red flags
Cancer hx, unexplained weight loss, unexplained mass, night pain not reproducible with movement
What is a tumor (metastases very common)?
25-35 degrees to each side
What is full thoracic rotation?
Rotation with ipsilateral lateral flexion. Lateral Flexion with ipsilateral rotation
What is T1-T4?
Problems with the disc will create problems in this plane
What is the sagittal plane?
You prform a prone axial rotation test. The result is single level limitation bilaterally at the same level. This indicates...
What is an extension limit likely due to ZAJ?
Redness, fever
What is infection?
Superior vertebrae slides contralaterally on both ipsilateral and contralateral side relative to the inferior vertebrae
What is T1-T12 ZAJ rotation?
Have to test on each individual
What is T4 -T8 from an extended position?
If the capsular pattern is observed without the thoracic symptoms, it is likely this kind of issue.
What is a systemic issue?
If positive, likely a flexion limit at that segment or a disc issue
What is the vertebral sping test?
painful inspiration, dyspnea
What is pleurisy?
Superior vertebrae slide inferiorly and slightly posteriorly (downglideO on the inferior vetebrae
What is T1-T12 ZAJ extension?
Will produce motion down to T4
What is cervical rotation?
Painful with stretch (primary, secondary, tertiary) from PROM of antagonist.
Discomfort with compression (primary, secondary tertiary) from PROM of agonist
What is contractile injury presentation in PROM?
Lateral flexion limits are likely detected with
What is rib testing?
fever, malaise, chills
reduced breath sounds
What is pneumonia?
This is the osteokinematic cause of lots of issues at the cervicothoracic region
What is the drastic change in mobility from one segment to another (C7 - T1) ?
Will produce motion down to T6
What is shoulder flexion?
The patellar reflex is hyporeflexive.
What is an upper motor neuron issue?
Rib position test results: anterior edge will be more prominent. Will be detected when palpating cranial to caudal
What is the rib is stuck in inspiration?
Sharp neck or shoulder pain relieved with forward trunk flexion
What is pericarditis?
Ipsilateral rib drops inferiorly while contralateral rises superiorly
What is lateral flexion?
Contralateral from extended position.
Rotation with contralateral lateral flexion, lateral flexion with contralateral rotation.
What is T8-T12 fron an extended position?
A patient has a joint mobility classification scale grade of 1.
What is extremely hypomobile?
Lindgren Test
Position Test
Spring Test
What are the joint play tests for the ribs?