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MSK > Thoracic Spine & Ribs Examination > Flashcards

Thoracic Spine & Ribs Examination Flashcards

1
Q

For what portions of the thoracic spine do you use what screens?

A

Upper (down to T6) use UQS
- and NDI
Lower (T6 and below) use LQS)
- and Oswestry

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2
Q

What is the normative value for thoracic flexion?

A

20-45

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3
Q

What is the normative value for thoracic extension?

A

25-45

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4
Q

What is the normative value for thoracic side bending?

A

20-40

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5
Q

What is the normative value for thoracic rotation?

A

35-50

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6
Q

What is the normative value for chest expansion?

A

3-7.5cm

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7
Q

What are we looking for with thoracic ROM?

A

Is it limited?
Does it hurt? (if so, where)?
If it hurts, is it familiar?
Does the movement have any effect on your current symptoms (better or worse)?

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8
Q

Why do we do thoracic AROM?

A

To assess range of motion, smooth spinal curvature, abnormal hinging, asymmetry, and symptom reproduction

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9
Q

What ICF category is thoracic AROM associated with?

A

Back pain with mobility deficits
Back pain with movement coordination impairments

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10
Q

Why do we do thoracic AROM with over pressure?

A

To assess the quality and extent of thoracic spine ROM actively
If no symptoms are reproduced with AROM

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11
Q

Why do we do a thoracic quadrant test?

A

To assess integrity of the thoracic facet joints at end-range

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12
Q

What ICF category is the thoracic quadrant test associated with?

A

Back pain with mobility deficits

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13
Q

Why do we do cervical rotation lateral flexion test?

A

To assess for thoracic outlet syndrome with possible elevation or hypomobile 1st rib

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14
Q

What ICF category is the Cervical Rotation Lateral Flexion Test associated with?

A

Shoulder and arm radiating pain

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15
Q

What side are we testing when we do the Cervical Rotation Lateral Flexion Test?

A

Contralateral to rotation

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16
Q

Why do we do a first rib spring test?

A

To assess for hypomobile 1st rib

17
Q

What ICF Category is associated with the first rib spring test

A

Shoulder and arm radiating pain

18
Q

Why do we do a rib cage expansion assesment?

A

To assess mobility in the rib cage

19
Q

What ICF Category is associated with rib cage expansion assessment

A

Thoracic spine mobility deficits
Thoracic cage stiffness with respiratory mobility deficits

20
Q

Why do we palpate sternocostal and costochondral joints?

A

To assess for pain, mobility, and asymmetry of the ribs at the sternocostal and costochondral joints

21
Q

What ICF Category is associated with palpation of sternocostal and costochondral joints?

A

Thoracic spine mobility deficits
Thoracic cage stiffness with respiratory mobility deficits
Midback and thoracic cage pain with spinal and respiratory movement coordination impairments

22
Q

Why do we do thoracic CPAs?

A

To assess and restore segmental mobility of the thoracic spine

23
Q

What ICF Category is associated with thoracic CPAs?

A

Back pain with mobility deficits

24
Q

Why do we do thoracic UPAs?

A

To assess and restore segmental mobility of the thoracic spine

25
Q

What ICF Category is associated with thoracic UPAs?

A

Back pain with mobility deficits

26
Q

Why do we palpate the rib angles and costotransverse joints?

A

To assess for pain, mobility, and asymmetry of the ribs at the rib angles and costotransverse joints

27
Q

What ICF category is associated with palpation of the rib angles and costotransverse joints?

A

Thoracic spine mobility deficits
Mid back pain and thoracic cage pain with spinal and respiratory movement coordination impairments

28
Q

What are the 5 compression sites for thoracic outlet syndrome?

A

Anterior scalene
Cervical rib
Costoclavicular space
Hyperabduction
Pectoralis minor

29
Q

What are all of the special tests for thoracic outlet syndrome?

A

Cervical rotation lateral flexion test
ROOS
Cyriax release test
Hyperabduction test
Costoclavicular test
Adson’s test
Supraclavicular pressure test

30
Q

What is the test cluster for thoracic outlet syndrome?

A

(CARS)
Costoclavicular maneuver
Adson’s test
ROOS test
Supraclavicular test

31
Q

What type of thoracic outlet syndrome does Adson’s test test for?

A

Scalene triangle entrapment

32
Q

What specifically does Supraclavicular pressure test test for?

A

Paresthesias from brachial plexus

MSK (14 decks)

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