Thoracic Wall Overview Part 2

anterior rib compression, posterior rib expansion

anterior rib expansion, posterior rib compression

ipsilateral ribcage compression, contralateral ribcage expansion

anterior and posterior joint motion, ipsilateral ribcage compression, contralateral ribcage expansion

anterior position white seated. Elbows on lower extremities

common sign of respiratory distress

accessory muscles aid in respiration
- pecs, SCM, scalenes,, etc.

diaphragmatic breathing

diaphragm relaxes and abdomen forces air out

80%

- strengthens diaphragm
- decreases energy output
- energy conservation

- alters diaphragm stability
- phrenic nerve entrapment
- reduced lung capacity

decreases diaphragmatic breathing, decrease lung capacity, weakens diaphragm and trunk extensorys, anterior neck muscles shorten

take pillows away, 30 degree elevated head, leg of bed flat

-donning socks/pants
-showering - washing LEs
-bending forward for cooking, cleaning, etc.
Solutions:
-cross legs to put on socks
-adaptive equipment

pulse oximetry
postural changes
respiratory rate
BP

COPD

chronic inflammatory response and narrowing
- leads to scarring and decreased mobility of lungs

leads to inability to fully exhale
- CO2 buildup

pneumonia

fluid and pus fill alveoli

get out of bed and get moving

improves posture
opens chest walls
improves strength and mobility of diaphragm and intercostals