Thoracic Spine & Rib HVLA

Question 1

Thoracic TART Examination Segmental Diagnosis

Answer 1

Gross motion (Active or passive)

“Load and Spring” - evaluate 3 adjacent vertebrae, Type 1 vs Type 2

C3, T3, T7 landmarks

Question 2

Supine T-Spine HVLA

Answer 2

Question 3

Prone T-Spine HVLA

Answer 3

Question 4

Supine Knee Fulcrum Upper and Middle Thoracics HVLA

Answer 4

Question 5

Seated Lower T-Spine HVLA

Answer 5

Question 6

Seated Knee Fulcrum HVLA

Answer 6

Question 7

Upper Ribs 1-4 HVLA

Answer 7

Question 8

Seated 1st Rib Inhalation Dysfunction HVLA

Answer 8

Question 9

Ribs 3-10 Bucket Handle Inhalation Dysfunction HVLA

Answer 9

Question 10

Ribs 3-10 Bucket Handle Exhalation Dysfunction HVLA

Answer 10

Question 11

Same Side SD Thoracic HVLA

Answer 11

Question 12

What part of the rib is used to assess rib motion?

Answer 12

Rib angle

Question 13

What are the physiologic rib motions?

Answer 13

Pump handle

Bucket handle

Caliper

Torsional (from rib rotation)

Question 14

What are the non physiologic rib motions?

Answer 14

Somatic dysfunction movements

Due to trauma or repetitive microtrauma, can be acute or chronic

Question 15

In A/P rib SD, what muscle is usually tender around the rib angle?

Answer 15

Iliocostalis M.

Question 16

What complaint is generally associated w/ A/P rib SD?

Answer 16

Intercostal neuralgia