Thoracic Spine Tx Flashcards

1
Q

Normal active range of motion occurs between what 2 barriers?

A

2 physiological barriers

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2
Q

What type of end feel is felt when there is a restrictive/pathological barrier?

A

hard, binding

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3
Q

What are the primary movements found in each of the 3 planes of motion?

A

Sagittal: flexion/extension; transverse: rotation; coronal plane: sidebending

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4
Q

What type of technique is HVLA? ME?

A

passive direct, active indirect

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5
Q

What is the first thing you should do before performing HVLA?

A

make sure the pt is relaxed

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6
Q

At what part of the respiration cycle should you thrust during HVLA?

A

end of exhalation

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7
Q

What are some contraindications to HVLA?

A

apprehension, arthritic spur, metastatic disease

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8
Q

What are some advantages for using ME over HVLA?

A

gentler, elderly

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9
Q

What are some contraindications to ME?

A

open wounds, broken bones, unresponsive pts

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10
Q

When performing HVLA on a thoracic group dysfunction, where do you apply the thrusting force?

A

apex of the curve

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11
Q

If you are performing ME on a pt with T6-10 RlSr what position do you put the pt in initially?

A

N RrSl

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12
Q

What position is the pt in for Kirksville crunch? Texas twist?

A

supine; prone

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13
Q

When performing ME on upper T spine (T1-4), what part of the patient’s body do you manipulate?

A

head/neck

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14
Q

Pt with T3-7 RrSl; when performing Kirksville, what side do you stand on? where do you contact on patient’s back? which arm should be on top for pt?

A

opposite PTP (so left); contact PTP at apex of group (T5 transverse process on right); Side affected arm should be on top (right)

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