Thoracic & Lumbar Spine

Question 1

Thoracic Facet Joints

Answer 1

• most rigid part of vertebral column
• aligned in mild kyphosis
• mobile platform for movement

Question 2

T-Spine Resting Position

Answer 2

Midway b/w flexion and extension

Question 3

T-Spine Closed Pack Position

Answer 3

Extension

Question 4

T-Spine Capsular Pattern

Answer 4

Sidebending and rotation equally limited

Extension

Question 5

Costovertebral Joint

Answer 5

Ribs & vertebral bodies

• Ribs 1, 10-12 have one vertebral body articulation
• Ribs 2-9 have two adjacent vertebral articulations

Question 6

Costotransverse Joints

Answer 6

Ribs and T.P. of the same level

-NOT present in ribs 11& 12

Question 7

Costochondral Joints

Answer 7

Ribs and costal cartilage

Question 8

Thoracic Rule of Threes

Answer 8

T1-3: SP @ same level of TP
T4-6: SP is 1/2 level below TP
T7-10: SP is one full level below TP
T11: SP is 1/2 level below TP
T12: SP @ same level of TP

Question 9

Pump Handle Breathing

Answer 9

T1-6

-move by rotating up with sternum

Question 10

Bucket Handle Breathing

Answer 10

T7-10

-move up, back and medial

Question 11

Caliper Breathing

Answer 11

T11-12

-move lateral

Question 12

Double Inclinometer Thoracic Flexion

Answer 12

one @ T1
one @T12
norm = 20

Question 13

Double Inclinometer Thoracic Lateral Flexion/Extension

Answer 13

one @ T1
one @T12
norm = 10

Question 14

Double Inclinometer Thoracolumbar Flexion

Answer 14

one @ Ti
one @ S2
norm = 80

Question 15

Double Inclinometer Thoracolumbar Lateral Flexion/Extension

Answer 15

one @ T1
one @ S2
norm = 35

Question 16

Double Inclinometer Lumbar Flexion

Answer 16

one @ T12
one @ S2
norm = 60

Question 17

Double Inclinometer Lumbar Lateral Flexion/Extension

Answer 17

one @ T12
one @ S2
norm = 25

Question 18

Goniometer Thoracolumbar Lateral Flexion

Answer 18

norm = 35
F = S2
S = perpendicular to ground
M = C7

Question 19

Goniometer Thoracolumbar Rotation

Answer 19

norm = 45
F = top of head
S = parallel to Iliac Crest
M = parallel to Acromion

Question 20

Tape Measure Thoracolumbar Flexion

Answer 20

norm = 4in
one @ C7
one @ S2

Question 21

Tape Measure Thoracolumbar Extension

Answer 21

norm = N/A
one @ C7
one @S2

Question 22

Modified Skin Test Lumbar Flexion/Extension

Answer 22

one @ S2

one @ 15cm above S2