Upgrade to remove ads
9/18/18 OMM: Thoracic Screening and Regional Exam
Terms in this set (21)
How is the thoracic examination performed?
screening (anterior view, posteriolateral view, posterior view, AROM), regional (palpatory and PROM), segmental
Based on the five models of osteopathic care, what can cause structural changes to the thoracic region?
trauma, fracture, strains
Based on the five models of osteopathic care, what can cause respiratory changes to the thoracic region?
pneumothorax, Aortic Dissection
Based on the five models of osteopathic care, what can cause neurological changes to the thoracic region?
Based on the five models of osteopathic care, what can cause metabolic changes to the thoracic region?
Based on the five models of osteopathic care, what can cause behavioral/psychosocial changes to the thoracic region?
depression, anxiety, bad posture
What is the orientation of facets in the thoracic region? What is the mnemonic?
B.u.L. = backwards, upwards, lateral
What motions are primarily present in the thoracic region? What is almost absent?
primarily rotation, then flexion and extension
no sidebending - facet orientation and ribs in the way
At which spinous/transverse process is the spine of the scapula located?
At which spinous/transverse process is the inferior angle of the scapula located?
SP = T7, TP = T8
How can the lower region of the thoracic be located?
use iliac crest levels to find L4, then work up to T12
How can the upper area of the thoracic region be found?
spine of scapula at T3, then move up to T1
What parts in the structural exam (screening) indicate somatic dysfunction of the thoracic region?
anterior: shoulder level, rib contour
posterolateral: thoracic kyphotic curve, gravitational line
posterior: scoliotic curve, scapulae levels, rib angles
What levels make up the upper thoracic? Lower?
How is AROM performed for upper and lower thoracic? What is used as a lever?
-have pt flex forward, extend by looking at the ceiling (stand to side), rotate by head left/right, sidebend by bringing ear to shoulder (stand posterior)
-note if moves as a unit (= restriction)
upper: head is a lever
lower: trunk is a lever
During the palpatory stage of the exam, what is examined?
full spine, starting from occiput and ending in sacral base
How is PROM assessed in the upper thoracic?
head is lever, put fingers on T1-4 - put hand on head and flex (bend down) and extend (bend up), pull towards/away (sidebending), and rotate
check if moving individually or together (restriction)
How is PROM assessed in the lower thoracic areas?
span hand over T5-T12, put hand on other shoulder to flex/extend
for rotation, rotate towards self (so switch sides)
assess sidebending from either side
have pt grip your arm for all but sidebending
What muscles are involved in a Type I somatic dysfunction? What are the TART changes and is it acute or chronic?
long restrictor muscles
3+ segments involved
TART: cool, ropey (tight)
What muscles are involved in a Type II somatic dysfunction? What are the TART changes and is it acute or chronic?
deep back muscles
TART: boggy (soft and spongy), edemous (swelling), hot/sweaty
What are the Guidelines of Three to the thoracic spine for locating the transverse and spinous processes?
T1-T3: all the same
T4-T6: TP half step up
T7-T9: TP full step up
T10: TP full step up
TII: TP half step up
T12: TP same level
THIS SET IS OFTEN IN FOLDERS WITH...
9/18/18 CM&R and Case of the Week
9/18/18 Squier: Plasma Proteins and Diag…
9/17/18 OMM: Lumbar Screening and Region…
9/18/18 Kuehn: Hematopoeisis
YOU MIGHT ALSO LIKE...
OTHER SETS BY THIS CREATOR
Week 2: Lymphatics Lab III
Week 2: Lymphatics Lab II
Week 1: Lymphatics Lab I
Week 1: Lymphatics