Thoracic Somatic Dysfunction
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| 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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Created by:
tjamrose
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