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Clinical Interventions > Thoracic spine interventions > Flashcards

Thoracic spine interventions Flashcards

1
Q

What type of spinal injury has a lower incidence rate than cervical spine injuries?

A

T-spine

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2
Q

T-spine injuries have a higher incidence in (males/females)

A

females

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3
Q

The T-spine has more (stability/mobility) than the cervical spine.

A

stability

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4
Q

What provides stability to the t-spine?

A
  • articulations with ribs and sternum
  • lower IV discs height the IV body height
  • very taut facet joints
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5
Q

(true/false) most thoracic spine injuries are non-traumatic with insidious onset from overuse.

A

true

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6
Q

What makes a thoracic spine injury more complex?

A

ribs and organs

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7
Q

The ____ is implicated with dysfunctional breathing due to providing attachment sites for mm in the c-spine

A

1st rib

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8
Q

The mid-thoracic region is susceptible to ___ and ____.

A

costochondritis and rib stress fractures

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9
Q

The lower thoracic spine is more susceptible to ___ pathology.

A

IV disc pathology

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10
Q

Symptoms of a t-spine injury normally resolve within ___.

A

1 year

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11
Q

Relative rest duration for T-spine injury is ___-__ weeks.

A

3-6 weeks

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12
Q

Intercostal muscle strain pain is normally isolated where?

A

The muscle belly between the ribs

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13
Q

Symptoms of intercostal muscle strain often overlap with ____ injury.

A

rib injury

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14
Q

What are the MOI for intercostal muscle strains?

A
  • Heavy lifting
  • athletic events involving the UE
  • recent illness that causes coughing and vomiting
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15
Q

(true/false) Intercostal muscle strain pain is not worse with movement.

A

False (it is)

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16
Q

definition: stiffness of the costovertebral (CV) joints

A

Costovertebral arthralgia

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17
Q

Pain associated with Costovertebral arthralgia/joint sprain is assoc with what?

A
  • movement
  • breathing
  • coughing
  • lying supine
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18
Q

Where does Costovertebral arthralgia/joint sprain pain radiate?

A

It is normally local to the affected segment but can radiate to the length of the rib

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19
Q

Where does Costovertebral arthralgia/joint sprain normally occur?

A

T4-T8 segments
Ribs 6-7

20
Q

What is the hallmark sign for Costovertebral arthralgia/joint sprain?

A

TTP of the CV joint with a rib spring test

21
Q

(hypomobility/hypermobility) is commonly linked to Costovertebral arthralgia/joint sprains along with possible ____ involvement.

A

hypomobility, CT joint

22
Q

Costovertebral arthralgia/joint sprain is often associated with poor neuromuscular control of the __ and __ regions.

A

scapulothoracic and lumbopelvic regions

23
Q

What are the MOIs for Costovertebral arthralgia/joint sprains?

A
  • repetitive stress through the joint
  • repetitive UE loading
24
Q

Symptoms of Costovertebral arthralgia/joint sprains often mimic ___.

A

rib stress fractures

25
Q

What is the progression of rehabilitation for Costovertebral arthralgia/joint sprains?

A
  1. rest, modalities, medication
  2. manual interventions
  3. ther ex.
  4. progression dependent on symptoms
26
Q

definition: inflammation of the cartilage that joins your ribs to your sternum

A

costochondritis/tietze’s syndrome

27
Q

costochondritis/tietze’s syndrome affects (males/females) more.

A

females

28
Q

Where is the pain of costochondritis/tietze’s syndrome localized?

A

-anterior chest, lateral to the sternum at costochondral joints T2-T5

29
Q

How is pain from costochondritis/tietze’s syndrome provoked?

A
  • palpation of the costochondral joints
  • palpation of hypermobile structures
  • rib springing
  • arm movement (horiz. ADD is most common)
30
Q

What is the MOI for costochondritis/tietze’s syndrome?

A
  • contraction of adjacent musculature
  • repetitive arm motion
  • hypomobility of posterior spinal structures and ribs
31
Q

What are the treatment goals when treating costochondritis/tietze’s syndrome?

A
  1. address tightness of anterior chest musculature
  2. promote EXT of the T-spine and ribs
32
Q

What interventions are used to treat costochondritis/tietze’s syndrome?

A
  • Manual interventions
  • ther ex.
33
Q

First rib injuries are thought to occur due to what?

A

Attachment of the scalenes, subclavius, and serratus anterior

34
Q

Ribs 4-8 injuries are thought to occur due to what?

A

serratus anterior and external obliques

35
Q

Who is more at risk for a rib stress fracture?

A

Females

36
Q

How is pain produced when there is a rib stress fracture present?

A

rib spring test, palpation, and breathing

37
Q

(true/false) stress Fx that are caused by technique often re-occur if technical modifications are not part of the rehabilitation program.

A

true (Ex: golf)

38
Q

Anterior disc pathology typically produces ___ pain.

A

visceral pain

39
Q

What part of the t-spine is more likely to have an IV disc pathology?

A

Lower thoracic segments

40
Q

definition: Abnormal curve >10 degrees occurs in the coronal or frontal plane in t-spine/l-spine individually or simultaneously

A

scoliosis

41
Q

What kind of scoliosis is more common?

A

idiopathic scoliosis (subdivided into early onset (before 10 y/o) and late onset

42
Q

Scoliosis is more common in (males/females).

A

females

43
Q

What are the 3 categories of scoliosis?

A

congenital, NM, idiopathic

44
Q

Cardiopulmonary function can be compromised if scoliosis curvature is > ___ degrees.

A

50 degrees

45
Q

Bracing is recommended for scoliosis if the curve is ___-___ degrees.

A

25-40

46
Q

A person is recommended for surgery once their scoliosis exceeds ___ degrees.

A

50 degrees

47
Q

When correcting curves of scoliosis, you should ___ the concave side and ___ the convex side.

A

length the concave side
strengthen the convex side

Clinical Interventions (25 decks)

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