Thoracic Spine Tx Flashcards
Normal active range of motion occurs between what 2 barriers?
2 physiological barriers
What type of end feel is felt when there is a restrictive/pathological barrier?
hard, binding
What are the primary movements found in each of the 3 planes of motion?
Sagittal: flexion/extension; transverse: rotation; coronal plane: sidebending
What type of technique is HVLA? ME?
passive direct, active indirect
What is the first thing you should do before performing HVLA?
make sure the pt is relaxed
At what part of the respiration cycle should you thrust during HVLA?
end of exhalation
What are some contraindications to HVLA?
apprehension, arthritic spur, metastatic disease
What are some advantages for using ME over HVLA?
gentler, elderly
What are some contraindications to ME?
open wounds, broken bones, unresponsive pts
When performing HVLA on a thoracic group dysfunction, where do you apply the thrusting force?
apex of the curve
If you are performing ME on a pt with T6-10 RlSr what position do you put the pt in initially?
N RrSl
What position is the pt in for Kirksville crunch? Texas twist?
supine; prone
When performing ME on upper T spine (T1-4), what part of the patient’s body do you manipulate?
head/neck
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?
opposite PTP (so left); contact PTP at apex of group (T5 transverse process on right); Side affected arm should be on top (right)
