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Musculoskeletal Rehab PT 514 > Thoracic Spine Examination and Intervention > Flashcards

Thoracic Spine Examination and Intervention Flashcards

1
Q

Thoracic Back Pain Incidence

A

Not as common

Potential for referred pain from organs

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2
Q

Thoracic Sources of Pain

A 
Disk
Ligaments
Costosternal Joint
Costotransverse Joint
Costovertebral Joint
Intervertebral joint
Internal Organs
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3
Q

1st Order classification

A

Is it a nuisance or something more?

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4
Q

Special Questions

A

General health questions*
Medications
Imaging
Functional Questionairres

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5
Q

Roland Morris Disability Questionnaire

A

Used for general low back pain

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6
Q

Oswestry (Lumbar spine index)

A

Sometime used with lower thoracic

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7
Q

Changes with inspiration/expiration..

A

Ribs indicated

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8
Q

Coughing, sneezing, or straining are all…

A

Examples of the valsalva maneuver

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9
Q

Bilateral changes in lower extremities could be…

A

Infection

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10
Q

Problems with digestion could be

A

Too many painkillers

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11
Q

When is cervical spine screen indicated?

A

When symptoms are proximal to the inferior angle of the scapula

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12
Q

Thoracic Observation

A

Posture
Gait
Integument
Structural Asymmetry

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13
Q

AROM Flexion

A

80 degrees

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14
Q

AROM Extension

A

25 degrees

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15
Q

AROM Rotation

A

45 degrees

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16
Q

AROM Side-Bending

A

35 degrees

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17
Q

AROM movements tested in…

A

Sitting

18
Q

AROM measurements tested in….

A

Standing except for rotation

19
Q

Thoracic RMT

A

Sitting

Flx/Ext/Rotation

20
Q

PROM Thoracic

A

Sitting
Flx/Ext/Rotation/Sidebending
PVIM sitting or side-lying

21
Q

Passive accessory motion testing

A 
Performed in prone
CVP
UVP
TVP
PA over angle of rib
22
Q

Muscle performance testing

A

Not normally MMT
Resisted isometrics
Endurance Testing

23
Q

Special Testing

A

Thoracic Outlet Syndrome
Neurological Involvement
General Medical Screening

24
Q

Slump test

A

Determines neurodynamics

UNLT Test or SLR depending on location of symptoms

25
Q

Tests for neurological Symptoms

A

Slump test
DTR/MSR
Dermatomes
Thoracic Outlet special tests

26
Q

Thoracic Outlet Special Tests

A

Roo’s Test
Adson’s Test
Allen Maneuver

27
Q

Other special tests

A 
Compression/Distraction (symptom provocation)
Heel drop test (Fx)
Percussion over spinous process
Rib spring
Cervical Rotation lateral flexion test
28
Q

Palpation

A

Tissue texture and temperature
Boney landmarks
Abdominal screen in chemical presentaiton

29
Q

Systemic Origins of thoracic pain

A 
Cardiac
Pulmonary
Renal
Gastrointestinal
Acromegaly
Breast Cancer
30
Q

Indications of systemic pain

A

Pt has near normal objective values and doesnt respond to mechanical intervention

31
Q

Liver and gallbladder refer to

A

Right Trap/Right stomach/ posterior right

32
Q

Lung and diaphragm refer to

A

Left trap

33
Q

Heart refers to

A

Left chest/down arm/Back between scapulae

34
Q

Pancreas refers to

A

Mid stomach or mid/low left back

35
Q

Interventions

A 
RPM
Pain/Inflammation control
Neuromobilization
Pt Education
Stability
Thrust/Non-thrust manips
36
Q

Thoracic Directional Preference

A 
Repeated movements in direction that reduces symptoms or centralizes peripheral symptoms
Ext. over roll
Prone press up
Rotation toward painful side
Flexion in sitting
37
Q

Hypomobility intervention

A 
Thrust and Non thrust to spine or ribs
Soft tissue mobilization and stretching or CT
AROM/PROM in to restriction
Postural education
Muscle performance training (Planks)
38
Q

Hypermobility intervention

A 
Do not see often but..
Local modalities
motor learning/stabilization
strengthening
postural muscles
39
Q

Neuromobilization

A

Pt presenting with mechanical and neurological symptoms
Positive neurodynamic testing
Test can be used as the treatment

40
Q

Patient Education

A 
Limitations concerning the stage of healing
How to manage symptoms independentyl
Postural Awareness
Prevention of future episodes
HEP (What, why, how often, how long)

Musculoskeletal Rehab PT 514 (11 decks)

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