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OPP CV Kribs
Thoracic somatic dysfunction
| Question | Answer |
|---|---|
| The skeletal anatomy of the thoracic cage includes | 12 thoracic spinal vertebrae, 12 pairs of ribs and the sternum |
| Why are thoracic vertebrae limited in flexion and extension | Due to the attachment of the rib cage |
| Number of facet joints on single thoracic vertebra | 10 |
| Pectus Excavatum | Inward chest (like a cave) |
| Pectus Carinatum | Outward chest |
| "Rule of three" for T1-3 | Transverse process directly lateral to SP |
| "Rule of three" for T4-6 | TP halfway between SP and that of the segment above |
| "Rule of three" for T6-T9 | TP directly lateral to spinous process of segment above |
| "Rule of three" for T10-12 | TP return dirctly to lateral spinous process |
| Type I Fryettes | Sidebending and rotation in opposite directions, multiple vertebrae |
| Type II Fryettes | Rotation and sidebending in the same direction, single vertebrae |
| All lymphatic drainage of the body must pass through the | Cervicothoracic fascia (thoracic inlet) |
| Treatment used to release tension in the thoracic inlet | Cervicothoracic myofascial release |
| Two-chambered pump- inspiration | Causes negative pressure inside the thorax, drawing blood and lymph into the chest and squeezing viscera to move fluid towards the chest |
| Tw-chambered pump- expiration | Lungs compress and force air out while intra-abdominal pressure decreases and veins and lymph fluids are drawn from periphery in preparation for the next cycle |
| Restriction in spinal movement can affect efficiency of breathing. t/f? | True |
| The cell bodies of the postsynaptic neurons of the sympathetic nervous system are found | In the sympathetic trunks on each side of the vertebral column |
| T1-T4 | Head and neck |
| T6-T9 | liver, gall bladder |
| T10-L1 | Kidneys, ureters, and bladder |
| T8-L2 | Colon and Rectum |
| T1-T5 | Cardiovascular |
| T2-T7 | Repiratory |
| T9-T11 | Small intestines |
| T10-T11 | Uterus |
| L1-L2 | Prostate |
| Viscerosomatic reflex | Localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures |
| Somatovisceral reflex | Localized somatic stimuli producing patters of reflex response in segmentally related visceral structures |
| Posterior thoracic counterstrain points | Over SP or lateral to either side |
| Anterior thoracic counterstrain tender points T1-T4 | Midline only |
| Anterior thoracic counterstrain tender points T5-T8 | Midline and lateral |
| Anterior thoracic counterstrain tender points T9-T11 | Midline only |
| Anterior thoracic counterstrain tender points T12 | Lateral only |
| Position when checking for thoracic counterstrain tender points | Supine or Prone |
| Which do you treat first, Type I or Type II SD? | Type II |
| Which do you treat first, thoracic spine or ribs | Thoracic spine |
| Ways to treat thoracic somatic dysfunction | Counterstrain, Myofascial release, muscle energy, HVLA, articulatory, soft tissue |
Created by:
mcasto
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