Thoracic Spine Exam / Intervention / 2 Flashcards

0
Q

thoracic back pain has potential for referred pain from blank

A

visceral organs

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1
Q

incidence of patients c/o thoracic back pain is blank compared to neck or low back pain

A

lower

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2
Q

potential sources of pain for thoracic

A

disk, ligaments, costosternal joint, costovertebral joint

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3
Q

subjective exam for thoracic

A

type of disorder, area of symptoms, behavior of symptoms, med surg and past history, special questions

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4
Q

special questions for thoracic spine

A

pain change with insp/exp?, pain affected by coughing/sneezing?, numbness/tingling, changes in digestion

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5
Q

questionnaire for lower thoracic spine pain

A

ozwestry

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6
Q

some important observations for thoracic objective exam

A

posture sitting/standing, gait analysis, integument, structural asymmetries

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7
Q

a scoliosis is blank but a lateral shift is blank

A

not treatable, treatable

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8
Q

PROM thoracic spine exam includes passive accessor motion testing… aka

A

joint play

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9
Q

AROM of thoracic is tested in blank position

A

sitting

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10
Q

thoracic spine AROM is actually testing blank spine more

A

thoracolumbar

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11
Q

normal thoracic AROM flexion

A

80 degrees

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12
Q

thoracic repeated movements are performed in blank position

A

sitting

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13
Q

three repeated movements for thoracic

A

flexion, extension, rotation

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14
Q

sequence of thoracic repeated movements is same as blank

A

cervical

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15
Q

patient’s blank should always be assessed before repeated movements testing

A

baseline symptoms

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16
Q

unilateral thoracic pain most often responds to blank

A

rotation

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17
Q

passive accessory motion testing (joint play) for thoracic will have patient in blank position

A

prone

18
Q

joint play of thoracic include these

A

central vertebral pressure, unilateral vertebral pressure, transverse vertebral pressure, pa over angle of rib

19
Q

joint play of thoracic that is performed in supine

A

a-p over costosternal joints

20
Q

normal thoracic AROM extension

A

25 degrees

21
Q

normal thoracic AROM rotation

A

45 degrees

22
Q

normal thoracic AROM side bending

A

35 degrees

23
Q

PROM is performed in blank position

A

sitting

24
Q

PROM testing movements for thoracic

A

flexion, extension, rotation, side bending

25
Q

three muscle performance tests for thoracic

A

mmt, resisted isometrics, endurance

26
Q

three special tests for thoracic

A

general medical screenings, neuro involvement, thoracic outlet syndrome

27
Q

ULNT test or SLR depending on location of symptoms for neurological symptoms of thoracic

A

slump test

28
Q

examiner should test lumbar reflexes for neurological symptoms of thoracic

A

DTRs/MSRs

29
Q

four tests for neurological symptoms of thoracic

A

slump, DTRs/MSRs, dermatomes, thoracic outlet special tests

30
Q

special test for thoracic fracture

A

heel drop test

31
Q

waitters helps predict someone with blank

A

cervical radiculopathy

32
Q

if symptoms peripheralize and pain increases after repeated movements

A

derangement

33
Q

for interventions like repeated movements, do not move past sagittal plane until you have fully changed blank

A

force application

34
Q

men are more likely to get blank before heart attack

A

referred arm pain

35
Q

cardiac problems can present in blank

A

thoracolumbar or mid thoracic spine

36
Q

pulmonary system can present in the blank

A

scapula

37
Q

end stage liver and gallbladder referred pain can be at blank

A

shoulder

38
Q

if movements and roms are all about normal without pain and no provocation of symptoms then the pain is probably blank

A

not musculoskeletal

39
Q

effective interventions for thoracic spine pain

A

thrust manipulation

40
Q

directional preference if patient responds blank to repeated movements

A

favorably

41
Q

directional preference moves in direction that blank/blank symptoms

A

reduces, centralizes

42
Q

hypomobility interventions for thoracic spine

A

pt education, thrust manip, non thrus, soft tissue mobes, stretching, postural education