PPC 3- rib dysfunction and muscle energy

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csheerer  on April 29, 2012

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PPC 3- rib dysfunction and muscle energy

costovertebral articulations
rib heads join the thoracic vertebrae at the........
1/46
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Definitions

costovertebral articulations rib heads join the thoracic vertebrae at the........
2;9 ribs ...... thru ....... articulate with a demifacet on the thoracic vertebrae above and its own number
1 and 2 rib 2 articulates with thoracic vertebrae.......
costotransverse joints the tubercle of typical ribs articulates at the transverse process of its own thoracic vertebrae at the........
primary muscles 1. diaphragm
2. intercostal muscles
secondary muscles 1. scalenes
2. pectoralis minor
3. serratus muscles
4. latissimus dorsi
5. quadratus lumborum
3 to 9 these ribs are considered "typical ribs"

they have:
1. a head that articulates with the corresponding vertebra and the one above
2. tubercle that articulates with the corresponding transverse process
3. neck
4. angle
5. shaft
1, 2, 10, 11 and 12 these ribs are considered atypical ribs
rib 1 atypical rib
it is short, strong and very curved
rib 2 atypical rib
is typical except for a large tuberosity that allows it to attach to serratus anterior
rib 11 and 12 atypical ribs
do not have tubercles and do not attach to the sternum/costal cartilage
rib 10 atypical rib
considered atypical because it only articulates with its thoracic vertebra
true ribs another name for ribs 1-7
false or vertebrochondral ribs another name for ribs 8-10
floating ribs another name for ribs 11-12
elevation and depression primary motion of rib 1
pump handle primary motion of ribs 2-5
as you inhale the ........ goes up, and as you exhale, the ....... goes down
naming motion anteriorly
bucket handle primary motion of ribs 6-10
during inhalation, the lateral aspect of the ribs move up and out, expanding the lateral diameter of the thoracic cage on each side
caliper primary motion of ribs 11-12
similar to thumb and index finger pinched together. as you inhale, they move farther apart (unpinch), and as you exhale, they pinch together
4-10 these ribs have "combined" motion, with some portion being bucket handle and some portion being pump handle
5 or 6 in most people, these ribs have equal portions of both motions
11-12 these ribs also have some upward motion during inhalation and some downward motion during exhalation
anterior scalene and middle scalene muscles treated with dysfunction of rib 1
posterior scalene muscle treated with dysfunction of rib 2
pectoralis minor muscle treated with dysfunction of ribs 3-5
serratus anterior muscle treated with dysfunction of ribs 6-8
serratus posterior inferior and latissimus dorsi muscles treated with dysfunction of ribs 9-10
quadratus lumborum muscle treated with dysfunction of ribs 11-12
exhalation dysfunction ribs move easily with exhalation (restricted in inhalation)
inhalation dysfunction ribs move easily with inhalation (restricted in exhalation)
exhalation dysfunction pump handle: ribs are stuck down in the front
exhalation dysfunction bucket handle: ribs are stuck down and in
exhalation dysfunction caliper: ribs are stuck in
inhalation dysfunction pump handle: ribs are stuck up in the front
inhalation dysfunction bucket handle: ribs are stuck up and out
inhalation dysfunction caliper: ribs are stuck out
top rib what is the key rib in exhalation dysfunction (inhalation restriction)?
bottom rib what is the key rib in inhalation dysfunction (exhalation restriction)
thoracic rib dysfunction also screen for and treat this first before screening other ribs
rib 1 this rib can compress the subclavian artery (thoracic outlet syndrome) or subclavian vein
rib 1 this rib can compress the cervical plexus
anterior the sympathetic chain ganglion lie ......... to the rib heads
elevated a rib down in the back means an .......... rib in the front
lowered a rib up in the back means a ........ rib in the front
top rib if a rib is stuck down (i.e. exhalation dysfunction; restricted in inhalation), treat the .......... of the group dysfunction
bottom rib if a rib is stuck up (i.e. inhalation dysfunction; restricted in exhalation), treat the .......... of a group dysfunction

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csheerer