Thoracic-Dorsal-Spine.pdf

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Thoracolumbar Spine
Orthopaedic
Assessments
THORACIC
(DORSAL)
SPINE
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Agenda
Introduction
Applied anatomy
Patient history
Observation
Examination
Active ROM
Passive ROM
Isometric resisted ROM
Special tests
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Thoracic Spine - Introduction
-Most rigid part of the spine due to the
ribs
-Must include examination of the ribs
as well as the areas above and below
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Thoracic Spine - Introduction
-The thoracic spine serves to protect
organs (ie. heart, lungs)
-Primary curve – kyphosis
-Lumbar and cervical spine are
secondary curves (lordoses)
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Thoracic Spine – Applied Anatomy
-The spinal canal is small and circular
-Smallest at T1-3, largest at T12
-Facets are located on the TVPs and the
bodies (costotransverse and costovertebral
joints)
-Superiorly to inferiorly, the TVPs reduce in
size from large, wing-like structures to
become more short and blunt
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