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OPP CV Kribs

Thoracic somatic dysfunction

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