Ribs Flashcards
(28 cards)
What muscle(s) contract to elevate rib 1?
anterior scalene
middle scalene
What muscle(s) contract to elevate rib 2?
posterior scalene
What muscle(s) are involved with movement of ribs 3-5?
pectoralis minor
What muscle(s) are involved with movement of ribs 6-8?
serratus anterior
What muscle(s) are involved with movement of ribs 9 and 10?
latissiumus dorsi
What muscle(s) are involved with movement of ribs 11 and 12?
quadratus lumborum
What movement do ribs 1 and 2 primarily do?
bucket handle
What movement do ribs 3-6 primarily do?
pump handle
What movement does rib 7 primarily do?
pump handle
What movement do ribs 8-10 primarily do?
bucket handle
What movement do ribs 11 and 12 primarily do?
caliper
When a group of ribs has an inhalation dysfunction, which rib do you treat?
bottom rib
When a group of ribs has an exhalation dysfunction, which rib do you treat?
top rib
What is the setup to treat an inhalation somatic dysfunction of the first rib?
pt. supine w/doc seated at head thumb on anteromedial aspect of ipsi rib contra hand cradles head in F St Ra exaggerate and resist rib motions Repeat 3-5x
What is the set-up to treat an inhalation dysfunction of ribs 2-6?
pt. supine, head of table elevated sidebend pt towards heel of ipsi hand on rib exaggerate and resist rib motions repeat 3-5x
What is the set-up to treat an inhalation dysfunction of ribs 7-10?
pt. supine w/ arms adducted and doc on ipsi side
caudad hand on rib w/ thumb on anterior
exaggerate and resist rib motions
repeat 3-5x
What is the set-up to treat an inhalation dysfunction of ribs 11 and 12?
pt prone; doc standing contra
hypothenar eminence of cephalad hand on rib
caudad hand grasps ASIS
exaggerate and resists rib motions
What are you trying to do to the muscles when treating an inhalation dysfunction?
“turn them off”
What is the set-up to treat an exhalation somatic dysfunction of ribs 1 and 2?
pt supine w/ head rotated 30 away
“woe is me” and doc standing contra
cephalad hand on pt’s palm
caudad hand on superior angle of rib
What is the action portion of treating an exhalation dysfunction of ribs 1 and 2 after the “woe is me” set-up?
have pt take a deep breath
apply caudad lateral traction w/ caudal hand
have pt flex head and neck 3-5 secs
increase traction and repeat
What is the set-up to treat an exhalation dysfunction of ribs 3-5?
pt supine w/ ipsi arm flexed
doc stands contra
cephalad hand on pt’s elbow
caudad hand on superior angle of rib
What is the action portion of treating an exhalation dysfunction of ribs 3-5?
have pt take a deep breath apply caudad lateral traction w/ caudad hand have pt push elbow against doc's hand 3-5 secs increase traction and repeat
What is the set-up to treat an exhalation dysfunction of ribs 6-8?
pt supine w/ shoulder flexed to 90
doc stands on ipsi side
cephalad hand on superior angle of rib
caudad hand on pt’s elbow
What is the action portion of treating an exhalation dysfunction of ribs 6-8?
have pt take a deep breath apply caudad lateral traction have pt push elbow to ceiling 3-5 secs increase traction and repeat
