Topic 10 - Spine & Ribs

Question 1

With any rib dysfunction, the ________ spine should be assessed as well.

Answer 1

Thoracic

Question 2

The costovertebral and _______________ joints form a “couple” of mechanically-linked, _______ joints which share only one movement: ________ about a common axis passing through the centre of each joint.

Answer 2

Costotransverse
Synovial
Rotation

Question 3

The axis passing through the centre of the costotransverse and costovertebral joints acts as a ______ for the rib, which is thus literally “_________” from the spine at two points.

Answer 3

Swivel
“Suspended”

Question 4

T/F - The orientation of the axis passing through the centre of the costotransverse and costovertebral joints, relative to the transverse plane determines the direction of movement of the rib.

Answer 4

False - The orientation of the axis passing through the centre of the costotransverse and costovertebral joints, relative to the SAGITTAL plane determines the direction of movement of the rib.

Question 5

For the lower ribs, the axis lies closer to the ________ plane so that elevation of the rib improves the _______ dimension of the thorax.

Answer 5

Sagittal
Lateral

Question 6

Which movement is being described below?
“With inhalation, the lower ribs move laterally and superiorly.”

Answer 6

Bucket Handle Movement

Question 7

For the upper ribs, the axis lies almost in the _______ plane so that elevation of the rib improves the _______________ dimension of the thorax.

Answer 7

Coronal
Anteroposterior

Question 8

Which movement is being described below?
“With inhalation, the upper ribs move anteriorly and superiorly.”

Answer 8

Pump Handle Movement

Question 9

With an inhalation restriction or positional fault, the rib is stuck in the __________ position and will not descend properly during __________.

Answer 9

Inhalation
Exhalation

Question 10

Since a rib stuck in an elevated position will also prevent movement of the ribs _____, it is important to determine the ______ affected rib and begin your mobilizations there.

Answer 10

Above
Lowest

Question 11

Used to improve bucket handle exhalation and reduce an inhalation positional fault in ribs 5-10.

Answer 11

Correction of an Inhalation Restriction

Question 12

Which MET is being described below?
“As the patient inhales, the mobilizing hand resists the rib moving toward the inhalation position. As the patient exhales, the mobilizing hand encourages the rib toward the exhalation position and the guiding hand moves the patient’s arm into adduction.”

Answer 12

Correction of an Inhalation Restriction

Question 13

T/F - Correction of an inhalation restriction is best performed with the patient sidelying and the top arm is adducted to the side of the body.

Answer 13

False - Correction of an inhalation restriction is best performed with the patient sidelying and the top arm is ABDUCTED OVER THE HEAD.

Question 14

For correction of an inhalation restriction, the therapist can place the ulnar border or _____/web space of the mobilizing hand on the lateral aspect of the trunk and on the ________ surface of the rib being mobilized.

Answer 14

Thumb
Superior

Question 15

Which MET is being demonstrated in the following image?

Answer 15

Correction of an Inhalation Restriction

Question 16

With an exhalation restriction or positional fault, the rib is stuck in the __________ position and will not ascend properly during __________.

Answer 16

Exhalation
Inhalation

Question 17

Since a rib stuck in a depressed position will also prevent movement of the ribs _____, it is important to determine the _______ affected rib and begin your mobilizations there.

Answer 17

Below
Highest

Question 18

Used to improve bucket handle inhalation and reduce an exhalation positional fault in ribs 5-10.

Answer 18

Correction of an Exhalation Restriction

Question 19

Which MET is being described below?
“As the patient exhales, the mobilizing hand resists the rib moving toward the exhalation position. As the patient inhales, the mobilizing hand encourages the rib toward the inhalation position and the guiding hand moves the patient’s arm into abduction.”

Answer 19

Correction of an Exhalation Restriction

Question 20

T/F - Correction of an exhalation restriction is best performed with the patient sidelying and the top arm is either adducted to the side of the body or abducted to 90 degrees to start.

Answer 20

True

Question 21

For correction of an __________ restriction, the therapist can place the _____ border or thumb/web space of the mobilizing hand on the lateral aspect of the trunk and on the inferior surface of the rib being mobilized.

Answer 21

Exhalation
Ulnar

Question 22

Which MET is being demonstrated in the following image?

Answer 22

Correction of an Exhalation Restriction

Question 23

Used to reduce an anteriorly subluxed rib.

Answer 23

Correction of an Anteriorly Subluxed Rib

Question 24

Which MET is being described below?
“Patient asked to horizontally abduct against your resistance and as they contract, apply a posterolateral force to the affected rib.”

Answer 24

Correction of an Anteriorly Subluxed Rib

Question 25

T/F - Correction of subluxed ribs are best performed with the patient seated and the arm on the unaffected side forward flexed to 90 degrees with the elbow flexed and hand on the opposite shoulder.

Answer 25

False - Correction of subluxed ribs are best performed with the patient seated and the arm on the AFFECTED side forward flexed to 90 degrees with the elbow flexed and hand on the opposite shoulder.

Question 26

For correction of an anteriorly subluxed rib, the therapist is standing beside the patient on the __________ side. The mobilizing hand is positioned ______ to the angle of the affected rib and the other hand grasps the elbow of the patient’s arm that is forward flexed.

Answer 26

Unaffected
Medial

Question 27

Which MET is being demonstrated in the following image?

Answer 27

Correction of an Anteriorly Subluxed Rib

Question 28

Used to reduce a posteriorly subluxed rib.

Answer 28

Correction of a Posteriorly Subluxed Rib

Question 29

Which MET is being described below?
“Patient asked to horizontally adduct against your resistance and as they contract, apply an anteromedial force to the affected rib.”

Answer 29

Correction of a Posteriorly Subluxed Rib

Question 30

For correction of a posteriorly subluxed rib, the therapist is standing beside the patient on the ________ side. The mobilizing hand is positioned _______ to the angle of the affected rib and the other hand grasps the elbow of the patient’s arm that is forward flexed.

Answer 30

Affected
Lateral

Question 31

Which MET is being demonstrated in the following image?

Answer 31

Correction of a Posteriorly Subluxed Rib