Thoracic Spine Examination: Difference between revisions

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==Thoracic Spine==
==Thoracic Spine==
'''Observation'''
'''Observation'''

Revision as of 19:51, 30 June 2021

This article is a stub.

Thoracic Spine

Observation

  • Carriage of head and shoulders
  • Muscle bulk symmetry
  • Scolosis/Kyphosis
  • Flat spots
  • Axillary creases
  • From side
  • From front

Surface landmarks

  • Medial spines scapulae T3
  • Inferior angle scapulae T7
  • 12th rib T10
  • Ribs 1 to 12 posterior angles and attachments
  • in front
  • 7th and 9th costal cartilages
  • Trapezius
  • Levator scapulae
  • Rhomboids
  • Lateral border scapula and muscle attachments
  • Supraspinatus
  • Infraspinatus

Active movements

  • Flexion
  • Extension
  • Sidebending
  • Rotation

Passive movements

(Gross and segmental)

  • Flexion
  • Extension
  • Sidebending
  • Rotation

Segmental Pain

  • Skin drag
  • Skin rolling
  • Vertebral springing
  • Zones of irritation supra sp lig
  • Spinous processes
  • PA palpation
  • Transverse palpation
  • Transverse processes
  • Provocation test

The Ribs

Observation

  • Thoracic observation
  • Full inhalation
  • Full exhalation

Landmarks

  • As for thoracic spine

Palpation

  • Hands on rib cage
  • Front to, back springing
  • Monitor 2 to 10 supine inh/exh
  • Costal cartilages + inh/exh
  • Monitor 2 to 10 prone
  • Mid Trapezius
  • Rhomboids
  • Serratus Posterior Superior
  • Pectoralis Major
  • Pectoralis Minor
  • Sternalis
  • Serratus anterior