Thoracic Spine Exam / Intervention / 2 Flashcards Preview

PT 514 Musculo Rehab > Thoracic Spine Exam / Intervention / 2 > Flashcards

Flashcards in Thoracic Spine Exam / Intervention / 2 Deck (43):
0

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

lower

1

thoracic back pain has potential for referred pain from blank

visceral organs

2

potential sources of pain for thoracic

disk, ligaments, costosternal joint, costovertebral joint

3

subjective exam for thoracic

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

4

special questions for thoracic spine

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

5

questionnaire for lower thoracic spine pain

ozwestry

6

some important observations for thoracic objective exam

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

7

a scoliosis is blank but a lateral shift is blank

not treatable, treatable

8

PROM thoracic spine exam includes passive accessor motion testing... aka

joint play

9

AROM of thoracic is tested in blank position

sitting

10

thoracic spine AROM is actually testing blank spine more

thoracolumbar

11

normal thoracic AROM flexion

80 degrees

12

thoracic repeated movements are performed in blank position

sitting

13

three repeated movements for thoracic

flexion, extension, rotation

14

sequence of thoracic repeated movements is same as blank

cervical

15

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

baseline symptoms

16

unilateral thoracic pain most often responds to blank

rotation

17

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

prone

18

joint play of thoracic include these

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

19

joint play of thoracic that is performed in supine

a-p over costosternal joints

20

normal thoracic AROM extension

25 degrees

21

normal thoracic AROM rotation

45 degrees

22

normal thoracic AROM side bending

35 degrees

23

PROM is performed in blank position

sitting

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