Thoracic I And Direct I

Question 1

Direct technique

Answer 1

. Initial positioning by the physician is in the direction of restrictive barrier (if it won’t go left take it left)

Question 2

Indirect techniques

Answer 2

. Initial positioning by physician is away from restrictive barrier and toward position of ease

Question 3

Final activating force

Answer 3

. Force that makes the technique work

. Generated by physician or patient

Question 4

Inherent forces

Answer 4

. Innate forces w/in body which drive body toward homeostasis

Question 5

Soft tissue treatment

Answer 5

. Direct technique involving lat. stretching, deep pressure, traction, and/or separation of muscle origin and insertion while monitoring tissue response and motion changes via palpation
. Final corrective force is physician induced

Question 6

Articulately treatment (ART)

Answer 6

. Low velocity/moderate to high amplitude technique where joint is carried through full motion
. Therapeutic goal of inc. freedom in range of motion

Question 7

Myofasicial release treatment (MFR)

Answer 7

. Final corrective force is inherent force

. Direct or indirect

Question 8

Direct MFR

Answer 8

. Restrictive barrier engaged for myofascial tissue, constant force until tissue releases
. Force applied and held

Question 9

Combined technique

Answer 9

Start with indirect technique for muscles to relax then finish w/ direct technique

Question 10

Single segment dysfunctions (fryette’s type II mechanics)

Answer 10

. Can be related to injury, postural strain and repetitive activity
. Develop in response to nociceptive input from visceral organs
. Assoc. w/ crossover points of group lat. curves

Question 11

Flat upper thoracic kyphosis implications

Answer 11

. Predisposes patients to extended dysfunctions

. Extended dysfunctions painful and persistent unless treated

Question 12

Lateral curve

Answer 12

. Paravertebral humping from scoliosis or functional group curve (type 1)
. Type 1 can be related to short leg mechanics or pelvic side shift
. Seen in idiopathic scoliosis
. Seen in postural patterns from repetitive activity
. Seen in long standing viscerosomatic reflexes

Question 13

Positions to examine thoracic spine

Answer 13

. Seated (most common)
. Supine: hospitalized patient
. Prone: diagnose as doing soft tissue treatment

Question 14

What level of spine is eternal notch and xipho-sternal area?

Answer 14

T2 and T9 anteriorly

Question 15

Where do viscerosomatic tissue texture changes commonly occur in thoracic regions?

Answer 15

Rib angles and costotransverse joints

Question 16

What can you find by palpating subQ

Answer 16

Viscerosomatic reflexes

Question 17

FasciaL tissue tension issues

Answer 17

. Envelopes all tissues of body
. Tension in one region can contribute to tension and restrictions in adjacent regions
. Tight fascial bands develop from repetitive activity and poor posture or micro trauma

Question 18

Tight fascial elements are codependent w/ ___

Answer 18

Articular dysfunction