Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

TherEx Upper Quadrant > Thoracic Posture / Movement Analysis > Flashcards

Thoracic Posture / Movement Analysis Flashcards

1
Q

When observing the position of the patient’s nose from an anterior view, which anatomical landmark should you use as a reference?

A

Sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does a patient’s levelness of shoulders / angle of clavicle vary depending on handedness?

A

Dominant shoulder tends to be lower (more muscle mass)

Clavicle can have more of a downward slope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is considered a “normal” Carrying Angle?

A

10-15 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When evaluating a patient’s posture from a lateral view, an imaginary line should be drawn through the following structures:

A

External Auditory Meatus

AC Joint

Humeral Head

Greater Trochanter

Anterior to Lat Malleolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Scapular Protraction is associated with which posture abnormality?

A

Flat Back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What spinal levels are significant to the position of the scapulae? How far should the medial border be from the spine?

A

Scapula from T2 (superior border) to T7 (inferior border)

3 finger width from spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why is the Infraspinatus muscle observable from the back while the Supraspinatus is not?

A

The Supraspinatus is covered by the UT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which nerve could be damaged in the case of an observable abnormality in the Infraspinatus muscle?

A

Suprascapular N.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the normal resting position of the arm?

A

Humerus in a neutral rotated position (1/3 or less of humeral head anterior to the acromion)

Cubital Fossa facing anteriorly

Olecranon facing posteriorly

Hand facing the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Abnormal Positions of the Humerus

A

Anterior: Humeral head >1/3 length in front of Acromion (Kyphotic posture / tight pecs)

Abducted: Distal end away from the body

IR: Palm faces posteriorly / cubital fossa faces medially / olecranon faces laterally (tight pecs, Lats, Teres / rib positioning)

Flexed: Distal end in front of Humerus

Extended: Distal end behind Humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What postural abnormality is shown in the picture below?

A

Humerus is positioned anteriorly on both sides (more pronounced on the L)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What postural abnormality is shown in the picture below?

A

B arms flexed and IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What postural abnormality is shown in the picture below?

A

L arm abducted and flexed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Position of the Plumb Line in a “Normal” Posture

A

Anterior To: Lateral malleolus / knee joint

Through: GT (line slightly posterior to hip joint axis) / bodies of lumbar and cervical vertebrae / GH joint / lobe of ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lordotic Posture (Positioning of Body Components)

A

Head: Forward

Cervical Spine: Increased lordosis

Scapulae: Abducted

Thoracic Spine: Increased kyphosis

Lumbar Spine: Hyperextended (lordosis)

Hips: Flexed

Pelvis: Forward (APT)

Knees: Hyper extended

Ankles: PF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lordotic Posture (Short and Tight Muscles)

A

Neck extensors / hip flexors / LB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lordotic Posture (Lengthened and Weak Muscles)

A

Neck flexors / upper back / Erector Spinae / HS / possibly abs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Lumbosacral Angle (Lordotic Posture)

19
Q

Swayback Posture (Positioning of Body Components)

A

Head: Forward

Cervical Spine: Upper extended / lower flexed

Scapulae: Winged

Thoracic Spine: Kyphotic upper / normal lower

Lumbar Spine: Flat (lower extended / upper flexed)

Hips: Extended

Pelvis: PPT / anterior shift

Knees: Neutral to hyper extended

Ankles: Neutral

20
Q

Swayback Posture (Short and Tight Muscles)

A

HS / IO / LB (ES, QL)

21
Q

Flat Back Posture (Positioning of Body Components)

A

Head: Forward

Cervical Spine: Upper extended / lower flexed

Thoracic Spine: Upper flexed / lower flat (hypokyphosis)

Lumbar Spine: Flattened

Hips: Forward and extended

Pelvis: PPT

Knees: Hyper extended

Ankles: Neutral

22
Q

Swayback Posture (Lengthened and Weak Muscles)

A

Hip flexors / EOs / upper back extensors / neck flexors

23
Q

Flat Back Posture (Short and Tight Muscles)

A

HS / abdominals

24
Q

Flat Back Posture (Lengthened and Weak Muscles)

A

Hip flexors

25
Lumbosacral Angle (Flat Back Posture)
Decreased
26
Rib Quadrants
A: Upper Chest (Sternal Ribs) B: Lower Chest (Ribs 6-10) C: Upper Back / Ribcage (between shoulder blades) D: Lower Back / Ribcage
27
Restrictions in ANY rib quadrant can affect the following:
Breathing Trunk rotation Everything connected to ribcage (shoulders / neck / posture)
28
ER at Side Testing
Evaluates Upper Back / Ribcage extension Patient lies on back with arm at side / elbow bent to 90 / let arm go out into ER Normal is 60 degrees - if they can't achieve this, they may be limited in Upper Back / Ribcage mobility
29
ER at 90 Test
Helps assess expansion of lower chest Pt lies on back with knees bent / bring arm to 90 degrees abduction / keep elbow bent to 90 / bring arm into full ER Norm is 90 degrees - if they can't reach the table with the wrist, they may have a lower chest mobility limitation
30
Reaching Behind Upper Back Test
Assesses Lower Back / Ribcage mobility Pt looks straight ahead / instruct to reach one arm OH to touch opposite shoulder blade / keep patient's head straight and avoid looking down, arching back, or shrugging shoulders Limited ability to touch shoulder blade / back arching may indicate restriction in Lower Back / Ribcage region
31
If ER at the shoulder differs when the patient's arm at their side vs. when it is at 90 degrees, what should we look at?
Ribs!
32
Reaching Behind the Lower Back (Test)
Measures Upper Chest mobility Have patient reach behind back and try to touch the bottom of the opposite shoulder blade / watch for arching of back or scapular winging Limited ability to touch shoulder blade / back arching may indicate restriction in Upper Chest region
33
Thoracic AROM Extension / Rotation is used to assess levels ___ and below. Why is this?
T5 T1-3 is functionally part of the cervical spine
34
Thoracic AROM Extension
Patient in long sitting with arms together placed OH (have them grab elbows) - this position locks out the Lumbar spine Have patient extend by bringing elbows back Assess for hinge points / reproduction of symptoms / quality of motion
35
Thoracic AROM Flexion
Patient in sitting Have them perform cervical flexion (chin to chest) As they reach lower levels of cervical flexion, have them slouch upper back and continue cervical flexion Assess for areas in mid to upper thoracic spine that are hypomobile and unable to open (observe if a "spot" is skipped)
36
Which portion of the Thoracic Spine is mainly responsible for rotation? Flexion / Extension?
Upper T-Spine responsible for rotation Lower T-Spine for flexion / extension
37
Thoracic AROM Rotation
Patient in long sitting with arms wrapped around shoulders (hug self) - locking out Lumbar spine Have patient gently rotate to one side Assess for hinge points / reproduction of symptoms / quality of motion
38
Thoracic AROM Sidebending
Patient sitting with hands behind head and fingers interlaced Have patient SB to one side by bringing elbow down to one side Avoid creating motion in Lumbar spine Assess for hinge points / reproduction of symptoms / quality of motion
39
Cervical Rotation Lateral Flexion Test (CRLF)
Used to assess for first rib hypomobility Patient sitting with PT behind patient PT passively rotates cervical spine away from symptomatic side Maintain rotation and SB ear towards the chest (+) test is limitation in lateral flexion movement (1st rib elevating and blocking C7 TP)
40
Which muscles attach to the 1st Rib?
Anterior / Middle Scalene Subclavius
41
Superior Rib Examination (Pump Handle Motion)
Pt supine / PT at head of patient (can also be done in prone to assess posterior structures) Place hands on upper ribs (hands right below clavicle) Have patient take a deep breath in / hold / breathe in a little more - assess for symmetry of rib expansion Have patient breathe out / hold / breathe out a little more - assess for symmetry of rib depression during last breath out
42
Inferior Rib Examination (Bucket Handle Motion)
Pt supine / PT at patient's side near waist line (can also be done in prone to assess posterior structures) Place hands with fingers spread over lower lateral rib cage (thumbs pointed superiorly) Have patient take a deep breath in / hold / breathe in a little more - assess for symmetry of rib expansion Have patient breathe out / hold / breathe out a little more - assess for symmetry of rib depression during last breath out
43
Pec Minor muscle attaches to Ribs ___.
3-5

TherEx Upper Quadrant (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions