Thoracic and ribs

Question 1

Ligaments of the ribs serve as attachments

Answer 1

to the sternum and cartilage of the vertebrae

Question 2

ligaments allow for torsioning of the ribs during

Answer 2

movement and respiration

Question 3

The normal functioning thoracic spine has_______ curve.

Answer 3

A structural Kyphotic curve

Question 4

The client is presenting with an FRSlt at T7. Which rib dysfunctions may be associated to this?

Answer 4

Inferior torsion of Rt rib 7 and superior Torsion of Lt Rib 7

Question 5

The thoracic spine is rotating to the right. What motion is occurring in the right ribs?

Answer 5

Superior Torsion

Question 6

Which of the following represents the force creating inhalation at ribs 3-5?

Answer 6

CC of Pec Minor

Question 7

Understanding the biomechanics of an injury assists the Therapist in?

Answer 7

indicates which tissues may have been strained

indicates the potential severity of the injury

indicates the potential pattern of secondary muscle guarding

Question 8

If T4 is fully flexed and right side bending is introduced, which rotation will occur?

Answer 8

right

Question 9

Rotation in the Thoracic spine will ________ if the segments are extended first.

Answer 9

decrease

Question 10

Contraction of the Pec Minor will create?

Answer 10

Inhalation motions of Ribs 3-5

Question 11

What position indicates the bilateral closed position of Thoracic facet joints?

Answer 11

extension

Question 12

Which plane best describes the facet orientation in the majority of the Thoracic Spine?

Answer 12

Frontal Plane orientated

Question 13

The thoracic spine is rotating to the right. What motion is occurring in the left ribs?

Answer 13

Inferior Torsion

Question 14

Forced inhalation is created by?

Answer 14

Concentric contraction of agonists

Question 15

What is a representation of the control of right thoracic sidebending?

Answer 15

EC of Left Erector Spinae

Question 16

The client is presenting with an ERSrt at T4. What may also be present?

Answer 16

Superior Torsion of Rib 4 on the right

Inferior Torsion of Rib 4 on the left

Question 17

What motion is most restricted in the thoracic spine due to the orientation of both the Spinous Processes and the Articular Facets?

Answer 17

extension

Question 18

What direction does rotation occur during non-neutral mechanics in the vertebral column?

Answer 18

rotation occurs to the same side as sidebending

Question 19

When the client performs forced exhalation at ribs 11 and 12, which muscle is responsible for stabilization?

Answer 19

Quadratus Lumborum

Question 20

What represents Type 1 mechanics?

Answer 20

vertebra rotating lt and sidebending rt

Question 21

How many pairs of ribs are there

Answer 21

12

Question 22

the true ribs are______ they attach to the ______

Answer 22

1-7
sternum

Question 23

false ribs are_____ They attach to_______

Answer 23

8-10
costal cartilage of rib 7

Question 24

Floating ribs are______ they have no______

Answer 24

11-12
Ant. attchment

Question 25

the diaphram is shaped like a

Answer 25

dome

Question 26

the diaphram inserts

Answer 26

on to its self

Question 27

when the diaphram contracts it __________interthoracic pressure-which in turn __________ the volume of the lungs. a vaccum is thus created causing air to ______ the lungs. this is called______

Answer 27

Decreases increases enter inspiration

Question 28

relaxation of the diaphragm _______interthoracic pressure. this is how air is _________from the lungs. this is normal exhalation.

Answer 28

increases expelled

Question 29

Normal inspiration

Answer 29

-Diaphragm contracts -interthoracic pressure decreases -creates a vaccum air enters the lungs

Question 30

Normal exhalation

Answer 30

-diaphragm relaxes -interthoracic pressure increases -air is expelled from the lungs

Question 31

paradoxical breathing

Answer 31

-occurs with elevation and expansion of the rib cage

Question 32

in paradoxical breathing the abdomen _________ protrude.

Answer 32

does not

Question 33

paradoxical breathing is most likely done/created for _________reasons

Answer 33

aesthetic

Question 34

paradoxical breathing may indicate__________

Answer 34

pulmonary disorder like asthma or pulmonary distress.

Question 35

pulmonary disorders may present with

Answer 35

parasthesia of the diaphram

Question 36

Paradoxical breathing is

Answer 36

FORCED

Question 37

paradoxical breathing will over work the

Answer 37

scalene and intercostal muscles by increasing their contribution to the respiration process

Question 38

Muscles with an inferior insertion assist with

Answer 38

forced inhalation

Question 39

muscles with an superior insertion help with

Answer 39

forced exhalation

Question 40

the rib facets articulate with the bodies of the thoracic vertebrae at the

Answer 40

demifacets (one above and one below)

Question 41

The rib tubercle articulates with ______ and serves as attachment for _______

Answer 41

the TPS ligaments

Question 42

the shaft of the rib is torsioned along its _________. this creates ______ in the ribs

Answer 42

long axis tension

Question 43

Ribs __, ___, and ___ only articualate with the full facet on the corresponding vertebrae

Answer 43

1 11 12

Question 44

Ribs 1, 11, and 12 ______ articulate with the TPs of thoes vertebrae

Answer 44

DO NOT

Question 45

At the posterior articulation, the rib ______/______ on the axis passing through the joints. This relationship changes dependant on the shape of the thoracic vertebrae

Answer 45

Glides/pivots (roll)

Question 46

in the superior thoracic, the axis is directed more _______ thus the elevation of the ribs increases the__________ of the thoracic cage

Answer 46

lateral anterior diameter

Question 47

in the inferior thoracic the axis is directed more _______, thus elevation of the ribs increases the ________of the thoracic cage

Answer 47

posterior Lateral diameter

Question 48

Inhalation elevates the thoracic cage and moves the ribs________, articulating surface (tubercle) rolls_______

Answer 48

superior inferior

Question 49

Exhalation depresses the thoracic cage and moved the ribs ________, Articulating surface (tubercle) rolls_________.

Answer 49

Inferior superior

Question 50

The thoracic vertebrae glide ________on inhalation ________ the thoracic cage with them.

Answer 50

posterior pulling

Question 51

The thoracic vertebrae glide _________ on exhalation _______ the thoracic cage with them

Answer 51

anterior pulling

Question 52

As the thoracic spine extends, the rib heads ______. This motion is described from neutral position as a __________

Answer 52

torsion superior torsion

Question 53

One rib articulates with

Answer 53

2 vertebral bodies and 1 TP

Question 54

The articular processes of throacic vertebae

Answer 54

help to control and limit movement

Question 55

upper ribs move in a _____ motion

Answer 55

pump handle

Question 56

the mid ribs move in a _________ motion

Answer 56

bucket handle

Question 57

the lower ribs move in a _________ motion

Answer 57

caliper

Question 58

external inter costals are muscles of_______

Answer 58

inspiration insertion to the rib below

Question 59

internal intercostals are muscles of _______

Answer 59

expiration insertion to the rib above

Question 60

quiet expiration is

Answer 60

passive

Question 61

ACCESSORY MUSCLES of inspiration

Answer 61

SCM SCALENES Surratus ant.

Question 62

ACCESSORY MUSCLES of expiration

Answer 62

abdominal muscles

Question 63

bowals law

Answer 63

Increasing volume = decrease in pressure creating a vaccume and vise versa

Question 64

Thoracic Flexion KIN

Answer 64

Plane - sagital Axis -X Translation-Horizontal Osteo- Vertebrae translated anterior, TPs and SPs distract Arthro - Disc displaces posterior and fecets open Force - concentric contration of RA, Obliques then gravity Control - EC of errector spinae Secondary motion roll and glide

Question 65

Thoracic Extension Kin