Thoracic and Lumbar Palpation & Diagnosis Flashcards by Stephen Schaffner

Flashcards in Thoracic and Lumbar Palpation & Diagnosis Deck (14)

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Important diagnosis procedures.

Note bumps in back (rotated segment), notice restriction of rotation.

What landmark denotes the TV2 process?

superior angle of the scapula

TV3

spine of scapula

TV7

inferior angle of scapula

LV4

Iliac crest

Diagnostic criteria for SD

TART

In what plane must motion testing be done?

3 planes

List freedom of movement by motion

Rotation>flexion>sidebending>extension

In what order should you then check.

Rotation, then sagittal plane, then sidebending.

Rule of 3's?

Not really sure the slides weren't clear, someone explain. My view was that three vertebrae will be rotated together, opposite sides.

Type I fryette's?

Rotation and sidebending to opposite sides, in neutral. Usually multiple segments. (3+)
Usually long sidebending muscles.

Type II Fryette's

Rotation and sidebending to same side in flexion or extension. Usually single segment.
Usually intersegmental paraspinal muscles.

Describe Type II facets in flexion

Both facets should “close” but with a unilateral flexed SD one of the facets is “locked open”
The “open” side won’t extend so the vertebrae rotates and sidebends to the opposite side as the “locked open” facet (around the “closed” facet)

Describe Type II facets in extension.

Both facets should “open” but with a unilateral extended SD one of the facets is “locked closed”
The “closed” side won’t flex so the vertebrae rotates and sidebends to the same side as the “locked closed” facet

Thoracic and Lumbar Palpation & Diagnosis Flashcards Preview

OPP I Exam 2 > Thoracic and Lumbar Palpation & Diagnosis > Flashcards

Important diagnosis procedures.

Note bumps in back (rotated segment), notice restriction of rotation.

What landmark denotes the TV2 process?

superior angle of the scapula

TV3

spine of scapula

TV7

inferior angle of scapula

LV4

Iliac crest

Diagnostic criteria for SD

TART

In what plane must motion testing be done?

3 planes

List freedom of movement by motion

Rotation>flexion>sidebending>extension

In what order should you then check.

Rotation, then sagittal plane, then sidebending.

Rule of 3's?

Not really sure the slides weren't clear, someone explain. My view was that three vertebrae will be rotated together, opposite sides.

Type I fryette's?

Rotation and sidebending to opposite sides, in neutral. Usually multiple segments. (3+)
Usually long sidebending muscles.

Type II Fryette's

Rotation and sidebending to same side in flexion or extension. Usually single segment.
Usually intersegmental paraspinal muscles.

Describe Type II facets in flexion

Both facets should “close” but with a unilateral flexed SD one of the facets is “locked open”
The “open” side won’t extend so the vertebrae rotates and sidebends to the opposite side as the “locked open” facet (around the “closed” facet)

Describe Type II facets in extension.

Both facets should “open” but with a unilateral extended SD one of the facets is “locked closed”
The “closed” side won’t flex so the vertebrae rotates and sidebends to the same side as the “locked closed” facet

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Thoracic and Lumbar Palpation & Diagnosis Flashcards Preview

OPP I Exam 2 > Thoracic and Lumbar Palpation & Diagnosis > Flashcards

Important diagnosis procedures.

Note bumps in back (rotated segment), notice restriction of rotation.

What landmark denotes the TV2 process?

superior angle of the scapula

TV3

spine of scapula

TV7

inferior angle of scapula

LV4

Iliac crest

Diagnostic criteria for SD

TART

In what plane must motion testing be done?

3 planes

List freedom of movement by motion

Rotation>flexion>sidebending>extension

In what order should you then check.

Rotation, then sagittal plane, then sidebending.

Rule of 3's?

Not really sure the slides weren't clear, someone explain. My view was that three vertebrae will be rotated together, opposite sides.

Type I fryette's?

Rotation and sidebending to opposite sides, in neutral. Usually multiple segments. (3+)Usually long sidebending muscles.

Type II Fryette's

Rotation and sidebending to same side in flexion or extension. Usually single segment.Usually intersegmental paraspinal muscles.

Describe Type II facets in flexion

Both facets should “close” but with a unilateral flexed SD one of the facets is “locked open”The “open” side won’t extend so the vertebrae rotates and sidebends to the opposite side as the “locked open” facet (around the “closed” facet)

Describe Type II facets in extension.

Both facets should “open” but with a unilateral extended SD one of the facets is “locked closed”The “closed” side won’t flex so the vertebrae rotates and sidebends to the same side as the “locked closed” facet

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Rotation and sidebending to opposite sides, in neutral. Usually multiple segments. (3+)
Usually long sidebending muscles.

Rotation and sidebending to same side in flexion or extension. Usually single segment.
Usually intersegmental paraspinal muscles.

Both facets should “close” but with a unilateral flexed SD one of the facets is “locked open”
The “open” side won’t extend so the vertebrae rotates and sidebends to the opposite side as the “locked open” facet (around the “closed” facet)

Both facets should “open” but with a unilateral extended SD one of the facets is “locked closed”
The “closed” side won’t flex so the vertebrae rotates and sidebends to the same side as the “locked closed” facet