Musculoskeletal Considerations of the Rib Cage. Objectives. Review of anatomy True rib pair has 10 joints. Discuss common structural dysfunction which can cause pain with breathing. Discuss cardiopulmonary dysfunction which can cause mechanical dysfunction within the rib cage.
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T10: whole level, T11: ½ level, T12:
-Evaluate the rib angle, should gradually move laterally
On inhalation, the thoracic A-P curve flattens, on exhalation it increases.
1. An extended thoracic area should be associated
with inhalation dysfunction in ribs.
2. A flexed thoracic area should be associated with exhalation dysfunction in ribs.
3. Sometimes, an atypical pattern rib dysfunction exists with reversal of the
Rib vs. Facet
Key Muscle: Scalenes
Key Muscle: Pectoralis Minor
Key Muscle: Serratus Anterior
Trunk is placed in Flexion, Sidebending
On restricted side.
-Can place a wedge or lift of table to help