Podcast
Questions and Answers
What does a loose end-feel in PIVM testing typically indicate?
What does a loose end-feel in PIVM testing typically indicate?
- Hypomobility of the thoracic spine
- Hypermobility or instability of the thoracic spine (correct)
- Weakness in lower extremity muscles
- Normal movement coordination
Which of the following is NOT a proposed intervention for addressing thoracic clinical instability?
Which of the following is NOT a proposed intervention for addressing thoracic clinical instability?
- Thoracic stabilization exercises
- Lumbar rehabilitation program (correct)
- Parascapular exercises
- Postural education
Which exercise is most effective for improving mobility in the thoracic spine?
Which exercise is most effective for improving mobility in the thoracic spine?
- T-spine and rib mobilization/manipulation (correct)
- Postural exercises
- Thoracic stabilization exercises
- Lateral flexion exercises
What condition is characterized by a progressive inflammatory disease affecting the thoracic spine and rib joints?
What condition is characterized by a progressive inflammatory disease affecting the thoracic spine and rib joints?
Which visceral organ is likely to refer pain to the right ribs and below the right inferior angle of scapula?
Which visceral organ is likely to refer pain to the right ribs and below the right inferior angle of scapula?
What symptom is commonly associated with Ankylosing Spondylitis?
What symptom is commonly associated with Ankylosing Spondylitis?
Which of the following is a key movement feature observed during examination for thoracic clinical instability?
Which of the following is a key movement feature observed during examination for thoracic clinical instability?
What is the primary purpose of performing postural education as an intervention?
What is the primary purpose of performing postural education as an intervention?
Which of the following is NOT an exam finding for neck pain with mobility deficits?
Which of the following is NOT an exam finding for neck pain with mobility deficits?
Which treatment is indicated for acute neck pain with movement coordination deficits?
Which treatment is indicated for acute neck pain with movement coordination deficits?
What specific exam finding indicates neck pain with headache due to cervicogenic issues?
What specific exam finding indicates neck pain with headache due to cervicogenic issues?
In the treatment of neck pain with radiating pain, what is the primary focus of the intervention?
In the treatment of neck pain with radiating pain, what is the primary focus of the intervention?
Which of these findings would most likely correlate with fatigue and chills in a patient?
Which of these findings would most likely correlate with fatigue and chills in a patient?
What is a common outcome of restricted range of motion in neck pain with mobility deficits?
What is a common outcome of restricted range of motion in neck pain with mobility deficits?
What is the main goal of manual therapy in the acute phase of neck pain treatment?
What is the main goal of manual therapy in the acute phase of neck pain treatment?
Which test reflects a weakness in neck muscle endurance among patients with movement coordination deficits?
Which test reflects a weakness in neck muscle endurance among patients with movement coordination deficits?
Which of the following findings is NOT associated with T4 Syndrome?
Which of the following findings is NOT associated with T4 Syndrome?
What does PIVM stand for in the context of examination findings?
What does PIVM stand for in the context of examination findings?
What is one of the proposed interventions for treating thoracic mobility deficits with neck pain?
What is one of the proposed interventions for treating thoracic mobility deficits with neck pain?
Which examination finding best indicates thoracic mobility deficits with low back pain?
Which examination finding best indicates thoracic mobility deficits with low back pain?
In the context of thoracic mobility deficits, what symptom commonly accompanies muscle imbalances?
In the context of thoracic mobility deficits, what symptom commonly accompanies muscle imbalances?
What type of exercises are suggested as part of mobility interventions in thoracic mobility deficits?
What type of exercises are suggested as part of mobility interventions in thoracic mobility deficits?
What is a common feature of restricted PIVM in the thoracic spine?
What is a common feature of restricted PIVM in the thoracic spine?
Which of the following is NOT a proposed intervention for mobility deficits with shoulder impairments?
Which of the following is NOT a proposed intervention for mobility deficits with shoulder impairments?
Flashcards
Thoracic Hypomobility
Thoracic Hypomobility
Limited movement in the thoracic spine, often causing referred pain to the upper extremities.
UE symptoms in T-spine
UE symptoms in T-spine
Pain or paresthesia (tingling) in the upper extremities, originating from thoracic spine issues.
Positive ULTT
Positive ULTT
A diagnostic test indicating possible thoracic dysfunction, showing positive results of Upper Limb Tension Tests.
T4 Syndrome
T4 Syndrome
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T-spine and rib mobilization
T-spine and rib mobilization
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Mobility exercises
Mobility exercises
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Thoracic Mobility Deficits with Neck Pain
Thoracic Mobility Deficits with Neck Pain
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Shoulder Impairments from Thoracic Mobility
Shoulder Impairments from Thoracic Mobility
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Thoracic Clinical Instability
Thoracic Clinical Instability
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Thoracic Spine Interventions
Thoracic Spine Interventions
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Ankylosing Spondylitis
Ankylosing Spondylitis
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Visceral Referral Pain
Visceral Referral Pain
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Forward Bend Arthrokinematics
Forward Bend Arthrokinematics
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Backward Bend Arthrokinematics
Backward Bend Arthrokinematics
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Compression Fracture MOI
Compression Fracture MOI
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Thoracic Spine Examination
Thoracic Spine Examination
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Neck pain with mobility deficits
Neck pain with mobility deficits
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Neck pain with movement coordination deficits
Neck pain with movement coordination deficits
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Cervicogenic headache
Cervicogenic headache
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Radicular pain
Radicular pain
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ADDWOR
ADDWOR
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Acute Pain (12 weeks)
Acute Pain (12 weeks)
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Limited ROM
Limited ROM
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Segmental mobility deficits
Segmental mobility deficits
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Study Notes
TMD
- TMJ classifications and associated signs/symptoms
- Capsulitis/Synovitis and Fibrosis:
- Tender to palpation at the TMJ lateral condyle or posterior compartment
- Pain with biting/chewing on the opposite side
- Pain with retrusive overpressure
- Pain with accessory motion testing
- Capsular pattern deviation toward the limited side with opening and protrusion
- Limited contralateral lateral excursion
- Limited AROM mandibular dynamics
- Limited mobility with TMJ accessory motion tests
- No joint sounds
- History of trauma or surgery
- Ankylosis:
- Limited joint play mobility and mandibular ROM opening, protrusion, and contralateral excursion
- Deflection of mandible toward restricted side during opening and protrusion
- Bony ankylosis- No TMJ mobility
- Capsular and fibrosis ankylosis- some mobility
- Usually results from joint inflammatory response related to trauma or systemic conditions
- Mobility:
- Hypomobility:
- Decrease in opening (less than 30 mm)
- Limited joint play during mobility testing
- Pain may be present or absent
- Etiology: trauma, surgical procedure, internal derangement (IKD), ankylosis, advanced OA
- Hypermobility:
- Excessive jaw opening (greater than 55 mm)
- Poor movement control ("S" pattern observed during opening)
- Unilateral: jaw deviates to contralateral side at end of opening and protrusion
- Etiology: joint laxity, systemic hypermobility, anatomic variability, masticatory muscle dystonia
- End range click with deviation away from hypermobile side that clicks
- Hypermobility with accessory motion testing
- Hypomobility:
- Disk-Condyle Incoordination/IKD:
- ADDWR: anterior disk displacement with reduction
- Reciprocal joint sound with opening and closing
- "S" curve with opening
- Full AROM
- Capsulitis/Synovitis and Fibrosis:
C-Spine
- Coupled motion in cervical spine
- Upper cervical spine: sidebending and rotation in opposite directions (contralateral)
- Lower cervical spine (C3-T4): sidebending and rotation in same direction (ipsilateral)
- Thoracic and lumbar (T5 and below): sidebending and rotation in opposite directions (contralateral)
- Special tests for cervical spine, including rationale and positive test results
- Transverse ligament stability tests
- Alar ligament stability tests
- Vertebral artery tests
Cervical Myelopathy vs. Cervical Spine Radiculopathy
- Myelopathy:
- Multilevel/bilateral UE/LE weakness
- Usually no sensory deficits
- Hyperreflexia
- Positive UMN tests
- Positive Romberg
- Early signs: gait disturbances, clumsy hand, Ihermitte's sign, spastic paresis
- Radiculopathy:
- Unilateral, single-level weakness
- Unilateral dermatomal sensation deficit
- Unilateral positive ULTT
- Diminished reflexes (single level)
- Early signs: pain + sensory deficits followed by strength
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