Thoracic Orthopedics

Question 0

During the Adam’s test if the scoliosis disappears when the patient flexes forward, this is ______ scoliosis.

Answer 0

Functional

Question 1

Adam’s Position test is to determine?

Answer 1

Functional or structural scoliosis

Question 2

During the Adam’s test if the scoliosis remains when the patient flexes forward, this is ______ scoliosis.

Answer 2

Structural

Question 3

In what instance could structural scoliosis straighten during the Adam’s test?

Answer 3

If the patient has an anatomically short leg

Question 4

Which type of scoliosis definitely warrants an X-ray?

Answer 4

Structural

Question 5

What is a classic positive for Amos’s Sign?

Answer 5

Pain, weakness, or decreased flexibility in the thoracics or thoracolumbar area when rising from a side-lying position

Question 6

What is a classic positive for Beever’s sign and what does it mean?

Answer 6

If the umbilicus deviates from the center, the abdominal muscle opposite to the direction of deviation is weak

Question 7

During normal chest expansion, the rib cage moves _________.

Answer 7

1.5-3.0 inches

Question 8

If chest expansion is less than ______ it is considered a positive finding.

Answer 8

1.25 inches

Question 9

What is a classic positive for Forestier’s Bowstring Sign?

Answer 9

Unequal ROM when the patient laterally flexes from side to side

Question 10

A positive Forestier’s bowstring test indicates primarily what disorder?

Answer 10

Ankylosing spondylosis (AS)
Although it could also indicate muscle spasm, pain inhibiting motion, or stacking

Question 11

If a rib stops moving during expiration it indicates a/n _______ rib.

Answer 11

Elevated

Question 12

If a rib stops moving during inspiration it indicates a/n _______ rib.

Answer 12

Depressed

Question 13

A positive Rib Motion Test (the rib is not moving properly) could indicate …

Answer 13

Rib subluxation (most likely)
Muscle strain
Pleuritis
Fracture
Arthritides

Question 14

A positive Schepelmann’s Sign would be?

Answer 14

Intercostal pain

Question 15

What would a positive Schepelmann’s sign indicate?

Answer 15

Pain on the concave side indicates neuralgia (compression of an intercostal nerve)
Pain on the convex side indicates myalgia or myofascitis (stretching of a sensitive muscle or fascia)

Question 16

What orthopedic tests can be used for both the thoracic and lumbar spine?

Answer 16

Adam’s Position Test

Amos’s Sign