Thoracic Spine Rehab

Question 1

common conditions of the T-spine

Answer 1

Scheuermann’s disease
osteoporosis
excessive kyphosis
muscle strain
scoliosis
scap dyskinesis
TOS

Question 2

T/S contributes to an estimated __ of total force and kinetic energy generated during a throw, __ of total trunk rotation, and is linked to the __

Answer 2

55%
80%
upper limb

Question 3

exercises should be classified according to

Answer 3

mobility
motor control
work capacity
strength

Question 4

what is important with T/S exercises

Answer 4

move in all 3 planes of mvt

Question 5

MFR

Answer 5

passive techniques to help with relaxation of muscle

Question 6

other techniques than MRF that can help with muscle relaxation

Answer 6

foam rolling, TrPR, breathing

Question 7

see ppt for exercises

Answer 7

:)

Question 8

what do you see with increased kyphosis

Answer 8

hypertonic flexors
hypertonic rib depressors
weak extensors
weak rib elevators

Question 9

what do you see with decreased kyphosis

Answer 9

hypertonic extensors
hypertonic rib elevators
weak flexors
weak rib depressors

Question 10

thoracic osteoporosis rehab

Answer 10

moderate weight bearing exercises
resisted UE weight training
posture
balance

Question 11

scoliosis may affect

Answer 11

hips
pelvis
LE
UE

Question 12

treatment for scoliosis

Answer 12

conservative (exercise vs bracing)
surgical ( typically >30 deg)

Question 13

when is surgery chosen for scoliosis

Answer 13

failed conservative
debilitating back/leg pain
severely restricted ADL and function

Question 14

bracing for scoliosis

Answer 14

btw 10-25 degrees
typically prescribed when curve hits 25 deg and adolescent hasnt reached skeletal maturity

Question 15

use of bracing

Answer 15

release load on concave portion and increase load on convex portion

Question 16

conservative treatment exercise

Answer 16

schroth method
de-rotate, elongate and stabilize 3 planes of mvt

Question 17

what can help with awareness of trunk deformity

Answer 17

visualization with mirror

Question 18

what can cause hypomobility of T/S

Answer 18

soft tissue restriction
overactive SNS
posture dysfunction
articulation issue

Question 19

what to do with soft tissue restriction

Answer 19

soft tissue mob

Question 20

what to do with overactive SNS

Answer 20

breathing

Question 21

what to do with posture dysfunction

Answer 21

Fryette’S laws

Question 22

what to do with articulation issue

Answer 22

joint mob

Question 23

wha to do with mobility

Answer 23

ROM
motor control
Strength

Question 24

what to do generally with hypomobile T/S

Answer 24

include passive and active ex.
stabilize mobile segments while mobilizing hypomobile segments

Question 25

pain btw scap associated with

Answer 25

lack of thoracic rotation

Question 26

Tx of TOS

Answer 26

scap positioning
clavicle mob
1st rib mob
UFT, scalene, Pecs release
strengthening of scap stabilizers
neuromeningeal mob
sleeping position/ ADL position education

Question 27

Cyriax method prior to sleeping done when

Answer 27

pt cannot avoid provocative positions

Question 28

Cyriax method

Answer 28

lay on uninvolved side
avoid prone
goal is to fully unload the neurovasc. structure
may not have relief at first

Question 29

1st rib mob

Answer 29

improve costoclavicuclar space
correct neck breathing

Question 30

mob of clavicle and GH

Answer 30

improves arthokinematics of clavicle

Question 31

GH limitations can lead to

Answer 31

compensatory patterns decreasing the costoclavicular space