Phys Med- Thoracic spine

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Which type of scoliosis is not fixed and mainly due to posture/muscle imbalances?

Neuromuscular scoliosis

Idiopathic scoliosis

Congenital scoliosis

Functional scoliosis (correct)

What is the most common cause of scoliosis?

Idiopathic factors (correct)

Postural problems

Vertebrae failing to form properly

Nerve root irritation

What is the best imaging method to measure Cobb angle in scoliosis?

MRI

CT scan

Ultrasound

X-Ray (correct)

Which syndrome is characterized by compression of the brachial plexus and subclavian artery?

Thoracic outlet syndrome Signup and view all the answers

What can cause thoracic outlet syndrome?

Pregnancy Signup and view all the answers

Which condition is characterized by anterior wedging of the vertebrae and typically diagnosed around 12-17 years of age?

Scheuermanns disease Signup and view all the answers

What is the OHIPMNRS approach to MSK assessment?

An approach to assessing musculoskeletal conditions based on seven key components: observation, history, inspection, palpation, movement, neurological testing, and special tests. Signup and view all the answers

What is the main characteristic of Thoracic Outlet Syndrome (TOS)?

Compression of the neurovascular structures as they pass between the base of the neck and the axilla Signup and view all the answers

Which condition is characterized by an excessive curvature of the thoracic spine causing undue wear and tear on joints?

Postural Syndrome Signup and view all the answers

What is the primary purpose of performing Wright’s Hyperabduction test?

To assess for nerve root compression Signup and view all the answers

What is the key characteristic of Scheuermann’s Disease?

Progressive curvature of the thoracic spine in adolescents Signup and view all the answers

What is the purpose of performing the Costoclavicular test?

To assess for Thoracic Outlet Syndrome (TOS) Signup and view all the answers

What is a common presentation of Rib Subluxation?

Pain along the costal margin Signup and view all the answers

Which term refers to a motion segment in which alignment, movement integrity, or physiologic function is altered, although the contact between the joint surfaces remains intact?

Subluxation Signup and view all the answers

What type of muscles can contribute to vertebral subluxation according to the provided text?

Mulifidis and Erectors Signup and view all the answers

Which of the following is NOT mentioned as a potential cause of vertebral subluxation?

Genetic factors Signup and view all the answers

What is a possible symptom of vertebral subluxation according to the provided text?

Decreased range of motion Signup and view all the answers

How is thoracic extension assessed in a patient according to the provided text?

By placing a hand at the small of the patient's back to add stability Signup and view all the answers

What type of test does the text suggest for further assessment of thoracic range of motion?

Spinal Functional Movement Assessment Signup and view all the answers

Which test is NOT listed under the 'Thoracic Orthopaedic Tests' in the provided text?

Straight Leg Raise Test Signup and view all the answers

In which position should the patient be for assessing thoracic side bending?

Seated Signup and view all the answers

What does AROM stand for in the context of thoracic assessment?

Active Range of Motion Signup and view all the answers

Which type of postural dysfunction is characterized by sagging shoulders, medial rotation of arms, and an increase in pelvic angle to 40 degrees?

Sway back Signup and view all the answers

What is the most common cause of Dowager's hump?

Osteoporosis Signup and view all the answers

What is the defining characteristic of a Humpback (Gibbus deformity)?

Localized, sharp posterior angulation in the thoracic spine Signup and view all the answers

What is the primary cause of Rib Subluxation/Slipping Rib Syndrome?

History of recent trauma Signup and view all the answers

Which special test is not taught in the class for diagnosing Rib Subluxation/Slipping Rib Syndrome?

Hooking Manoeuvre Signup and view all the answers

What is the defining characteristic of scoliosis?

Lateral curvature of the spine within the vertebral column Signup and view all the answers

What is used to measure the degree of spine curvature in scoliosis?

"The Cobb angle" Signup and view all the answers

What is the primary purpose of assessing the thoracic spine for pectus excavatum and pectus carinatum?

To evaluate abnormal chest wall deformities Signup and view all the answers

In thoracic spine assessment, what is the significance of checking for asymmetry of musculature and rib cage?

To evaluate muscle imbalances and potential rib cage abnormalities Signup and view all the answers

Why is it important to palpate the bony structures such as the sternum, sternocostal joints, and facet joints/TVP's during thoracic spine assessment?

To identify any abnormalities in the bony structures of the thoracic spine Signup and view all the answers

What is the main purpose of assessing ranges of motion of the thoracic cage during thoracic spine assessment?

To evaluate functional movement and musculoskeletal health Signup and view all the answers

Why is it important to assess active ranges of motion (AROM) of the thoracic spine in a particular order?

To avoid exacerbating pain from previous movements Signup and view all the answers

What distinguishes the assessment of thoracic extension from other aspects of thoracic spine assessment?

It aims to assess the flexibility and mobility of the thoracic spine in extension Signup and view all the answers

What is the purpose of assessing soft tissue palpation of the anterior and posterior aspects in thoracic spine examination?

To evaluate muscle attachments, asymmetry, and potential trigger points Signup and view all the answers

During the Dural Slump Test, what is the purpose of stage 3 where the examiner passively extends one of the patient's knees?

To impinge the dura and spinal cord or nerve roots Signup and view all the answers

What does a positive result in the Elevated Arm Stress Test (ROOS) indicate?

Thoracic outlet syndrome Signup and view all the answers

What is the main purpose of the Adam’s Sign test?

Detect structural or functional scoliosis Signup and view all the answers

What does a positive result in the Wright’s Hyperabduction test indicate?

Compression of subclavian artery and brachial plexus Signup and view all the answers

What is the purpose of the Scapular Protraction test?

Assess for scapular winging, pain, and weakness Signup and view all the answers

What does a positive Costoclavicular test indicate?

Thoracic outlet syndrome Signup and view all the answers

During which stage of the Dural Slump Test does the examiner passively dorsiflex the extended leg?

Stage 4 Signup and view all the answers

What is the main characteristic of Adam's forward bend test?

The curve disappears upon bending if it's structural scoliosis Signup and view all the answers

Phys Med- Thoracic spine

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Questions and Answers

Which type of scoliosis is not fixed and mainly due to posture/muscle imbalances?

What is the most common cause of scoliosis?

What is the best imaging method to measure Cobb angle in scoliosis?

Which syndrome is characterized by compression of the brachial plexus and subclavian artery?

What can cause thoracic outlet syndrome?

Which condition is characterized by anterior wedging of the vertebrae and typically diagnosed around 12-17 years of age?

What is the OHIPMNRS approach to MSK assessment?

What is the main characteristic of Thoracic Outlet Syndrome (TOS)?

Which condition is characterized by an excessive curvature of the thoracic spine causing undue wear and tear on joints?

What is the primary purpose of performing Wright’s Hyperabduction test?

What is the key characteristic of Scheuermann’s Disease?

What is the purpose of performing the Costoclavicular test?

What is a common presentation of Rib Subluxation?

Which term refers to a motion segment in which alignment, movement integrity, or physiologic function is altered, although the contact between the joint surfaces remains intact?

What type of muscles can contribute to vertebral subluxation according to the provided text?

Which of the following is NOT mentioned as a potential cause of vertebral subluxation?

What is a possible symptom of vertebral subluxation according to the provided text?

How is thoracic extension assessed in a patient according to the provided text?

What type of test does the text suggest for further assessment of thoracic range of motion?

Which test is NOT listed under the 'Thoracic Orthopaedic Tests' in the provided text?

In which position should the patient be for assessing thoracic side bending?

What does AROM stand for in the context of thoracic assessment?

Which type of postural dysfunction is characterized by sagging shoulders, medial rotation of arms, and an increase in pelvic angle to 40 degrees?

What is the most common cause of Dowager's hump?

What is the defining characteristic of a Humpback (Gibbus deformity)?

What is the primary cause of Rib Subluxation/Slipping Rib Syndrome?

Which special test is not taught in the class for diagnosing Rib Subluxation/Slipping Rib Syndrome?

What is the defining characteristic of scoliosis?

What is used to measure the degree of spine curvature in scoliosis?

What is the primary purpose of assessing the thoracic spine for pectus excavatum and pectus carinatum?

In thoracic spine assessment, what is the significance of checking for asymmetry of musculature and rib cage?

Why is it important to palpate the bony structures such as the sternum, sternocostal joints, and facet joints/TVP's during thoracic spine assessment?

What is the main purpose of assessing ranges of motion of the thoracic cage during thoracic spine assessment?

Why is it important to assess active ranges of motion (AROM) of the thoracic spine in a particular order?

What distinguishes the assessment of thoracic extension from other aspects of thoracic spine assessment?

What is the purpose of assessing soft tissue palpation of the anterior and posterior aspects in thoracic spine examination?

During the Dural Slump Test, what is the purpose of stage 3 where the examiner passively extends one of the patient's knees?

What does a positive result in the Elevated Arm Stress Test (ROOS) indicate?

What is the main purpose of the Adam’s Sign test?

What does a positive result in the Wright’s Hyperabduction test indicate?

What is the purpose of the Scapular Protraction test?

What does a positive Costoclavicular test indicate?

During which stage of the Dural Slump Test does the examiner passively dorsiflex the extended leg?

What is the main characteristic of Adam's forward bend test?

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