Thoraco-Lumbar Flashcards
T1-T3 transverse location
ONE interspinous space above and ONE inch lateral to spinous
T4 transverse location
at level of T3 spinous and ONE inch lateral to spinous
T5-T9 transverse location
TWO interspinous spaces above and ONE inch lateral to spinous
T10 transverse location
at the level of T9 and 3/4 inch lateral to spinous
T11-T12 transverse location
ONE interspinous space above and 1/2 inch lateral to spinous
L1-L5 mammillary location
ONE interspinous space above and 3/8 inch lateral to spinous
what 2 motion procedures is the genie required for
Thoracic Extension and Rotation
SCP of lumbar extension
inferior tip of spinous process
CP of lumbar extension
Chiro Index Finger (digit 3)
movement of lumbar extension
spinous process should approximate - loss of end feel indicates fixation
SCP of lumbar rotation
inferior/lateral aspect of spinous process
CP of lumbar rotation
thumb pad
movement of lumbar rotation
spinous process should rotate lateral - loss of rotation indicates fixation
SCP of lumbar lateral bend
Inferior/lateral aspect of spinous process
CP of lumbar lateral bend
thumb pad
movement of lumbar lateral bend
spinous should deviate lateral and slightly superior - loss indicates fixation
SCP of thoracic extension
inferior tip of spinous process
CP of thoracic extension
Chiro index finger (digit 3)
movement of thoracic extension
spinous processes should approximate - loss of end feel indicates fixation
SCP of thoracic rotation
inferior/lateral aspect of spinous process
CP of thoracic rotation
thumb pad
movement of thoracic rotation
spinous process should rotate lateral - loss of rotation indicates fixation
SCP of thoracic lateral bend
inferior/lateral aspect of spinous process
CP of thoracic lateral bend
thumb pad
movement of thoracic lateral bend
spinous should deviate lateral and slightly superior - loss indicates fixation
SCP of P-A central vertebral pressure
prominent portion of spinous process
CP of P-A central vertebral pressure
hook of hamate
movement of P-A central vertebral pressure
segments will glide anteriorly and feel springy with no pain - if not=fixation
SCP of spinous wiggle
mammillary (L) or transverse (T) and Equivalent spinous
CP of spinous wiggle
thumb pads
movement of spinous wiggle
spinous process should deviate away from thumb - no movement, fixation
what is typically the vertebral prominence
C7 (sometimes T1 -30%)
spinous at root of scapular spine
T3
demonstrates largest spinous process
T4
spinous at inferior angle of scapula when PRONE
T6
spinous at inferior angle of scapula when SEATED
T7
thoracic imbricated area
T5-T9
closest spinous’ together
T9-T10
first blade like spinous
L1
directly medial to iliac crests
L4
smallest spinous process
L5
