Thoracic Lab Flashcards
What are the 4 positive signs to diagnose a rib dysfunction
Height 1/2 inch elevation
Positive spring test
Positive ipsilateral scalene tone
Positive lateral cervical flexion rotation test
Which way does the head bend for the rib springing test
Towards the side being tested
What is considered a positive cervical flexion rotation test for rib mobility
Less cervical flexion when head is rotated contra-laterally
What organs are found in the R UQ
Gall bladder
Duodenum
pancreas
R kidney
What organs in the R LQ
Appendix
R ovary and tube
What organs found in the L UQ
Stomach
Spleen
L kidney
Pancreas
What organs found in the LLQ
sigmoid colon
L ovary and tube
What is considered an abnormal and normal aortic pulse width
Abnormal: over 3cm
Normal: 2-3cm
If pain is provoked for aortic palpation, what do we do
Refer to physician for possible AAA
How to perform the hyperabduction (wright’s) test for TOS
PT palpates radial pulse
pt turns head away and hyperabducts arm behind body
hold 1-2 minutes
positive test = decreased pulse or paresthesias
How to perform Roo’s test for TOS?
Raise arms to 90/90 position and open and close hand for 3 minutes straight
PT is palpating radial pulse
positive test is decreased pulse or paresthesias
stop test if any symptoms
How to perform the costoclavicular test for TOS?
pt sits with exaggerated military posture then retracts and depresses both shoulders while protruding chest, hold 60 seconds
PT palpates radial pulse
positive test is decreased pusle or parethesias
How to perform the adson’s vascular test for TOS?
pt is seated w/ affected arm placed in 15 degrees abduction, pt breathes deeply and holds breath then tilts head backwards and turns chin toward affected side
PT palpates radial pulse
positive test is decreased pulse or parethesias
If a patient is having symptoms of TOS, and you use a TOS and feel a decreased pulse, does this mean that you have confirmed TOS?
No these tests do not have good reliability, and you should look to recreate the patients symptoms, not to just feel for a decreased pusle
How might you increase patient comfort/tolerance of the prone thoracic HVLAT manips?
put pillow under pt hips
What’s the difference between the supine HVLAT for the T-Spine and supine rib gapping
Use pistol grip at thoracocostal jt instead of a fist at SP
How is the patient positioned for upper T-Spine supine manip vs lower t-spine
upper- hands behind head
lower- hands across chest
What are the steps of the supine thoracic HVLAT manip
Move pt close to you on mat
Sidebend AWAY from therapist
Rotate towards PT
