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