TP
Are resisted isometrics helpful in the thorax
no - so many muscles doing each movement. only useful to get a general idea of global strength
What do you need to watch for when moving the costovertebral joints
you could affect the sympathetic ganglia - increase HR, sweating, Icrease BR, feeling of fight or flight
at what angle should you do SP springing
perpendicular to spine - you have to account for kyphosis but being angled caudally for this area
What is the osteo and arthro kinematic movement seen with extension of the thoracic spine
Posterior roll, posterior shear
Cuadal glide
What is the osteo kinematic movement in the thoracic spine seen with shoulder flexion
Drives thoracic extension, ipsilateral rotation/side flexion
What is happening at rib during inspiration
posterior roll
rib glides inferiorly on TP
What occurs to rib angles as you move caudally in the rib cage
they diverge
What occurs to the rib orientation as you move caudally in the rib cage
oriented more obliquely
For the thoracic spine subjective you should ask all the usuals PLUS
Relation to - Exertion - Eating - Lifting - Coughing, deep, or normal breathing Cord symptoms Posture, ergonomics of work or leisure
What is apical breathing indicative of
C-spine pain
Are resisted isometrics helpful in the thorax
no - so many muscles doing each movement. only useful to get a general idea of global strength
What are 10 components to a thoracic objective
- Posture (standing + sitting)
- AROM (thoracic, cervical, shoulder flexion)
- Resisted trunk
- respiration
- traction
- compression
- Neural conduction (LE reflexes, long tract)
- Slump
- Springing
- facilitated segment
What does a caudally direction PA to the TP help with
extension
ipsilateral side flexion
