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Musculo > Thoracic Spine > Flashcards

Thoracic Spine Flashcards

1
Q

True or False:

The incidence of patients with thoracic back pain is not as common as patients with neck or LBP

A

True

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2
Q

True or False:

Thoracic back pain can contribute to why someone with neck/LBP have long term symptoms

A

True

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3
Q

Can visceral organs have the chance to refer to other locations

A

Yes’m

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4
Q

Can the thoracic spine have nonmusculoskeletal pain

A

Sure thing

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5
Q

What are the sources of pain in the T-spine (9)

A
  1. Disc
  2. Ligaments
  3. Costosternal joint
  4. Costotransverse joint
  5. Costovertebral joint
  6. Intervertebral joints
  7. Muscles
  8. Nerves
  9. Myofascial tissue
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6
Q

What is the order of the subjective exam in the T-spine (5)

A
  1. Kind of disorder
  2. Area of symptoms
  3. Behavior of symptoms
  4. Present and past history
  5. Special questions
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7
Q

What is the most important part of the subjective exam

A

Behavior of symptoms

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8
Q

what are some special questions to ask (4)

A
  1. General health questions
  2. Meds
  3. Imaging
  4. Functional questionnaires
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9
Q

What are 2 functional questionnaires for the T-spine

A
  1. Roland Morris Disability Questionnaire

2. Functional Rating Index

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10
Q

What does pain changing during inspiration and expiration signifiy

A

Rib problem

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11
Q

What does pain affected by coughing, sneezing, or straining signify

A

Rib or disc

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12
Q

Pain through the front of the chest can be what

A

Disc

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13
Q

Can the T-spine affect nausea, not wanting to eat, and GI problems

A

You know it

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14
Q

How can the T-spine cause GI problems, not wanting to eat, or nausea

A

It is near sympathetic chain

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15
Q

If the symptoms are proximal to the inferior angle of the scapula what must you do

A

Cervical spine screen

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16
Q

What is the order of T-spine physical exam (9)

A
  1. Observations
  2. Cervical screen
  3. AROM
  4. Repeated movements
  5. PROM
  6. Passive accessory motion testing
  7. Muscle performance testing
  8. Special tests
  9. Palpation
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17
Q

What do you observe during the T-spine exam (4)

A
  1. Posture in sitting/standing
  2. Gait analysis
  3. Integument
  4. Structural asymmetries
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18
Q

What are the 2 structural asymmetries to look for in the T-spine

A
  1. Scoliosis

2. Lateral Shift

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19
Q

What is a lateral shift

A

They woke up with it one morning

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20
Q

What are the 5 directions of repeated movements for C-spine

A
  1. Protraction
  2. Retraction
  3. Retraction and extension
  4. Rotation
  5. Side bending
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21
Q

What is the norm for flexion of T-spine

A

80

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22
Q

What is the norm for extension of the T-spine

A

25

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23
Q

What is the norm for rotation of the T-spine

A

45

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24
Q

What is the norm for side bending of the T-spine

A

35

25
Q

What does thoracolumbar motion mean

A

Thoracic and lumbar motion together

26
Q

What are the 3 repeated movements for T-spine

A
  1. Flexion
  2. Extension
  3. Rotation
27
Q

True or False:

You should always assess the patients baseline measures before and after testing

A

True

28
Q

What plane of repeated movements do you start in for the T-spine

A

Sagittal plane

29
Q

How do you assess PROM of the T-spine

A

Sitting

30
Q

What are the PROM assessed in the T-spine (4)

A
  1. Flexion
  2. Extension
  3. Rotation
  4. Side bending
31
Q

What does PIVM stand for

A

Passive intervertebral movement testing

32
Q

What are the 5 passive accessory motion tests for the T-spine

A
  1. CVP
  2. UVP
  3. TVP
  4. PA over angle of rib
  5. AP over costosternal joints
33
Q

What does resisted isometrics tells us

A

Reactivity of tissues

34
Q

What does MMT tell us

A

Strength of tissues

35
Q

Is TOS more chronic or acute than radiculopathy

A

Chronic

36
Q

What does the slump test tell you

A

General mobility of nervous system

37
Q

What are the 3 TOS special tests

A
  1. Roo’s test
  2. Adson’s test
  3. Allen manuever
38
Q

What do the heel drop and percussion over spinous process look for

A

Fractures

39
Q

How do you test for rib mobility (2)

A
  1. Rib springing

2. Cervical rotation lateral flexion test

40
Q

True or False:

You should always look for thoracic pain above and below the level of pain

A

True

41
Q

What are 4 systemic organs that can refer to the T-spine

A
  1. Cardiac
  2. Pulmonary
  3. Renal
  4. GI
42
Q

Where can systemic organs refer to in the T-spine

A
  1. Mid thoracic spine to thoracolumbar spine
  2. Scapula
  3. Posterior costovertebral angle
  4. Lumbar spine
43
Q

How long does it take for something to be considered a dysfunction

A

8 weeks

44
Q

What does full PROM indicate about muscle

A

Organically weak

45
Q

What non thrusts change ROM

A

3 and 4

46
Q

What non thrusts change pain

A

1 and 2

47
Q

What is directional preference

A

The direction that reduces symptoms or centralizes peripheral symptoms

48
Q

What do you do for hypomobility of the T-spine (6)

A
  1. Patient education
  2. Thrust and non thrust manipulation
  3. Soft tissue mobz and stretching
  4. AROM/PROM into restricted movement
  5. Postural education
  6. Muscle performance testing
49
Q

What do you do for hypermobility of the T-spine (5)

A
  1. Patient education
  2. Local modalities in acute/irritable conditions
  3. Motor learning/stabilization activities
  4. Strengthening
  5. Address postural muscle strength/endurance
50
Q

True or False:

Hypermobility is very common in the T-spine

A

False

51
Q

What do you do for pain/inflammation (5)

A
  1. Local modalities
  2. Patient education
  3. Grade 1 and 2 non thrust
  4. AROM/PROM in pain free range
  5. Progress toward mobility classification
52
Q

True or False:

You can easily place people with inflammation in a classification

A

False

53
Q

When should you do neuromobilization (2)

A
  1. Patient presenting with mechanical and neurological symptoms
  2. Patient presenting with positive neurodynamic testing
54
Q

What are the ways to educate patients (5)

A
  1. Limitations concerning the stage of healing
  2. Learn how to manage symptoms independently
  3. Postural awareness
  4. Prevention of future episodes
  5. HEP
55
Q

What does HEP mean

A

Home Exercise Plan

56
Q

What should you educate the patient about for their HEP (4)

A
  1. What
  2. Why
  3. How often
  4. How long
57
Q

What is the most important thing to do for patients

A

Make sure they believe and understand what is going on

58
Q

True or False:

We should always encourage our patients

A

True

59
Q

Motivation

A

You are almost done!!! DON’T QUIT NOW!!!! Want it as bad as you want to breath!!!!!!

Musculo (18 decks)

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