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Chest Wall Motion. Activity #1. Measure Chest Wall Motion Angle of Louis ( “ Pump Handle ” motion) Xiphoid Process (Mid-sternum motion) B/w Xiphoid and Umbilicus ( “ Bucket handle ” ) “ Breathe Normally ”. Barrel Chested. Activity #2. Observation & Palpation
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Activity #1 • Measure Chest Wall Motion • Angle of Louis (“Pump Handle” motion) • Xiphoid Process (Mid-sternum motion) • B/w Xiphoid and Umbilicus (“Bucket handle”) • “Breathe Normally”
Activity #2 • Observation & Palpation • Gross Assessment (normal and deep breathing) • Palpate Diaphragm • Deep Breath • Sniff Test • Palpate Scalenes • Positions: Supine, reclined and mod plantigrade
Activity #3 • Chest Wall Mobility • Upper Lobes • Right Middle & Left Lingual • Lower Lobes • Positions: Seated, supine, reclined and mod. plantigrade
References - Images • Watchie J, Cardiovascular and Pulmonary Physical Therapy: A Clinical Manual, 2nd Edition, 2010, Saunders. Pp. 250-252. • http://paramedicine101.com/files/2010/10/respiratory-muscles.jpg • http://dermatologic.com.ar/c1ff9.png • http://www.rightdiagnosis.com/bookimages/8/2495.png • http://3.bp.blogspot.com/_SUI6mWLP3x8/THrG8L0WvUI/AAAAAAAACcQ/-rOPuOuzUho/s800/02.jpg