more midterm Flashcards

(34 cards)

1
Q

how much rotation in the upper cervical?

how much in the lower cervical?

A

40-45

40-45

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2
Q

how much flexion in upper c spine?

how much flexion in lower c spine?

A

20-25

35

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3
Q

How much extension in upper c spine?

lower?

A

20-25

45

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4
Q

how much lateral bending in upper c spine?

how much in lower c spine?

A

5-10

20-45

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5
Q

The majority of flexion/ext in the c spine is where?

A

C2-C7

note: also not a lot of lateral bending occurs at upper c spine

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6
Q

Thoracic rule of 3s

A

T1-T3 - TP and SP same level

T4-T6 SP half a level lower

T7-T9 SP a level below TP

T10-T12 - same

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7
Q

How are motions coupled at the thoracic?

A

Upper thoracic - ipsilateral

Lower thoracic - contralateral

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8
Q

If someone has an infrasternal angle under 90

their diaphragm is _________

seen more common in ________ posture

cant move the ____ handle ribs as well

A

overly descended

flat back posture

pump handle

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9
Q

If someone has an infrasternal angle over 100…

typically has ________ posture

can’t use ________ handle ribs properly, likely a _____ breather

A

lordosis/kyphosis

bucket handle

belly breather

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10
Q

What kind of postures is associated with scapular winging

A

sway back

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11
Q

What is the most common kind of TOS?

A

Neurological

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12
Q

Where can TOS occur (3 places)

A

interscalene triangle

costoclavicular space

subcoracoid space

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13
Q

Surgical candidates for TOS:

A

Failed conservative managment (4-6 months)

Neuro-TOS patients with uncontrolled pain

all arterial and venous TOS patients

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14
Q

What are the different causes of TOS?

A

Trauma

Repetitive motions

Anatomical variations (example: first rib)

Malignancy (example: pancoast tumors)

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15
Q

If the subcostal margin does not expand with arms raised overhead, what could be tight?

A

external oblique

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16
Q

how to stretch upper trap?

A

Stabilize shoulder

slight flexion

contra side bend

17
Q

how to stretch anterior/middle scalene?

A

rstabilize shoulder

slight ext

contralateral sidebend

ipsilateral rotation

18
Q

treatment of the uncovertebral joints at C3-T1 requires __________-

A

manipulation/gapping mobilization

19
Q

The spine of the scapula rests at what vert level?

20
Q

The scapula should rest approximately _________ from the thoracic vertebrae

A

5cm or 3 finger widths

21
Q

What how much motion happens at AC joint w/ arm elevation?

what about the SC joint/

A

35 AC post rotation

25 SC elevation

22
Q

The humerus needs to _____________ to clear the greater tuberosity

A

externally rotate 35-45 degrees

23
Q

The force of the deltoid pulls the humerus _______-

A

upward and outward

24
Q

which muscle provides a direct compressing force into the glenoid?

A

supraspinatus

25
what nerve levels innervate the serratus anterior
long thoracic nerve C5 C6 C7
26
What are the primary 2 muscles that do upwards rotation of the scap
mostly the lower trap and serratus anterior to a lesser extent upper trap
27
An infrasternal angle under 90 is often seen with what posture
flat back posture
28
T or F: Increased kyphosis can lead to an increase in force on verterbal body and disc
true
29
30
Infrasternal angle under 90 is more likely to have what posture? Over 100?
Flat back Lordosis/kyphosis
31
T or F: you can see scapular winging at rest
F, scapular winging is an active thing
32
What are the facet joint angles cervical: Thoracic: Lumbar:
45 60 90
33
How much scapular motion occurs in the first 20-30 degrees of elevation
None
34
What exercises work on posterior tipping of the scapula, what muscles do this?
I T W Y Lower trap