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Spine - Exam 1 > Thoracic Spine and Costal Cage (1) > Flashcards

Thoracic Spine and Costal Cage (1) Flashcards

1
Q

impairment based classification thoracic spine

A

thoracic pain w/ mobility deficits

thoracic cage/respiratory mobility deficits

mid back pain w/ radiating pain (dural slump)

1st rib pain and mobility deficits

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2
Q

thoracic pain w/ mobility deficits

A

trauma

strain

awkward movement

unilateral

increased w/ end of motion

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3
Q

thoracic cage/respiratory mobility deficits

A

chest wall pain

worse w/ deep breaths, mechanical strain to thorax

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4
Q

chest wall pain –> thoracic cage/respiratory mobility deficits

A

posterolateral

lateral

anterolateral

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5
Q

worse w/ deep breaths, mechanical strain to thorax –> thoracic cage/respiratory mobility deficits

A

twisting

cough

fxs

lifting

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6
Q

mid back pain w/ radiating pain

A

sxs precipitated by prolonged sitting, long sit or neck flexion

diffuse, central or bilateral

mvmt coordination of flexion/extension

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7
Q

1st rib pain and mobility deficits

A

scap, shoulder, or upper chest pain

associated w/ C8/ulnar deviation

upper chest breather, ipsilateral cervical SB, scap elevation

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8
Q

red flags in t-spine

A

many visceral pains can mimic thoracic

other red flags exist and must be ruled out

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9
Q

orange flags

A

mental health red flags

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10
Q

stomach pain

A

T 6-10 innervation

upper abdominal

middle and lower tspine

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11
Q

yellow flags

A

associated w/ beliefs, worries, fear, anxiety

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12
Q

small intestine pain

A

T 7-10

middle thoracic spine

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13
Q

pancreas pain

A

T 6-10

upper abdominal

lower tspine

upper l spine

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14
Q

gall bladder pain

A

T 7-9

R upper abdominal

R middle and lower tspine (including causal aspect of scap)

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15
Q

Liver pain

A

T 7-9

right middle and lower tspine

right c spine

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16
Q

common bile duct pain

A

T 6-10

upper abdominal

middle tspine

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17
Q

what do all thoracic vertebrae have

A

rib attachment via demifacets

on the body and facets of TPs

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18
Q

size of thoracic vertebrae

A

smaller than lumbar

generally same arthrokinematics

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19
Q

T7 is going to move

A

rib below it

rib 8

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20
Q

T6 is going to move

A

rib below it

rib 7

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21
Q

what is limited in the upper thoracic spine and why

A

flexion/extension

T1-7 facets lie more in the frontal plane

22
Q

where do lower facets lie

A

more in sagittal plane

allows more flexion/extension

23
Q

2 main features differentiating from lumbar/cervical spine

A

facets for rib attachments

TPs have thickened ends for articulation w/ costal tubs

24
Q

T3 landmark

A

scapular spine

25
Q

T5 landmark

A

mid scapular spine

26
Q

T7 landmark

A

level of inferior angle

27
Q

T1-T3 spinous processes

A

project posteriorly

lie direction at level with their corresponding TPs

28
Q

thoracic rule of 3s –> T1-T3

A

spinous processes on same level of TPs

29
Q

thoracic rule of 3s –> T4-T6

A

spinous process is half a level down from TPs

30
Q

thoracic rule of 3s –> T7-T9

A

spinous process is one level down from TPs

31
Q

thoracic rule of 3s –> T10

A

spinous process is 1 level down from TPs

32
Q

thoracic rule of 3s –> T11

A

spinous process is half a level down from TP

33
Q

thoracic rule of 3s –> T12

A

spinous process at same level of TP

34
Q

thoracic facet/zygapophyseal joints

A

facet joint capsules of the thoracic are tighter than cervical region

35
Q

superior facet –> thoracic facet/zygapophyseal joints

A

slightly convex

36
Q

inferior facet –> thoracic facet/zygapophyseal joints

A

slightly concave

37
Q

arthrokinematics of flexion

A

overturning, translation, compression anterior

distraction posterior

facets open

38
Q

arthrokinematics of extension

A

overturning, translation and compression posterior

distraction anterior

facets close

39
Q

freyette’s laws

A

1-3

40
Q

freyettes law –> 1

A

in neutral

SB to one side will be accompanied by rotation to the opposite side

41
Q

freyettes law –> 2

A

in a flexed/extended position (non-neutral)

SB to one side will be accompanied by rotation to the same side

42
Q

freyettes law –> 3

A

when motion is introduced in one plane

it will reduce motion in the other two planes

43
Q

upper T/S –> mechanics

A

T 1-3, ~4

type 2 rule only

SB and rotation to the same side

44
Q

middle-lower T/S –> mechanics

A

T4 down

type 1 and 2

non-neutral: SB and Rot same side

neutral…

45
Q

neutral –>middle-lower T/S –> mechanics

A

when SB first, rotation is opposite (latextion)

rotation first and SB is to the same side (rotexion)

46
Q

thoracic musculature

A

needs to contract bilaterally for extension

47
Q

thoracic muscles

A

iliocostalis

longissimus

spinalis

semispinalis

rotatores

diaphragm

intercostalis

48
Q

thoracic neurology

A

anterior divisions of thoracic nerves

12 in number on either side

49
Q

nerve 11 –> thoracic neurology

A

runs between the ribs and are termed intercostal nerves

50
Q

where does the 12th nerve lie

A

below the 12th rib

51
Q

what is there none of –> thoracic neurology

A

plexus formation

Spine - Exam 1 (7 decks)

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