Thoracic Spine and Costal Cage (1)

Question 1

impairment based classification thoracic spine

Answer 1

thoracic pain w/ mobility deficits

thoracic cage/respiratory mobility deficits

mid back pain w/ radiating pain (dural slump)

1st rib pain and mobility deficits

Question 2

thoracic pain w/ mobility deficits

Answer 2

trauma

strain

awkward movement

unilateral

increased w/ end of motion

Question 3

thoracic cage/respiratory mobility deficits

Answer 3

chest wall pain

worse w/ deep breaths, mechanical strain to thorax

Question 4

chest wall pain –> thoracic cage/respiratory mobility deficits

Answer 4

posterolateral

lateral

anterolateral

Question 5

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

Answer 5

twisting

cough

fxs

lifting

Question 6

mid back pain w/ radiating pain

Answer 6

sxs precipitated by prolonged sitting, long sit or neck flexion

diffuse, central or bilateral

mvmt coordination of flexion/extension

Question 7

1st rib pain and mobility deficits

Answer 7

scap, shoulder, or upper chest pain

associated w/ C8/ulnar deviation

upper chest breather, ipsilateral cervical SB, scap elevation

Question 8

red flags in t-spine

Answer 8

many visceral pains can mimic thoracic

other red flags exist and must be ruled out

Question 9

orange flags

Answer 9

mental health red flags

Question 10

stomach pain

Answer 10

T 6-10 innervation

upper abdominal

middle and lower tspine

Question 11

yellow flags

Answer 11

associated w/ beliefs, worries, fear, anxiety

Question 12

small intestine pain

Answer 12

T 7-10

middle thoracic spine

Question 13

pancreas pain

Answer 13

T 6-10

upper abdominal

lower tspine

upper l spine

Question 14

gall bladder pain

Answer 14

T 7-9

R upper abdominal

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

Question 15

Liver pain

Answer 15

T 7-9

right middle and lower tspine

right c spine

Question 16

common bile duct pain

Answer 16

T 6-10

upper abdominal

middle tspine

Question 17

what do all thoracic vertebrae have

Answer 17

rib attachment via demifacets

on the body and facets of TPs

Question 18

size of thoracic vertebrae

Answer 18

smaller than lumbar

generally same arthrokinematics

Question 19

T7 is going to move

Answer 19

rib below it

rib 8

Question 20

T6 is going to move

Answer 20

rib below it

rib 7

Question 21

what is limited in the upper thoracic spine and why

Answer 21

flexion/extension

T1-7 facets lie more in the frontal plane

Question 22

where do lower facets lie

Answer 22

more in sagittal plane

allows more flexion/extension

Question 23

2 main features differentiating from lumbar/cervical spine

Answer 23

facets for rib attachments

TPs have thickened ends for articulation w/ costal tubs

Question 24

T3 landmark

Answer 24

scapular spine

Question 25

T5 landmark

Answer 25

mid scapular spine

Question 26

T7 landmark

Answer 26

level of inferior angle

Question 27

T1-T3 spinous processes

Answer 27

project posteriorly lie direction at level with their corresponding TPs

Question 28

thoracic rule of 3s --> T1-T3

Answer 28

spinous processes on same level of TPs

Question 29

thoracic rule of 3s --> T4-T6

Answer 29

spinous process is half a level down from TPs

Question 30

thoracic rule of 3s --> T7-T9

Answer 30

spinous process is one level down from TPs

Question 31

thoracic rule of 3s --> T10

Answer 31

spinous process is 1 level down from TPs

Question 32

thoracic rule of 3s --> T11

Answer 32

spinous process is half a level down from TP

Question 33

thoracic rule of 3s --> T12

Answer 33

spinous process at same level of TP

Question 34

thoracic facet/zygapophyseal joints

Answer 34

facet joint capsules of the thoracic are tighter than cervical region

Question 35

superior facet --> thoracic facet/zygapophyseal joints

Answer 35

slightly convex

Question 36

inferior facet --> thoracic facet/zygapophyseal joints

Answer 36

slightly concave

Question 37

arthrokinematics of flexion

Answer 37

overturning, translation, compression anterior distraction posterior facets open

Question 38

arthrokinematics of extension

Answer 38

overturning, translation and compression posterior distraction anterior facets close

Question 39

freyette's laws

Answer 39

1-3

Question 40

freyettes law --> 1

Answer 40

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

Question 41

freyettes law --> 2

Answer 41

in a flexed/extended position (non-neutral) SB to one side will be accompanied by rotation to the same side

Question 42

freyettes law --> 3

Answer 42

when motion is introduced in one plane it will reduce motion in the other two planes

Question 43

upper T/S --> mechanics

Answer 43

T 1-3, ~4 type 2 rule only SB and rotation to the same side

Question 44

middle-lower T/S --> mechanics

Answer 44

T4 down type 1 and 2 non-neutral: SB and Rot same side neutral...

Question 45

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

Answer 45

when SB first, rotation is opposite (latextion) rotation first and SB is to the same side (rotexion)

Question 46

thoracic musculature

Answer 46

needs to contract bilaterally for extension

Question 47

thoracic muscles

Answer 47

iliocostalis longissimus spinalis semispinalis rotatores diaphragm intercostalis

Question 48

thoracic neurology

Answer 48

anterior divisions of thoracic nerves 12 in number on either side

Question 49

nerve 11 --> thoracic neurology

Answer 49

runs between the ribs and are termed intercostal nerves

Question 50

where does the 12th nerve lie

Answer 50

below the 12th rib

Question 51

what is there none of --> thoracic neurology

Answer 51

plexus formation