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WVSOM -- OPPI
Thoracic Somatic Dysfunction
| Question | Answer |
|---|---|
| Chest pain can be influenced via this bone. | Rib |
| Paraspinal neck muscles can arise from the level of the _______. | Thoracic Spine |
| Learning about thoracic somatic dysfunction is useful for ________ pain. | Viceral Chest Back |
| What are the ways to think about the thoracic spine? | Side to side Back to front Top to bottom Inside to outside |
| Medical conditions that may correlate with thoracic somatic dysfunction: | sinusitis asthma COPD pneumonia coronary artery disease hypertension peptic ulcer disease depression stress |
| What are the different things to assess about thoracic spine? (5) | 1) Skin Layer 2) Fascia 3) Muscle 4) Bony Layer 5) Movement |
| What are the unique features of the thoracic vertebrae? | Demifacet Transverse costal facet Coronal (more or less) orientation of the articular processes Long spinous process |
| What are the rules of 3? | the relationship of the spinous process tip to underlying bony structures |
| What is the relationship of the spinous prcesses of T1-T3 to underlying bony structures? | Same level as vertebral body |
| What is the relationship of the spinous processes of T4-T6 to the underlying bony structures? | 1/2 vertebral level down |
| What is the relationship of the spinous processes of T7-T9 to the underlying bony structures? | 1 vertebral level down |
| What is the relationship of the spinous processes of T10-T12 to the underlying bony structures? | Same level of as vertebral body |
| What are the 10 facet joints? | intervertebral (4) costovertebral (4) costotransverse (2) |
| What is the formula for success? (4) | 1. Palpate for side of paraspinal fullness 2. Side of fullness= posterior transverse process= rotation to that side 3. Rotation increases with flexion = flexed vertebra 4. Rotation increases with extension = extended vertebra |
| For single segments you must do what to complete your diagnosis of somatic dysfunction? | Flex and extend |
| How do you know which side has paraspinal fullness? | Side of fullness = posterior transverse process = rotation to that side |
| Fullness on T2 left paraspinal region and disappears with flexion. | T2 FRS Left |
| Fullness on T8-T10 right paraspinal region | T8-10 NS(l)R(r) |
| Fullness on T4 right and T6-11 left paraspinal regions. T4 gets better with flexion. | T4 FRS(r) T6-T11 NS(r)R(l) |
| How can you treat thoracic somatic dysfunction? | Counterstrain Myofascial release Muscle energy High velocity low amplitude (HVLA or thrust) Articulatory |
| Priority of treatment | Type II before Type I Thoracic before Rib |
| What are the contraindications for direct manipulation of the thoracic spine? | Malignancy Spinal infection Fracture Dislocation Joint synostosis Severe osteoporosis |
| What should be treated with caution with direct manipulation of the thoracic spine? | Pain at barrier Hypermobility Rotator cuff sprain/tendonitis Osteoporosis |
| What are reasons to treat the thoracic spine? | Thoracic back pain Non-thoracic pain Spinal or rib stiffness Organic conditions Sympathetic normalization Postural abnormality (scoliosis, hyperkyphosis) Cardiovascular conditions Respiratory conditions Anxiety or stress |
| Fullness on T2 left paraspinal region and gets worse with flexion. | T2 ERS(l) |
Created by:
tjamrose
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