Transverse Plane Mobility Loss - PDF document

Transverse Plane Mobility Loss Coronal Plane Mobility Loss SagittalPlane Mobility Loss Contralateral Pain End of Range Con Ipsilateral Pain End of Range Contralateral Pain End of Range Go To Rib Cage Clinical Pathways Pain with Respiratio Ipsilateral Pain End of Range Transverse Plane Flexion Dysfunction Pattern Coronal Coronal Plane Extension Dysfunction Pattern Transverse Plane Extension Dysfunction Pattern Thoracic Spine Examination Algorithm End of Range Pain Contralateral Side Pain Limited Active Mobility Thoracic Spine Active Mobility Exam (with over pressure if indicated) Positive Asymmetry in Extension on Painful Side End

of Range Pain Ipsilateral side Soft Tissue Mobility Restriction/Provocation on Painful Side Positive Asymmetry in Fl e xi o n o n Painf u l S i de Structural Asymmetry Transverse Process Symmetry Palpation Pain Limited Soft Tissue Mobility Soft Tissue Mobility/Provocation Exam Soft Tissue Mobility Restriction/Provocation on Painful Side Resistance Limited Accessory Motions with Symptom Provocation Resistance Limited Accessory Motions with Symptom Provocation Flexion Mobilization Pattern Pain Limited Accessory Motions Stabilization Or Modalities Pattern Mobility Examination of Thoracic Spine Accessory Motion

s Extension Mobilization Pattern Skulpan Asavasop on M P T , OCS KP So Cal Or tho PT Residency Rib Cage Algorithm Suspect Underlying Stress Fracture? Costrochondral Junction Pain Costovertebral Joint Pain Palpation/Provocation of: Costovertebral Joints Costochondral Junction Consult With Referring Healthcare Practitioner Anterior Rib Mobilization Pattern Posterior Rib Mobilization Pattern Palpation for Symmetry Observe Rib Cage: Excursion with Inhalation/Exhalation Costovertebral Joint Mobilization Pattern Skulpan Asavasop on M P T , OCS KP So Cal Or tho PT Residency Rib Cage Clinical Pathways Respiratory Patt

ern Recognition Provocation Testing Pain with Inhalation Anterior with Int e rnal R o tati o n Pain with Exhalation Anterior with Ext e rnal R o tati o n Posterior with Int e rnal R o tati o n Posterior with Ext e rnal R o tati o n Intercostal Muscle Sternocostal Joint Costovertebral Joint Exhalation Breathing Exercises Mobilization of Costovertebral, Sternocostal Joint, or STM Intercostal Muscles Anterior Rib Mobilization with STM to facilitate Internal or Exte r nal Rib Posterior Rib Mobilization with STM to facilitate Internal or External Rib Inhalation Breathing Exercises Rib Positional Testing Skulpan Asavasop on M P T , OCS KP So Cal Or tho PT Residency