Thoracic Spine

With thoracic dysfunction, pain may arise from… (list 3)

The following are risk factors of pain in which region?

• concurrent MSK pain

• Growth spurt or physical abnormalities

• Lifestyle and social

• Backpack

• Postural

• Psychological

• Environmental factors

What are the key targets for the T-spine? (10 key components)?

Which outcome measure specifically is an activity limitation assessment?

Which self reported outcome measure is essentially a yellow flag scale and looks into psychological factors?

Which self reported outcome measure looks at stratifying those who need additional care (specifically cognitive aid)?

Which self reported outcome measure identifies those at risk for long term problems?

What are the 2 self report outcome measures that are disease/regional specific measures?

In terms of scoliosis, what is the minimum cobb angle to be categorized as scoliosis?

A patient who has scoliosis with a cobb angle of 20-40 degrees, this requires the provider to…..

A patient who has scoliosis with a cobb angle greater that 40 degrees this leads us to believe that….

When analyzing our patients posture we need to watch for…

When looking at the t-spine region, which muscles do we examine to see for tightness?

Which structure could limit ROM of the upper thoracic region?

What is a possible underlying cause of scapular winging?

A breast mass could contribute to what seen in a patient’s posture?

Which red flag is palpation beneficial but as an test not good in ruling ( _____) out?

It terms of a ( ) () fracture what is the name of the cluster below

• Female

• Age >70

• Significant Trauma

• Prolonged use of corticosteroids

It terms of a ( _________) fracture what is the name of the cluster below

• Age > 52

• No Presence of leg pain

• BMI < 22

• Does not exercise regularly

• Female

There are not any good tests for screening (_________) besides that there is a presence of a fever.

What is the test used to screen the gallbladder, having the patient bend their knees, have them push out behind their head and you palpate medial to the rib angle (push in when they breath out)?

When palpating the liver what are we looking in terms of this examination?

When palpating the aorta what is the width that we are concerned about a possible aneurysm being present?

The following cluster is to rule out which diagnosis

• Age <50

• Pulse <100 beats/min

• Pulse ox >94%

• No unilateral leg swelling

• No hemoptysis (coughing up blood)

• No recent surgery

• No prior DVT or PE

• No oral hormone use

• PERC score = -LR 0.17

Which other areas do you rule out with over pressure when examining?