thoracic lab Flashcards

1
Q

what wedging of the vertebrae created kyphotic posture

A

anterior

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2
Q

the vertebrae possesses ____ to articular with ribs

A

demifacets

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3
Q

what side of the vertebrae is bigger

A

posterior

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4
Q

at what thoracic levels are the SPs triangular and project horizontally

A

T11 and T12

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5
Q

how do the TP angle in the thoracic spine

A

posterolateral and slightly superior

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6
Q

All of the transverse processes possess an oval shaped anterior facet for articulation
with the tubercles of the corresponding ribs, except for ___ and ___.

A

T11 and T 12

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7
Q

what are the rule of 3’s

A

T1-T3: SP and TP are at same level
T4-T6: SP and TP are HALF vertebral level lower
T7-T9: SP and TP are 1 vert lower
T10-T12: same Level

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8
Q

what is included in the sternum (3)

A

head or manubrium,
body or gladiolus, and the
tail or xiphoid proces

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9
Q

what level of the t spine is the sternal notch located at

A

t2/3

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10
Q

what level of the t spine is the xiphoid process at

A

T9/T10

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11
Q

does teh 1st rib attach to the sternum

A

no

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12
Q

are ribs avascular or vascular

A

vascular

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13
Q

what ribs are considered true , false and floating

A

true: 1-7
false: 8-10
floating: 11, 12

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14
Q

where do the super rib facets and inferior rib facets attach

A

Superior rib facets attach to the superior vertebral body,

inferior facet attaches to the corresponding vertebral body

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15
Q

what are atypical ribs

A

1, 10 , 11, 12

these ribs only attach to one facet on the corresponding vertebral body

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16
Q

where does the second rib attach? why is it considered atypical

A

T1 and T2

it attached anteriorly to the junction of the manubrium and sternum

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17
Q

what part of the thoracic spine is The flat vertebral surfaces allow for translations to occur.

A

interbody

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18
Q

Superior articulations of the facets are oriented _ from the transverse plane and _ from the frontal plane

A

60°

20°

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19
Q

what is a Synovial plane joints that exist between the heads of the ribs and the vertebral bodies to allow gliding or sliding costal motions.

A

costovertbral

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20
Q

Upper thoracic = ___ TP with ___ Rib

A

convex

concave

21
Q

changes in the anterior posterior diameter is mainly the ___ ribs , there is thoraic motion in the ____ plane, motion of the sternum resembles what

A

upper
sagittal

pump handle movement

22
Q

changes in the transverse diameter is mainly the ___ ribs , there is thoraic motion in the ____ plane, motion of the sternum resembles what

A

lower

frontal

bucket handle

23
Q

what is the normal degress of kyphosis in the thoracic spine

24
Q

what is the normal infrasternal angle

A

90-100°

costal margin of ribs 7-10

25
what kind of scapular appearance is present with a **flat back**
winging
26
if someone has a **functional kyphosis** what mm is **tight**
RA
27
flat black leafs to ___ expansion of the ___ ribcage
decreased posterior
28
**posterior trunk sway** is from decrease what and increased what
decreased posterior trunk extensors and increased RA
29
what does posterior trunk sway look like
upper back is shifted back, and the hips are swayed forward (shoulders are posterior to the hips)
30
if someone has increased R rib prominence what side rotation is it
L rotation bc the contralateral side is more prominent
31
what is considered a wide ISA
> 100°
32
what is **tight** and **long** with a **wide** ISA
tight IO long EO
33
how should u treat wide ISA
in supine to allow more posterior expansion
34
for a **wide** ISA they have a squished and flared whar
front to back is squished sides are flared cant properly use bucket handle - belly breather
35
what does **wide** ISA lead to at the sacrum
sacral nutation and innominate extension, adduction and IR
36
what is wide ISA more common in (posture wise)
lumbar lordosis and thoracic kyphosis
37
what is considered a narrow ISA
< 90°
38
what is **tight** and **long** in a **narrow** ISA
tight EQ long IO
39
what position is best to treat **narrow** ISA
prone or quadruped to allow for more anterior expansion
40
what does **narrow** ISA lead to at the sacrum
sacral counter nutation and innominate flexion , abduction and ER
41
in narrow ISA u need more upper rib cage __ and lower rib cage ___
compression expansion
42
marathon runners are known to have ____ ___
narrow ISA
43
how do u measure the infrsternal angle
locate the xiphoid process (apex) measure from the side of the ribs , typically 7-10 rib cartilage
44
how much shoudl the ribs expand on average
5-10 cm w max inhalation
45
when the arms are elevated how shoukd expansion by
lower end of the range
46
what measurement for rib expansion is considered imparied and indicated possible shortness in teh abdominal obliques
less then 3 cm
47
for rib expansion what is implicated if the **subcostal margin** does not expand with arms raised inhalation.
shortness of EO
48
if u **raise one arm** what is the thoracic coupled motions
ipsilateral rotation and lateral flexion
49