Thoracic spine interventions Flashcards
What type of spinal injury has a lower incidence rate than cervical spine injuries?
T-spine
T-spine injuries have a higher incidence in (males/females)
females
The T-spine has more (stability/mobility) than the cervical spine.
stability
What provides stability to the t-spine?
- articulations with ribs and sternum
- lower IV discs height the IV body height
- very taut facet joints
(true/false) most thoracic spine injuries are non-traumatic with insidious onset from overuse.
true
What makes a thoracic spine injury more complex?
ribs and organs
The ____ is implicated with dysfunctional breathing due to providing attachment sites for mm in the c-spine
1st rib
The mid-thoracic region is susceptible to ___ and ____.
costochondritis and rib stress fractures
The lower thoracic spine is more susceptible to ___ pathology.
IV disc pathology
Symptoms of a t-spine injury normally resolve within ___.
1 year
Relative rest duration for T-spine injury is ___-__ weeks.
3-6 weeks
Intercostal muscle strain pain is normally isolated where?
The muscle belly between the ribs
Symptoms of intercostal muscle strain often overlap with ____ injury.
rib injury
What are the MOI for intercostal muscle strains?
- Heavy lifting
- athletic events involving the UE
- recent illness that causes coughing and vomiting
(true/false) Intercostal muscle strain pain is not worse with movement.
False (it is)
definition: stiffness of the costovertebral (CV) joints
Costovertebral arthralgia
Pain associated with Costovertebral arthralgia/joint sprain is assoc with what?
- movement
- breathing
- coughing
- lying supine
Where does Costovertebral arthralgia/joint sprain pain radiate?
It is normally local to the affected segment but can radiate to the length of the rib
Where does Costovertebral arthralgia/joint sprain normally occur?
T4-T8 segments
Ribs 6-7
What is the hallmark sign for Costovertebral arthralgia/joint sprain?
TTP of the CV joint with a rib spring test
(hypomobility/hypermobility) is commonly linked to Costovertebral arthralgia/joint sprains along with possible ____ involvement.
hypomobility, CT joint
Costovertebral arthralgia/joint sprain is often associated with poor neuromuscular control of the __ and __ regions.
scapulothoracic and lumbopelvic regions
What are the MOIs for Costovertebral arthralgia/joint sprains?
- repetitive stress through the joint
- repetitive UE loading
Symptoms of Costovertebral arthralgia/joint sprains often mimic ___.
rib stress fractures
What is the progression of rehabilitation for Costovertebral arthralgia/joint sprains?
- rest, modalities, medication
- manual interventions
- ther ex.
- progression dependent on symptoms
definition: inflammation of the cartilage that joins your ribs to your sternum
costochondritis/tietze’s syndrome
costochondritis/tietze’s syndrome affects (males/females) more.
females
Where is the pain of costochondritis/tietze’s syndrome localized?
-anterior chest, lateral to the sternum at costochondral joints T2-T5
How is pain from costochondritis/tietze’s syndrome provoked?
- palpation of the costochondral joints
- palpation of hypermobile structures
- rib springing
- arm movement (horiz. ADD is most common)
What is the MOI for costochondritis/tietze’s syndrome?
- contraction of adjacent musculature
- repetitive arm motion
- hypomobility of posterior spinal structures and ribs
What are the treatment goals when treating costochondritis/tietze’s syndrome?
- address tightness of anterior chest musculature
- promote EXT of the T-spine and ribs
What interventions are used to treat costochondritis/tietze’s syndrome?
- Manual interventions
- ther ex.
First rib injuries are thought to occur due to what?
Attachment of the scalenes, subclavius, and serratus anterior
Ribs 4-8 injuries are thought to occur due to what?
serratus anterior and external obliques
Who is more at risk for a rib stress fracture?
Females
How is pain produced when there is a rib stress fracture present?
rib spring test, palpation, and breathing
(true/false) stress Fx that are caused by technique often re-occur if technical modifications are not part of the rehabilitation program.
true (Ex: golf)
Anterior disc pathology typically produces ___ pain.
visceral pain
What part of the t-spine is more likely to have an IV disc pathology?
Lower thoracic segments
definition: Abnormal curve >10 degrees occurs in the coronal or frontal plane in t-spine/l-spine individually or simultaneously
scoliosis
What kind of scoliosis is more common?
idiopathic scoliosis (subdivided into early onset (before 10 y/o) and late onset
Scoliosis is more common in (males/females).
females
What are the 3 categories of scoliosis?
congenital, NM, idiopathic
Cardiopulmonary function can be compromised if scoliosis curvature is > ___ degrees.
50 degrees
Bracing is recommended for scoliosis if the curve is ___-___ degrees.
25-40
A person is recommended for surgery once their scoliosis exceeds ___ degrees.
50 degrees
When correcting curves of scoliosis, you should ___ the concave side and ___ the convex side.
length the concave side
strengthen the convex side
