Thoracic and Ribs

Question 1

What level of spine is at inferior angle of scapula?

Answer 1

T7

Question 2

Where is the spinous process of T5?
T8?
T12?

Answer 2

T5 - half way between
T8 - next level
T12 - same level

Question 3

Document hard end feel on the right of T4-6

Answer 3

T4-6 N RrSl

Question 4

What position do you put pt in to test for an extension dysfunction?

Answer 4

Sphinx

Question 5

Which ribs are considered typical?

Answer 5

3-9

Question 6

What is respiratory motion of rib 1?
Rib 3?
Rib 9?
Rib 11?

Answer 6

Rib 1 - 50/50
Rib 3 - primarily pump
Rib 9 - primarily bucket handle
Rib 11 - caliper

Question 7

Which rib do you treat first if you have a group of ribs in an inhalation dysfunction?

Answer 7

The last rib in that group
VS.
If you have an ex you trade up. :)

Question 8

During inhalation, your patient’s rib stops moving before the patient’s 7th rib. Name dysfunction of 6th rib

Answer 8

6th rib Exhalation dysfunction

Question 9

What level of spine is at spine of scapula?

Answer 9

T3

Question 10

Which muscle is often responsible for anterior inhalation rib dysfunctions?

Answer 10

Pectoralis major

Question 11

What muscle causes most restriction in motion of ribs 11 and 12

Answer 11

Quadratus lumborum

Question 12

How would you document hard end feel on the right side of T7 that gets better in flexion?

Answer 12

T7 F RrSr