Thoracic Region

Question 1

which ribs are synovial joints

Answer 1

2-6

Question 2

what are the layers of the posterior trunk muscles

Answer 2

superficial - shoulder area muscles
intermediate - serratus posterior superior/inferior
deep - errector spinae, transversospinal, short segmental muscles

Question 3

which part of the spine does more of the movement for flexion? extension? rotation? and lateral flexion

Answer 3

flexion and extension - lumbar
rotation - thoracic
lateral flexion - both

Question 4

segmental nerves: ventral rami

Answer 4

dont go to arms
???

Question 5

segmental nerves: intercostal nerves

Answer 5

mixed motor and sensory innervation to intercostals, abdominals, and dermatomes of anterior trunk

Question 6

segmental nerves: meningeal nerves

Answer 6

mixed sensory and sympathetic nerve supply around spinal cord and joints

Question 7

what part of the nucleus pulposis has innervation

Answer 7

outer 2/3

Question 8

what is the critical zone of the spinal cord

Answer 8

where the cord narrows
T4-T9

*lower blood supply in this area

Question 9

what is the spinal cord tension point?

Answer 9

T6

Question 10

what is included in the neruovascular bundle with TOS

Answer 10

inferior trunk of brachial plexus (C8-T1)

Subclavian Artery

Question 11

origins of thoracic pain
T5:
T7-8:
T10-11:
T12:

Answer 11

T5: nipple
T7-8: epigastric
T10-11: umbilical area
T12: groin

Question 12

LOOK AT PIC OF VERTEBRAE REFERRAL PATTERN FOR THORACIC REGION

Question 13

scapular landmarks

Answer 13

superior angle/spine of scapula?? - T3
inferior angle T7-T9 depending

Question 14

explain the lower crossed syndrome

Answer 14

weak abdominals and glutes
tight Rectus/iliopsoas and thoracolumbar extensors

Question 15

what spinal region moves with active motion in standing vs seated

Answer 15

standing - thoracolumbar
seated - only thoracic

Question 16

what is the name of the screening for scoliosis

Answer 16

skyline view

Question 17

when measuring spinal motion, what is the zero point

Answer 17

resting posture of region while in standing (inclinometer/tape measure)

Question 18

explain the rule of 3s

Question 19

thoracic trigger points

Answer 19

L Serratus Anterior
L pec major; referred pain pattern
L sternalis muscle
L external oblique muscle can cause heart burn in anterior chest wall

Question 20

what are the classifications for thoracic spine pain disorders

Answer 20

1. thoracic hypomobility with UE referred pain
2. thoracic hypomobility with neck pain
3. thoracic hypomobility with shoulder impairments
4. thoracic hypomobility with low back pain

Question 21

interventions for thoracic hypomobility with UE referred pain

Answer 21

mobility exercises
thoracic and rib mobs
ULND mobs/ exercise
Self mobs
Postural exercise

Question 22

interventions for thoracic hyppomobility with neck pain

Answer 22

thoracic and rib mobs
mobility exercises
self mobs
postural exercise
treatment of cervical impairments

Question 23

interventions for thoracic hypomobility with shoulder impairments

Answer 23

mobility exercises
thoracic and rib mobs
self mobs
postural exercises
RTC exercises

Question 24

interventions for thoracic hypomobility with low back pain

Answer 24

mobility exercises
thoracic and rib mobs
lumbar rehab
self mobs
postural exercises

Question 25

what movement does facet joint impingement usually involve

Answer 25

flexion and rotation

Question 27

Scheuermanns Disease

Answer 27

Defect to ring apoposis of the vertebral body and anterior wedge of affected vertebrae