Lisa Kerry Physiotherapist | 07903 389905 | lisa@theenablemovement.com

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Rib cage with bird cage superimposed to show the similarities of the two structures.

Ribs: The prefect roll cage

May 11, 20244 min read

The Ribcage: engineering excellence.

If you think about the ribcage in engineering terms it's an absolute marvel. A strong, durable, resilient, flexible structure that a provides protection to the most essential organs (lungs and heart plus essential nerve and circulation superhighways) and support from which all the limbs take leverage.

The thoracic spine and ribcage play a critical role in maintaining overall health and mobility. This segment of the spine, which connects the cervical and lumbar regions, comprises 12 vertebrae and the corresponding ribs. Like a bird cage protects its inhabitants, the thoracic spine and rib cage protect vital organs such as the lungs and heart.

Let's turn our attention to the lungs for a moment. It's very important to utilise the full capacity of the lungs regularly (take big breaths, do exercise) to ensure you maintain mobility in the costovertebral joints (rib to vertebra junction) and the inter-vertebral joints (between the vertebrae. Think of deep breathing as a means of lubricating these joints and maintaining suppleness in the ligaments and muscle that surround them.The diaphragm forms the base of the ribcage and contracts and flattens as it moves down on the inhale, and returns to its domed position as it relaxes on the exhale. This changes the pressure inside the cage; the miracle of breathing!

The unique shape and design of the thoracic spine, particularly its articulation with the rib cage, allows for flexibility and stability in the upper body. The ribs, akin to the bars of a bird cage, provide support and protection to the organs within the chest cavity. Unlike a birdcage which is a static structure, they splay apart and coalesce like a Spanish fan. Even more impressive is that each side of the ribcage can move independently depending on the task. I sometimes liken it to two slinky toys that meet in the middle at the breastbone and the spine. As one side twists clockwise the other twists counterclockwise. It's so clever!

When movement and function is compromised in the thoracic spine and ribcage, every other area of the spine is compromised too. This is why treatment of the thoracic spine and ribs always features in my care for people with neck, shoulder, lower back and hip problems. It's importance can't be overestimated.

Fun fact: some people have an extra rib on each side coming from the 7th cervical vertebra

My clients are often surprised to learn that the 1st rib is right next to the collar bone, it provides protection at the top of the thoracic cage. If the scalene muscles, (on the side of the neck used for neck rotation and side flexion) are tight, they elevate the first rib which closes the space that your nerves exist the neck through (thoracic outlet syndrome). This can result in arm pain or pins and needles.

The thoracic spine is central to movements such as rotation, side bending, forward flexion and extension, which are essential for daily activities. Sustained sitting, the scourge of many occupations, results in reduced flexibility of the ribcage and over time neighbouring joints such as the shoulders and hips also loose range.

It is really important to maintain these movements throughout your life. However you like to stretch do it regularly; home stretches, swimming, yoga or pilates classes or tai chi, whatever takes your fancy, I encourage you to do it regularly throughout your life to maintain this wonderful structure. Please don't ignore maintenance of the part of your body or leave it too late. Often I treat people whose ribcages have been rigid and frail instead of mobile and robust and I would have loved to have met them when they were younger to share this advice.

Whether your problem area is the neck, shoulder, back or legs your thoracic spine provides the platform for your form and function. I'll always give it attention in my treatments and provide you with home exercises and tips to maintain it well. It's always a good time to start self-care for this awesome feat of engineering.

Enjoy your wonderful body, with it's amazing engineering.

If you'd like my help please get in touch in the usual ways; 07903 389905 lisa@theenablemovement.com or fill in this quick I want to work with Lisa form.

Lisa is a Chartered Physiotherapist and Sports & Exercise Medicine Specialist.

Lisa Kerry

Lisa is a Chartered Physiotherapist and Sports & Exercise Medicine Specialist.

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