Question
click below
click below
Question
Normal Size Small Size show me how
WVSOM - OPP Rib
Rib Somatic Dysfunction and Chest Wall pain
Question | Answer |
---|---|
Rib 1 Movement | elevation and depression |
Rib 2-5 | Pump handle inhalation and exhalation |
Ribs 11-12 | Caliper type inhalation and exhalation |
Ribs 6-10 | Bucket handle inhalation and exhalation lateral and superior motion with inhalation |
5 Articulation on ribs | 2 demifacets on costovertebral (ribs 2-9) costotransverse costochondral (except rib 11-12) chondrosternal (except ribs 8-12) |
Rib 1 somatic dysfunction | elevation or depression tender point |
Ribs 2-10 | inhalation or exhalation anterior or posterior subluxation tender points |
Ribs 11-12 | inhalation or exhalation tenderpoints |
Posteror Subluxation | pushes rib angle more posterior |
Anterior Subluxation | pushes rib angle more anterior |
Posterior Rib tender points | rib angles |
Anterior rib tender points | palpate rib shaft |
Assessing subluxations | Palpate rib angles |
Prominent subluxations | posterior subluxation |
Depression subluxations | anterior subluxation |
Rib Treatment Guidelines (4) | 1. First treat related thoracic dysfunctions 2. Treat subluxations if symptomatic 3. Treat key rib for remaining respiratory dysfunctions 4. Consider pathology and viscerosomatic reflexes |
Posterior rib counter strain | lean into tenderpoint |
Anterior rib counter strain | lean away from tenderpoint |
Rib OMT indications | Chest wall pain back pain tension headache Thoracic outlet syndrome shortness of breath/cough postural problems congenital anomalies |
Causes of Chest Wall pain | scapula pain syndromes Rib pain syndromes |
Scapula Pain Syndromes | Snapping Scapula Scapulocostal syndrome |
Scapulocostal syndrome | Insidious onset of pain in the superior and posterior aspect of the scapula Pain radiates to the shoulder girdle, neck and chest wall Trigger points on the chest wall and medial and deep to the scapula |
Rib Pain Syndromes | pectoralis trigger point sternalis trigger point xiphoidalgia costochondritis rib tip syndrome |
Rib tip syndrome | Lancinating pain chondral mass of ribs 8-10 reproducible clicking at painful area |
Myofacial release used to treat | subluxations and respiratory restrictions |