Lecture 12 - Exam 2 - Thoracic Spine Evaluation and Treatment
What are some additional MMT you might do for T-spine?
- SA - pec major/minor - lat dorsi - paraspinals
What are the AROM for thoracic spine?
- flexion - extension - lateral flexion - rotation
What are the ABSOLUTE contraindications for T-spine manupilation?
- fracture - CA of targeted region - osteoporosis - pregnancy - fusion - immediately postpartum - children/teenagers - practitioner lack of ability
For T4-T12, what hand position would you do for PAIVM PA mobilization?
- hand position or pisiform grip
What are some indications where you might utilize t-spine manipulations?
- mechanical neck pain - t-spine pain - thoracic hypomobility - shoulder pain
What does PAIVM stand for?
- passive accessory intervertebral motion - central PA mobilization - unilateral PA mobilization - transverse mobilization
What does PPIVM stand for?
- passive physiologic intervertebral motion
What are the types of faulty posture?
- relaxed faulty posture - kyphosis/lordosis - sway back - flat back - round back
What are two important palpation of ribs?
- rib springing - costotransverse mobilization
When administering PROM (PPIVM) for T-spine (T3-T11), what position should the patient be in?
- seated, patient hands grasps back of neck
T-spine treatment idea list
- stretching (foam roller, seated rotation) - joint mobilization - - PAIVM (central, unilateral, transverse, rotational) - - mobilization w/ movement - - t-spine manipulation (high velocity, low amplitude) - strengthening - modalities
For C5-T3 what hand position would you do for PAIVM PA mobilization?
- two thumbs - NOT HAND
