Thoracic Region Flashcards
which ribs are synovial joints
2-6
what are the layers of the posterior trunk muscles
superficial - shoulder area muscles
intermediate - serratus posterior superior/inferior
deep - errector spinae, transversospinal, short segmental muscles
which part of the spine does more of the movement for flexion? extension? rotation? and lateral flexion
flexion and extension - lumbar
rotation - thoracic
lateral flexion - both
segmental nerves: ventral rami
dont go to arms
???
segmental nerves: intercostal nerves
mixed motor and sensory innervation to intercostals, abdominals, and dermatomes of anterior trunk
segmental nerves: meningeal nerves
mixed sensory and sympathetic nerve supply around spinal cord and joints
what part of the nucleus pulposis has innervation
outer 2/3
what is the critical zone of the spinal cord
where the cord narrows
T4-T9
*lower blood supply in this area
what is the spinal cord tension point?
T6
what is included in the neruovascular bundle with TOS
inferior trunk of brachial plexus (C8-T1)
Subclavian Artery
origins of thoracic pain
T5:
T7-8:
T10-11:
T12:
T5: nipple
T7-8: epigastric
T10-11: umbilical area
T12: groin
LOOK AT PIC OF VERTEBRAE REFERRAL PATTERN FOR THORACIC REGION
scapular landmarks
superior angle/spine of scapula?? - T3
inferior angle T7-T9 depending
explain the lower crossed syndrome
weak abdominals and glutes
tight Rectus/iliopsoas and thoracolumbar extensors
what spinal region moves with active motion in standing vs seated
standing - thoracolumbar
seated - only thoracic
what is the name of the screening for scoliosis
skyline view
when measuring spinal motion, what is the zero point
resting posture of region while in standing (inclinometer/tape measure)
explain the rule of 3s
thoracic trigger points
L Serratus Anterior
L pec major; referred pain pattern
L sternalis muscle
L external oblique muscle can cause heart burn in anterior chest wall
what are the classifications for thoracic spine pain disorders
- thoracic hypomobility with UE referred pain
- thoracic hypomobility with neck pain
- thoracic hypomobility with shoulder impairments
- thoracic hypomobility with low back pain
interventions for thoracic hypomobility with UE referred pain
mobility exercises
thoracic and rib mobs
ULND mobs/ exercise
Self mobs
Postural exercise
interventions for thoracic hyppomobility with neck pain
thoracic and rib mobs
mobility exercises
self mobs
postural exercise
treatment of cervical impairments
interventions for thoracic hypomobility with shoulder impairments
mobility exercises
thoracic and rib mobs
self mobs
postural exercises
RTC exercises
interventions for thoracic hypomobility with low back pain
mobility exercises
thoracic and rib mobs
lumbar rehab
self mobs
postural exercises
what movement does facet joint impingement usually involve
flexion and rotation
Scheuermanns Disease
Defect to ring apoposis of the vertebral body and anterior wedge of affected vertebrae
