Rib Muscle Energy
What runs between anterior and middle scalene?
subclavian artery, brachial plexus
What kind of joint is costotransverse joint? What movement?
synovial with capsule gliding and slight rotational movement
Costotransverse joint: articulation of rib tuburcle to _____
transverse process of same numbered vertebra
ME for Rib 12 exhalation?
post isometric relaxation of quadratus lumborum
Describe the inferior/superior facet articulations for ribs 3-9.
Inferior facet articulates with body of same number. Superior facet articulates with body of vertebra above.
Middle scalene attachments?
TP C3-7 to rib 1
What are 2 absolute contraindications for rib ME?
-fractures and severe muscular injuries/surgery -inability to cooperate/communicate
Why is rib 1 atypical?
-single facet (articulates with T1) -2 transverse grooves (subclavian vein/artery, phrenic nerve, brachial plexcus) -attachment of anterior scalene
Why are ribs 11/12 atypical?
-single facet on rib head which articulates with same number vertebra -short with no neck or tubercle -rib 12 has no angle
Why is rib 10 atypical?
-single facet on rib, which articulates with T10
Why is rib 2 atypical?
-tuberosity for serratus anterior -attachment for posterior scalene
Which ribs have only 1 facet on their heads?
1, 10, 11, 12
costovertebral joint: articulation of rib head with what?
BODIES of 2/3 vertebrae ANNULUS FIBROSIS of IV disc
Attachments of quadratus lumborum?
Rib 12 TP of L1-L4 iliolumbar ligament ilac crest
What kind of joint does rib 1 have? Rib 2-7?
Rib 1: synarthrosis Ribs 2-7: synovial joints (allows slight gliding motion)
Which ribs have no transverse costal facets? Which ribs have no tubercles?
T11/T12 have no transverse costal facets Ribs 11/12 have no tubercles
Attachments of Latissimus dorsi?
T6-T12 humerus iliac crest lumbar and sacral vertebra
Anterior scalane attachments. What do you find on the anterior scalene?
TP C3-C6 to rib 1 phrenic nerve and subclavian vein
Posterior scalene attachments and action?
TP C4-C6 to Rib 2 extends C spine
What are your true/false floating ribs? What are your typical/atypical ribs?
True (1-7), False (8-10), Floating (11-12) Typical (3-9), Atypical (1,2,10,11,12)
What are the muscles used in ME of ribs?
anterior/middle/posterior scalenes pectoralis minor serratus anterior latissimus dorsi quadrtus lumborum intercostals
What are the anterior rib articulations? Posterior articulations?
anteriorly: chondrosternal costochondral sternal posteriorly: costovertebral costotransverse
Pec minor attachments and action?
coracoid process of scapula to ribs 3-5 protract/abduct scapula or elevates 3,4,5
Costal angle v costal groove?
costal angle: apex of curve costal groove: runs along inferior aspect of rib, contains neurovascular bundle
What are the ligaments involved with costotransverse joint?
costotransverse ligament superior costotransverse ligament lateral costotransverse ligament
Costovertebral joints allow for what movement?
gliding or sliding
Describe motion of costochondral joints.
hyaline cartilage joint-- no motion
Define inhalation/exhalation dysfunction.
inhalation: rises with inhalation, does not descend with exhalation exhalation: descends with exhalation, does not rise with inhalation
What ligaments are involved with the costovertebral joints?
intra-articular ligament capsular ligament radiate ligament
What ME do you use for inhalation of rib 12?
joint mobilization and respiratory assist
What are the main planes of motion for lower ribs and upper ribs?
lower: coronal plane upper: sagittal plane
ME for exhalation of 1-11?
muscle energy
Non-physiological dysfunction? Physiologic dysfunction?
non-physiologic: does not move during respiration in either inhalation or exhalation physiologic dysfunction: inhalation or exhalation dysfunction
What ME technique do you use for inhalation SD of rib 1?
post-isometric relaxation of anterior and middle scalenes respiratory assist
What ME do you use for inhalation SD ribs 2-11?
respiratory assist post isometric relaxation of intercostal muscles
Attachments and actions of serratus anterior?
scapula to ribs 1-9 rotate/protract scapula or elevate ribs 6,7,8
