Rib Springing Test: Assessing Thoracic Mobility

The Rib Springing Test is a manual assessment technique used by physiotherapists to evaluate the mobility of the ribs and thoracic spine. It helps identify stiff joints or potential rib fractures.

1. Purpose

The primary purpose of the Rib Springing Test is to **assess for mobility** and potential dysfunction of the ribs. It helps identify hypomobility (stiffness) or pain, which could indicate rib fractures, costotransverse joint dysfunction, or costovertebral joint issues.

2. How to Perform

1. The patient is positioned in prone (lying on their stomach).
2. The examiner stands at the side of the patient or at the head.
3. The examiner places the pisiform or hypothenar eminence of their hand over the specific rib angle or costotransverse joint to be tested.
4. The examiner applies a gentle, anteriorly directed springing force (pushing down towards the table) on the rib.
5. This is repeated at different rib levels to compare mobility.

3. Positive & Negative Sign

Positive Sign (Test is POSITIVE):
A positive test is indicated by:

• Reproduction of the patient's pain at the rib or thoracic spine.
• A feeling of restriction or stiffness compared to adjacent ribs or the opposite side.
• Excessive movement or "giving way" could indicate instability or fracture (use extreme caution if fracture is suspected).

Negative Sign (Test is NEGATIVE):
A negative test is a normal springy end-feel (recoil) with no pain reproduction.