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Thoracic Somatic Dysfunction

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