Free Course Image Thoracic Spine assessment

Free online courseThoracic Spine assessment

Duration of the online course: 1 hours and 19 minutes

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Improve thoracic spine assessment skills with a free online physiotherapy course, quizzes and clinical tips to boost confidence and earn a certificate.

In this free course, learn about

  • How to run a full thoracic spine objective assessment in a clinical physio format
  • Key thoracic spine observation markers for midline deviation and asymmetry (posterior view)
  • Thoracic spine palpation skills and surface anatomy landmarks (including locating T1)
  • How to assess thoracic spine AROM and interpret its clinical purpose and findings
  • How to assess thoracic spine PROM, including expected end-feels in rotation
  • Resisted thoracic spine testing: setup, interpretation, and typical muscle contributors
  • First rib palpation technique and its relevance to thoracic outlet syndrome screening
  • Why scapular depression is used during first rib assessment for TOS
  • How to perform and interpret the Roos test and its purpose for thoracic outlet syndrome

Course Description

Build confident, repeatable thoracic spine assessment skills with this free online physiotherapy course designed for clinical decision-making. A clear, structured approach to the thoracic region can sharpen your reasoning, improve communication with patients, and help you link findings to functional limits, pain patterns, and contributing factors across the shoulder girdle, cervical spine, and ribcage.

You will follow a practical assessment flow that mirrors real clinical practice, moving from initial observation through palpation and movement testing, then into passive and resisted components. The emphasis is on knowing what to look for, how to interpret what you feel, and how to document findings in a way that supports treatment planning and reassessment. Along the way, you’ll refine how you identify landmarks, spot midline deviations and asymmetries, and recognize patterns that may indicate stiffness, irritability, or movement control issues.

The course also supports your understanding of why each test is used and what it contributes to the bigger picture, so you can avoid collecting information that does not change your next step. Integrated knowledge checks help reinforce key concepts and reduce common errors, such as misreading end feel, overemphasizing minor postural variation, or missing cues that suggest the need to assess adjacent structures.

Because thoracic symptoms can overlap with neurovascular presentations, you will also be guided through clinically relevant screening considerations, including first rib palpation and a commonly used thoracic outlet syndrome test. This helps you feel more prepared to differentiate straightforward thoracic mobility findings from signs that warrant additional attention.

Whether you are a student building foundations or a practicing clinician refreshing your method, this course helps you perform a thorough thoracic spine assessment efficiently and with purpose, supporting safer decisions, better reassessment, and clearer treatment direction.

Course content

  • Video class: Thoracic Spine Full Assessment Run Through - Clinical Physio 05m
  • Exercise: Which of the following movements is NOT typically included in a standard objective assessment of the thoracic spine?
  • Video class: Thoracic Spine Observation | Clinical Physio 11m
  • Exercise: In an assessment of the thoracic spine, which of the following would NOT be considered a key marker for spotting a deviation from the midline or an asymmetry during a posterior view observation?
  • Video class: Thoracic Spine Palpation | Clinical Physio 25m
  • Exercise: Which landmark is typically used as a starting point for locating the T1 vertebra during a thoracic spine palpation?
  • Video class: Thoracic Spine Active Range of Motion / Movement | Clinical Physio 21m
  • Exercise: What is the main purpose of testing active range of motion (AROM) of the thoracic spine in a clinical physiotherapy setting?
  • Video class: Thoracic Spine Passive Range of Motion / Movement | Clinical Physio 04m
  • Exercise: What is the expected end feel when performing passive range of motion testing of the thoracic spine into left and right rotation?
  • Video class: Thoracic Spine Resisted Tests and Testing | Clinical Physio 04m
  • Exercise: Which of the following muscles is NOT typically involved in resisted thoracic rotation?
  • Video class: First Rib Palpation | Clinical Physio Premium 03m
  • Exercise: In assessing first rib palpation for thoracic outlet syndrome, why might a clinician depress the scapula on the side of the rib they are examining?
  • Video class: Roos Test for Thoracic Outlet Syndrome | Clinical Physio 02m
  • Exercise: What is the primary purpose of the Roos test in thoracic spine assessment?

This free course includes:

1 hours and 19 minutes of online video course

Digital certificate of course completion (Free)

Exercises to train your knowledge

100% free, from content to certificate

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