Term
Actions of Pectoralis Major |
|
Definition
Flexes, adducts, and medially rotates the arm |
|
|
Term
Actions of Pectoralis Minor |
|
Definition
Draws the scapula forward, downward, and medialward |
|
|
Term
What could cause irritation of the parietal pleura, with referred pain to the chest wall? |
|
Definition
Pneumonia, due to pleural effusions |
|
|
Term
What are central causes of upper extremity paresthesias? |
|
Definition
Stroke
MS
Metabolic Disorders
diabetes
|
|
|
Term
What are peripheral causes of upper extremity paresthesias? |
|
Definition
Nerve impingements
Herniated disc
Somatic dysfunction |
|
|
Term
Name the 3 possible sites of proximal nerve impingement in the upper extremity |
|
Definition
In between the anterior and middle scalenes
Underneath the clavicle and first rib
Beneath pec minor and 1st rib |
|
|
Term
Lateral epicondylitis results in paresthesia of what nerve? |
|
Definition
|
|
Term
Medial epicondylitis results in paresthesia of what nerve? |
|
Definition
|
|
Term
What nerve develops paresthesia when there is impingement in the tunnel of Guyon? |
|
Definition
|
|
Term
Carpal tunnel syndrome results in paresthesia of what nerve? |
|
Definition
|
|
Term
What is the MOI for somatic dysfunction? |
|
Definition
Overuse/Hypertonicity
Imbalance of muscle strength
Compensation
Trauma |
|
|
Term
Which muscles attach to the clavicle? |
|
Definition
Pectoralis Major
Trapezius
Latissimus Dorsi |
|
|
Term
What somatic dysfunctions affect chest pain? |
|
Definition
Hypertonicity and tenderpoints of the pec major and minor, scalenes, sternocleidomastoid, ribs
Rib dysfunction
Clavicular dysfunction
Sternal dysfunction
Thoracoabdominal diaphragm dysfunction |
|
|
Term
Which somatic dysfunctions cause upper extremity paresthesia? |
|
Definition
Inhalation dysfunction of the ribs
Abducted Clavicle
Radial Head dysfunction
Carpal bone/tunnel dysfunction
Hypertonicity of scalenes and pecs
|
|
|
Term
What regions effect vagus nerve and parasympathetic innervation to the heart? |
|
Definition
|
|
Term
Which region would you treat for phrenic nerve irritation to the diaphragm? |
|
Definition
|
|
Term
Which region is associated with increased sympathetic activity to the heart? |
|
Definition
|
|
Term
Which muscle is a major pump towards the heart that is treatable? |
|
Definition
|
|
Term
Where does the diaphragm attach? |
|
Definition
xyphoid process
ribs 6-12 on either side
bodies and intervertebral discs of L1-L3 |
|
|
Term
What are the primary muscles of inspiration? |
|
Definition
Diaphragm
External Intercostals |
|
|
Term
Primary muscles of Expiration |
|
Definition
Elastic recoil
Internal Intercostals |
|
|
Term
Secondary Muscles of Inspiration |
|
Definition
Scalenes
Sternocleidomastoid
Pec Major
Pec Minor
Serratus Anterior
Serratus Posterior Superior |
|
|
Term
Secondary Muscles of Expiration |
|
Definition
External Oblique
Internal Oblique
Rectus Abdominus
Serratus Posterior Inferior |
|
|
Term
Short breaths cause hypertonicity of what muscles? |
|
Definition
|
|
Term
Which scalenes attach onto the second rib? |
|
Definition
|
|
Term
What is the origin of the serratus anterior? |
|
Definition
|
|
Term
Insertion of serratus anterior |
|
Definition
Medial border of the scapula on its costal surface |
|
|
Term
What is the action of the serratus posterior superior? |
|
Definition
Helps in elevation of the ribs |
|
|
Term
What is the action of the serratus posterior inferior? |
|
Definition
Pulls the ribs downwards and backwards |
|
|
Term
All the abdominals insert onto which bones making it important in treatment affecting the ribs? |
|
Definition
|
|
Term
What ANS responses are increased in asthmatic patients? |
|
Definition
|
|
Term
what are the lungs parasympathetic response? |
|
Definition
Increased volume of secretions and bronchiole constriction |
|
|
Term
What are the lungs sympathetic response? |
|
Definition
Decreased secretion and brochiole dilatation |
|
|
Term
Where is the chapman's reflex point for the upper lung? |
|
Definition
3rd parasternal intercostal space |
|
|
Term
Where is the chapman's reflex point for the lower lung? |
|
Definition
4th parasternal intercostal space |
|
|
Term
Where is the anterior Chapman's reflex point for CHF? |
|
Definition
sternal border by insertion of 2nd rib |
|
|
Term
Where is the posterior Chapman's reflex point for CHF? |
|
Definition
Medial to the transverse process of T3 |
|
|
Term
Actions of the serratus anterior |
|
Definition
Draws the scapula forward, inferior fibers rotate the scapula superiorly |
|
|