5- HVLA of T Spine

gotepoca's version from 2016-03-15 22:27

Section 1

Question Answer
Low distance provides ____Safety
High Acceleration provides ____Success
Most important factor for good HVLADIAGNOSIS
TARTTissue Texture, Asymmetry, Restriction of motion, Tenderness
What is POP sound?--Sound occurent when bubble is FORMED
4 Thoracic motinos (descending order)Rotation > Side-bending > Flexion > Extension
Natural position of T-spineKyphotic
Are flexed or extended dysfunctions more common?Flexed
What type give group curve?Neutral or Type 1
What type of dysfucntion occurs in individual segments?Non-neutral

Section 2

Question Answer
HVLA supine -Thrust for FlexedHold Lower, Aim Higher (90 deg)
HVLA supine -Thrust for ExtendedHold Upper, Aim Lower (45 degrees)

Section 3

Question Answer
T1-T4Head + neck
T1-T6Heart + lungs
T5-T9Upper abdominal viscera (stomach, duodenum, liver, GB, pancreas)
T10-T11Remainder of Small intestines, Kidney, ureters, gonads, right colon
T12-L2Left colon, Pelvic organs

Section 4

Question Answer
True ribsRibs 1-7-attach directly to sternum via costachondral cartilage
False ribs8-10-attach via synchondroses to costochondral cartilage of rib 7
Floating11-12-Do not attach to sternum at all
Typical ribs3-10
Atypical ribs1, 2, 11, 12
What components makes up true rib?Tubercle, Head, Neck + Angle (must connect to 2 different vertebrae via facets + tubercle)
What two vertebrae does Rib 2 articulate with?Demifacets of T1 + T2
Motion of Costovertebral joint?Gliding or Sliding motion
Motion of Costotransverse joints?Gliding + slightly rotational motion
Muscles attach to First rib?Subclavius, Anterior + middle scalenes, + Serratus anterior
Muscles that attach to Second rib?Serratus anterior + Posterior scalene

Section 5

Question Answer
Why is Rib 1 AtypicalArticulates only w/ T1, No angle
Why is Rib 2 atypical?Larger tuberosity on shaft for Serratus anterior
Why are 11 + 12 atypical?Articulate only w/ corresponding vertebra, due to LACK of tubercles,
What can Rib 1 compress?Subclavian artery + Cervical plexus
Pump-handle motion ribs?Ribs 1-5
Bucket-handle ribs Ribs 6-10
Caliper motionRibs 11 + 12
What must you always do first before treating ribs?Treat T-spine 1rst
Elevated ribInhalation rib dysfunction
Depressed ribExhalation rib dysfunction
Inferior edge of posterior angle prominentExhalation rib dysfunction
Superior edge of posterior angle prominentInhalation rib dysfunction
If space above is narrowed and space below is increasedElevated rib (inahaled dys)
If space above the rib is increased, and space below is narrowedDepessed rib (exhalation dys)
Movement of caliber ribs with Inhalation-Stuck out--Move posteriorly, superiorly, + laterally
Movement of caliber ribs with Exhalation-Move anteriorly, medially, + inferiorly
HVLA INHALED 11th rib prone-how to position QL + thrust directionRelax QL, Thrust Cephalad + lateral
HVLA EXHALED 11th rib prone-how to position + direction to thrustTense QL (pull towards), lift ASIS, Thrust in CAUDAL and MEDIAL DIRECTIOn