Thoracic Spine Exam / Intervention / 2 Flashcards

(43 cards)

0
Q

thoracic back pain has potential for referred pain from blank

A

visceral organs

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1
Q

incidence of patients c/o thoracic back pain is blank compared to neck or low back pain

A

lower

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2
Q

potential sources of pain for thoracic

A

disk, ligaments, costosternal joint, costovertebral joint

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3
Q

subjective exam for thoracic

A

type of disorder, area of symptoms, behavior of symptoms, med surg and past history, special questions

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4
Q

special questions for thoracic spine

A

pain change with insp/exp?, pain affected by coughing/sneezing?, numbness/tingling, changes in digestion

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5
Q

questionnaire for lower thoracic spine pain

A

ozwestry

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6
Q

some important observations for thoracic objective exam

A

posture sitting/standing, gait analysis, integument, structural asymmetries

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7
Q

a scoliosis is blank but a lateral shift is blank

A

not treatable, treatable

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8
Q

PROM thoracic spine exam includes passive accessor motion testing… aka

A

joint play

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9
Q

AROM of thoracic is tested in blank position

A

sitting

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10
Q

thoracic spine AROM is actually testing blank spine more

A

thoracolumbar

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11
Q

normal thoracic AROM flexion

A

80 degrees

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12
Q

thoracic repeated movements are performed in blank position

A

sitting

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13
Q

three repeated movements for thoracic

A

flexion, extension, rotation

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14
Q

sequence of thoracic repeated movements is same as blank

A

cervical

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15
Q

patient’s blank should always be assessed before repeated movements testing

A

baseline symptoms

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16
Q

unilateral thoracic pain most often responds to blank

A

rotation

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17
Q

passive accessory motion testing (joint play) for thoracic will have patient in blank position

18
Q

joint play of thoracic include these

A

central vertebral pressure, unilateral vertebral pressure, transverse vertebral pressure, pa over angle of rib

19
Q

joint play of thoracic that is performed in supine

A

a-p over costosternal joints

20
Q

normal thoracic AROM extension

21
Q

normal thoracic AROM rotation

22
Q

normal thoracic AROM side bending

23
Q

PROM is performed in blank position

24
PROM testing movements for thoracic
flexion, extension, rotation, side bending
25
three muscle performance tests for thoracic
mmt, resisted isometrics, endurance
26
three special tests for thoracic
general medical screenings, neuro involvement, thoracic outlet syndrome
27
ULNT test or SLR depending on location of symptoms for neurological symptoms of thoracic
slump test
28
examiner should test lumbar reflexes for neurological symptoms of thoracic
DTRs/MSRs
29
four tests for neurological symptoms of thoracic
slump, DTRs/MSRs, dermatomes, thoracic outlet special tests
30
special test for thoracic fracture
heel drop test
31
waitters helps predict someone with blank
cervical radiculopathy
32
if symptoms peripheralize and pain increases after repeated movements
derangement
33
for interventions like repeated movements, do not move past sagittal plane until you have fully changed blank
force application
34
men are more likely to get blank before heart attack
referred arm pain
35
cardiac problems can present in blank
thoracolumbar or mid thoracic spine
36
pulmonary system can present in the blank
scapula
37
end stage liver and gallbladder referred pain can be at blank
shoulder
38
if movements and roms are all about normal without pain and no provocation of symptoms then the pain is probably blank
not musculoskeletal
39
effective interventions for thoracic spine pain
thrust manipulation
40
directional preference if patient responds blank to repeated movements
favorably
41
directional preference moves in direction that blank/blank symptoms
reduces, centralizes
42
hypomobility interventions for thoracic spine
pt education, thrust manip, non thrus, soft tissue mobes, stretching, postural education