Thoracic and Lumbar Spine Flashcards

Question

Erector Spinae

Answer 1

- Divided between cervicis, thoracis, and lumborum - Spinalis – medial - Longissimus – intermediate [Between spinalis and longissimus you will find the area to palpate the TP of the thoracic and lumbar spine] - Iliocostalis – lateral

Answer 2

Just lateral to the spinous processes, ask patient to attempt to extend trunk. Palpate medial to lateral noting the different layers.

Answer 3

Runs vertically down the middle line of the abdomen from the xiphoid process and pubic symphysis and separates the two rectus abdominis muscles.

Answer 4

- Not possible to palpate directly. Can have a bulging out of the abdomen below the rib's on the anterior side. During quiet respiration, it moves only about 1-2 cm. By curling your fingers around the underside of the ribs, may be felt to push out against the hands with respiration. - We can MMT - Helps with posture and breathing - Ppl who have a hard time breathing can flex forward

Answer 5

- move by rotating around their long axis - rotate up with accompaniment of the manubrium/sternum - T1-6

Answer 6

- move upward, backward, and medially - T7-10 - T2-6 at a much lesser degree

Answer 7

- move laterall | - T11 and 12

Answer 8

- Males: 4th intercostal space by palpation (approximately nipple line) - Females: Just below breasts - Have patient take full inspiration and full expiration - The difference between max inspiration and expiration is your number - best of 2 tries - Normal chest expansion is ≥ 5 cm - AS < 2.5 cm, severe emphysema ~1 cm

Answer 9

fusion of ribs so it’s hard for them to expand

Answer 10

-Pt supine, forearms crossed on chest. -PT assists pt in raising legs to a vertical position. -Pt is instructed to perform a posterior pelvic tilt flattening back to table -Instructed to “Hold it flat” while patient lowers legs. [Grades are based on ROM held] -Ending position is when PT notices loss of neutral pelvic position. -angle b/w the extended legs & the table determines strength grade. [Look at thigh not feet when grading]

Answer 11

- Ability of a patient to perform specific levels of stability testing while maintaining a neutral/flat spine. - Test is stopped if patient cannot maintain flat spine. - Test is graded by the level the patient can perform. - Looks at disassociation between leg muscles and ab muscles

Answer 12

- Initial position to be used for rest of levels. - Hooklying, tighten your core keeping back flat and slowly lift 1 leg to 90 degrees keeping your knee bent. - Keeping 1st leg up, slowly bring 2nd leg up to same position. * *“Up up position”**

Answer 13

- He has strength he just “doesn’t know how to use it” - -True strength change in 8 weeks - For the pt that cannot perform level 1A - Hooklying, keeping back flat, then slide one heel along floor out to straight leg and return to starting position.

Answer 14

- Starting in position 1A (both legs up) - Slowly lower 1 leg down until heel touches table - Slide heel along table out until leg is straight - Slide it back until knee is bent - Return to position 1A “One heel slide”

Answer 15

- Starting in position 1A (both legs up) - Slowly lower 1 leg until it is a few inches above table - Glide heel above table out until leg is straight - Glide it back until knee is bent - Return to position 1A “One heel glide”

Answer 16

- Starting in position 1A (both legs up) - Slowly lower both legs until heels touch the table - Slide both heels out until both legs are straight. - Slide them back until knees bent - Return to position 1A “Double heel slide”

Answer 17

- Starting in position 1A (both legs up) - Slowly lower both legs until heels are a few inches above table - Glide above table both legs out until legs are straight - Glide back until knees are bent - Return to position 1A “Double heel glide”

Answer 18

``` L2: hip flexion L3: knee extension L4: ankle dorsiflexion L5: great toe extension SI: ankle eversion, hip extension, plantar flexion S2: knee flexion ```

Answer 19

- L3-4: quadriceps - S1-2: Achilles - L5-S1 Hamstrings

Thoracic and Lumbar Spine Flashcards

(55 cards)