Tsp/Ribs

Question 1

Segmental rotation assessment

Answer 1

Pt prone
Examiner palpates SPs
Applies lateral-medial force
Walks hands up and down spine

Question 2

Segmental rotation interpretation

Answer 2

Nonuniform motion- Jt dysfunction, malposition or Rx

Question 3

Rib motion

Answer 3

Pt seated
Palpate lateral intercostal space with fingers
Breathing deeply and/or SB from side to side
Palpate motion

Question 4

Rib motion interpretation

Answer 4

Nonuniform- costal hyper/hypomobility, limited ROM due to P
P with breathing- rib subluxation (P near Jt at spine or sternum), rib # (usually mid shaft rib)

Question 5

Rib motion clinical notes

Answer 5

Nonuniform motion during expiration- elevated lower rib
Nonuniform during inhalation- depressed upper rib

Question 6

Adsons test

Answer 6

Pt seated
Palpate radial pulse bilaterally
Rotate head toward affected side
Repeat other side

Question 7

Adsons interpretation

Answer 7

Decrease/loss of pulse- neurovascular TOS from cervical rib, scalene muscle brachial plexus compression

Question 8

Adsons clinical notes

Answer 8

Pt may be instructed to take deep breath and hold it after head is rotated to help apply further pressure to brachial plexus NR + subclavian veins

Sens- 50
Spec- 74-100

Test shows false +Ve in 42% of Pts w CTS, 9-20% in general population