1st rib elevation

Moderators: kwyss, Sillevis

1st rib elevation

Postby Paula » Sun Sep 11, 2011 9:11 pm

When should you assess for first rib elevation and what tests do you use? Do you palpate for tenderness as a result of patient's complaints and/or utilize the elevated first rib test of cervical rotation combined with sidebend bilaterally to determine decreased mobility as a standard test with cervical spine assessment?
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Re: 1st rib elevation

Postby Sillevis » Mon Sep 12, 2011 8:35 pm

I think that the seated bilateral palpation of the first rib will give you a good indication. The seated rotation sidebend test will give you additional info about the 1st rib. Considering the fact that these are two very easy and quick test I suggest you make them part of your cervical evaluation. Remember that there is emerging evidence that the TS needs to be assessed and treated in patients with cervical issues.
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