Thoracic Spine Flashcards
Thoracic Extension AROM
-assess T5 and below (T1-T3 are functionally C-spine)
-Long sit w/ arms crosses above head
Thoracic Flexion AROM
-perform cervical flexion and have them slouch upper back
Thoracic Rotation AROM
-most rotation @ T5-T8
Thoracic Side-Bending AROM
-hands behind head and side bend
Large Infrasternal Angle
->100 deg
-tight IOb
-more posterior expansion
Small Infrasternal Angle
-<90 deg
-tight ExOb
-more anterior expansion
Rib Mobility during Breathing
-@ 4th intercostal space
-Shoulder increase 2-5 inches (5-12cm)
T-Spine and Arm Motion
Unilateral: T-spine ipsi rotation
Bilateral: T-spine Ext
T-Spine Stretching Exercises
-Extension over chair or Foam roller (foam roller to block L-spine)
-Prayer stretch (lats too, breathe into it)
-Cat/cow
-Thread the needle
Rib Expansion Exercises
-Crime scene pose (upper back restriction)
-Swiss Ball ext arms behind head (lower chest restriction/tight ExOb)
-Swiss ball ext arms down (upper chest restriction)
-Crocodile Breathing (lower back/ribs and front upper chest restriction)
-Sidelying Expansion (QL and lateral ribs)
-Anterior Rib Expansion
Thoracic Flexion Exercises
-Assisted (Theraband)
-Segmental Flexion
Thoracic Rotation Exercises
-Open Books
-Thread the needle
-Wall Windmill
Thoracic Anatomy
-narrow vertebral canal
-anterior wedging
-demifacets for ribs
Rule of 3s
T1-T3: SP at same level
T4-T6: SP 1/2 level under
T7-T9: SP 1 level under
T10-T12: Same Level
Sternum
-Sternal notch at T2/T3
-Xiphoid process T9-T10
Ribs
-1-7 true ribs, 8-10 false ribs, 11-12 floating ribs
-Superior rib facets attached to superior vertebral body
-1, 10, 11, 12 atypical with only 1 facet
-T1 and T2 attach to 2nd rib
Facet Joints
-60 degrees
-allows rotation
Costovertebral Joints
-ribs + Vertebral bodies
Costotransverse Joints
-Rib tubercles + transverse processes
-Upper T-spine: convex TP and concave rib
-Lower T-spine: planar joints
