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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

25
What does thoracolumbar motion mean
Thoracic and lumbar motion together
26
What are the 3 repeated movements for T-spine
1. Flexion 2. Extension 3. Rotation
27
True or False: | You should always assess the patients baseline measures before and after testing
True
28
What plane of repeated movements do you start in for the T-spine
Sagittal plane
29
How do you assess PROM of the T-spine
Sitting
30
What are the PROM assessed in the T-spine (4)
1. Flexion 2. Extension 3. Rotation 4. Side bending
31
What does PIVM stand for
Passive intervertebral movement testing
32
What are the 5 passive accessory motion tests for the T-spine
1. CVP 2. UVP 3. TVP 4. PA over angle of rib 5. AP over costosternal joints
33
What does resisted isometrics tells us
Reactivity of tissues
34
What does MMT tell us
Strength of tissues
35
Is TOS more chronic or acute than radiculopathy
Chronic
36
What does the slump test tell you
General mobility of nervous system
37
What are the 3 TOS special tests
1. Roo's test 2. Adson's test 3. Allen manuever
38
What do the heel drop and percussion over spinous process look for
Fractures
39
How do you test for rib mobility (2)
1. Rib springing | 2. Cervical rotation lateral flexion test
40
True or False: | You should always look for thoracic pain above and below the level of pain
True
41
What are 4 systemic organs that can refer to the T-spine
1. Cardiac 2. Pulmonary 3. Renal 4. GI
42
Where can systemic organs refer to in the T-spine
1. Mid thoracic spine to thoracolumbar spine 2. Scapula 3. Posterior costovertebral angle 4. Lumbar spine
43
How long does it take for something to be considered a dysfunction
8 weeks
44
What does full PROM indicate about muscle
Organically weak
45
What non thrusts change ROM
3 and 4
46
What non thrusts change pain
1 and 2
47
What is directional preference
The direction that reduces symptoms or centralizes peripheral symptoms
48
What do you do for hypomobility of the T-spine (6)
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
What do you do for hypermobility of the T-spine (5)
1. Patient education 2. Local modalities in acute/irritable conditions 3. Motor learning/stabilization activities 4. Strengthening 5. Address postural muscle strength/endurance
50
True or False: | Hypermobility is very common in the T-spine
False
51
What do you do for pain/inflammation (5)
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
True or False: | You can easily place people with inflammation in a classification
False
53
When should you do neuromobilization (2)
1. Patient presenting with mechanical and neurological symptoms 2. Patient presenting with positive neurodynamic testing
54
What are the ways to educate patients (5)
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
What does HEP mean
Home Exercise Plan
56
What should you educate the patient about for their HEP (4)
1. What 2. Why 3. How often 4. How long
57
What is the most important thing to do for patients
Make sure they believe and understand what is going on
58
True or False: | We should always encourage our patients
True
59
Motivation
You are almost done!!! DON'T QUIT NOW!!!! Want it as bad as you want to breath!!!!!!

Musculo (18 decks)

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