A new model to facilitate palpation of the level of the transverse processes of the thoracic spine

Journal of Orthopaedic and Sports Physical Therapy

Volumn 36, Issue 11, 2006, Pages 876-881

  Geelhoed, Michael A ^a   McGaugh, Janna ^b   Brewer, Patricia A ^a   Murphy, Douglas ^a  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

Author keywords

Palpation; Rule of threes; Surface anatomy; Thoracic vertebrae

Indexed keywords

ACCURACY; ARTICLE; DIFFERENTIAL DIAGNOSIS; HUMAN; HUMAN TISSUE; PALPATION; PHYSICAL EXAMINATION; SPINE DISEASE; THORACIC SPINE; VERTEBRA;

EID: 33751221011     PISSN: 01906011     EISSN: None     Source Type: Journal    
DOI: 10.2519/jospt.2006.2243     Document Type: Article

References (45)

1. Bassewitz HL, Herkowitz H. Functional anatomy of the spine. In: Plazeck JD, Boyce DA, eds. Orthopedic Physical Therapy Secrets. Philadelphia, PA: Hanley & Belfus; 2001:337.
2. Billis EV, Foster NE, Wright CC. Reproducibility and repeatability: errors of three groups of physiotherapists in locating spinal levels by palpation. Man Ther. 2003;8:223-232.
3. Browder DA, Erhard RE, Piva SR. Intermittent cervical traction and thoracic manipulation for management of mild cervical compressive myelopathy attributed to cervical herniated disc: a case series. J Orthop Sports Phys Ther. 2004;34:701-712.
4. Callahan AD. Sensibility testing: clinical methods. In: Hunter JM, Schneider LH, Mackin EJ, Callahan AD, eds. Rehabilitation of the Hand, Surgery and Therapy. St Louis, MO: C.V. Mosby; 1990:594-610.
5. Chansirinukor W, Lee M, Latimer J. Contribution of ribcage movement to thoracolumbar posteroanterior stiffness. J Manipulative Physiol Ther. 2003;26:176-183.
6. Christensen HW, Vach W, Vach K, et al. Palpation of the upper thoracic spine: an observer reliability study. J Manipulative Physiol Ther. 2002;25:285-292.
7. Cleland JA, Childs JD, McRae M, Palmer JA, Stowell T. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10:127-135.
8. Cleland JA, Whitman JM, Fritz JM, Palmer JA. Manual physical therapy, cervical traction, and strengthening exercises in patients with cervical radiculopathy: a case series. J Orthop Sports Phys Ther. 2005;35:802-811.
9. Conroy JL, Schneiders AG. The T4 syndrome. Man Ther. 2005;10:292-296.
10. Dellon AL. Evaluation of Sensibility and Re-Education of Sensation in the Hand. Baltimore, MD: Williams & Wilkins; 1981.
11. Downey BJ, Taylor NF, Niere KR. Manipulative physiotherapists can reliably palpate nominated lumbar spinal levels. Man Ther. 1999;4:151-156.
12. Dutton M. Manual Therapy of the Spine. New York, NY: McGraw-Hill; 2002.
13. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. New York, NY: McGraw-Hill; 2004.
14. Edmondston SJ, Singer KP. Thoracic spine: anatomical and biomechanical considerations for manual therapy. Man Ther. 1997;2:132-143.
15. Flynn T. The Thoracic Spine and Rib Cage: Musculoskeletal Evaluation and Treatment. Boston, MA: Butterworth-Heinemann; 1996.
16. Geelhoed MA, Viti JA, Brewer PA. A pilot study to investigate the validity of the rule of threes of the thoracic spine. J Man Manip Ther. 2005;13:23-25.
17. Greenman PE. Principles of Manual Medicine. Philadelphia, PA: Lippincott Williams & Wilkins; 2003.
18. Harrison DE, Cailliet R, Harrison DD, Janik TJ. How do anterior/posterior translations of the thoracic cage affect the sagittal lumbar spine, pelvic tilt, and thoracic kyphosis? Bur Spine J. 2002;11:287-293.
19. Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders. Philadelphia, PA: Lippincott Williams & Wilkins; 1996.
20. Horton SJ. Acute locked thoracic spine: treatment with a modified SNAG. Man Ther. 2002;7:103-107.
21. Isaacs ER, Bookhout MR. Bourdillon's Spinal Manipulation. Boston, MA: Butterworth-Heinemann; 2002.
22. Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD. Free hand pedicle screw placement in the thoracic spine: is it safe? Spine. 2004;29:333-342; discussion 342.
23. Lee DG. Rotational instability of the mid-thoracic spine: assessment and management. Man Ther. 1996;1:234-241.
24. Leong JC, Lu WW, Luk KD, Karlberg EM. Kinematics of the chest cage and spine during breathing in healthy individuals and in patients with adolescent idiopathic scoliosis. Spine. 1999;24:1310-1315.
25. Lirk P, Messner H, Deibl M, et al. Accuracy in estimating the correct intervertebral space level during lumbar, thoracic and cervical epidural anaesthesia. Acta Anaesthesiol Scand. 2004;48:347-349.
26. Love RM, Brodeur RR. Inter- and intra-examiner reliability of motion palpation for the thoracolumbar spine. J Manipulative Physiol Ther. 1987;10:1-4.
27. Magee DJ. Orthopedic Physical Assessment. Philadelphia, PA: Saunders; 2002.
28. Menck JY, Requejo SM, Kulig K. Thoracic spine dysfunction in upper extremity complex regional pain syndrome type I. J Orthop Sports Phys Ther. 2000;30:401-409.
29. Mitchell FL, Moran PS, Pruzzo NA. An Evaluation and Treatment Manual of Osteopathic Muscle Energy Procedures. Valley Park, MO: Mitchell, Moran & Pruzzo, Assoc; 1979.
30. Moore KL, Dalley AF. Clinically Oriented Anatomy. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
31. Mootz RD, Keating JC, Jr., Kontz HP, Milus TB, Jacobs GE. Intra- and interobserver reliability of passive motion palpation of the lumbar spine. J Manipulative Physiol Ther. 1989;12:440-445.
32. O'Haire C, Gibbons P. Inter-examiner and intra-examiner agreement for assessing sacroiliac anatomical landmarks using palpation and observation: pilot study. Man Ther. 2000;5:13-20.
33. Panjabi MM, Brand RA, Jr., White AA, 3rd. Mechanical properties of the human thoracic spine as shown by three-dimensional load-displacement curves. J Bone Joint Surg Am. 1976;58:642-652.
34. Panjabi MM, Brand RA, Jr., White AA, 3rd. Three-dimensional flexibility and stiffness properties of the human thoracic spine. J Biomech. 1976;9:185-192.
35. Panjabi MM, Takata K, Goel V, et al. Thoracic human vertebrae. Quantitative three-dimensional anatomy. Spine. 1991;16:888-901.
36. Paolini S, Ciappetta P, Missori P, Raco A, Delfini R. Spinous process marking: a reliable method for preoperative surface localization of intradural lesions of the high thoracic spine. Br J Neurosurg. 2005;19:74-76.
37. Pho C, Godges J. Management of whiplash-associated disorder addressing thoracic and cervical spine impairments: a case report. J Orthop Sports Phys Ther. 2004;34:511-519; discussion 520-513.
38. Schiller L. Effectiveness of spinal manipulative therapy in the treatment of mechanical thoracic spine pain: a pilot randomized clinical trial. J Manipulative Physiol Ther. 2001;24:394-401.
39. Seffinger MA, Najm WI, Mishra SI, et al. Reliability of spinal palpation for diagnosis of back and neck pain: a systematic review of the literature. Spine. 2004;29:E413-425.
40. Singer KP, Edmondston SJ, Day RE, Breidahl WH. Computer-assisted curvature assessment and Cobb angle determination of the thoracic kyphosis. An in vivo and in vitro comparison. Spine. 1994;19:1381-1384.
41. Teodorczyk-Injeyan JA, Injeyan HS, Ruegg R. Spinal manipulative therapy reduces inflammatory cytokines but not substance P production in normal subjects. J Manipulative Physiol Ther. 2006;29:14-21.
42. Waldrop MA. Diagnosis and treatment of cervical radiculopathy using a clinical prediction rule and a multimodal intervention approach: a case series. J Orthop Sports Phys Ther. 2006;36:152-159.
43. White AA, 3rd, Panjabi MM, Thomas CL. The clinical biomechanics of kyphotic deformities. Clin Orthop Relat Res. 1977;8-17.
44. Wilke A, Wolf U, Lageard P, Griss P. Thoracic disc herniation: a diagnostic challenge. Man Ther. 2000;5:181-184.
45. Winkel D, Aufdemkampe G, Matthijs O, Meijer OG, Phelps V. Diagnosis and Treatment of the Spine: Nonoperative Orthopaedic Medicine and Manual Therapy. Gaithersburg, MD: Aspen Publishers, Inc; 1996.