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Flashcards in Thoracic Orthopedics Deck (17)
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0

Adam's Position test is to determine?

Functional or structural scoliosis

1

During the Adam's test if the scoliosis disappears when the patient flexes forward, this is ______ scoliosis.

Functional

2

During the Adam's test if the scoliosis remains when the patient flexes forward, this is ______ scoliosis.

Structural

3

In what instance could structural scoliosis straighten during the Adam's test?

If the patient has an anatomically short leg

4

Which type of scoliosis definitely warrants an X-ray?

Structural

5

What is a classic positive for Amos's Sign?

Pain, weakness, or decreased flexibility in the thoracics or thoracolumbar area when rising from a side-lying position

6

What is a classic positive for Beever's sign and what does it mean?

If the umbilicus deviates from the center, the abdominal muscle opposite to the direction of deviation is weak

7

During normal chest expansion, the rib cage moves _________.

1.5-3.0 inches

8

If chest expansion is less than ______ it is considered a positive finding.

1.25 inches

9

What is a classic positive for Forestier's Bowstring Sign?

Unequal ROM when the patient laterally flexes from side to side

10

A positive Forestier's bowstring test indicates primarily what disorder?

Ankylosing spondylosis (AS)
Although it could also indicate muscle spasm, pain inhibiting motion, or stacking

11

If a rib stops moving during expiration it indicates a/n _______ rib.

Elevated

12

If a rib stops moving during inspiration it indicates a/n _______ rib.

Depressed

13

A positive Rib Motion Test (the rib is not moving properly) could indicate ...

Rib subluxation (most likely)
Muscle strain
Pleuritis
Fracture
Arthritides

14

A positive Schepelmann's Sign would be?

Intercostal pain

15

What would a positive Schepelmann's sign indicate?

Pain on the concave side indicates neuralgia (compression of an intercostal nerve)
Pain on the convex side indicates myalgia or myofascitis (stretching of a sensitive muscle or fascia)

16

What orthopedic tests can be used for both the thoracic and lumbar spine?

Adam's Position Test
Amos's Sign