5. Posterior HEad Counterstrain Points

Question 1

Steps in Counterstrain

Answer 1

1. Find the most significant TP
2. Establish a pain scale
3. Monitor the point for tenderness and tissue texture changes
4. Place the pt passively in a position that results in the greatest ⬇︎ in tenderness and tissue texture changes.
5. Maintain for 90 seconds
6. Slowly return to neutral
7. Reassess

Question 2

Posterior Head (Suboccipital) Counterstrain points

Answer 2

1. PC1 Inion
2. PC1 Occiput
3. PC2 Occiput
4. PC2

Question 3

PC1 Inion

• Location
• Treatment position
• Muscle focus

Answer 3

1. F StRA (SB towards, rotate away)
2. Inferior to the nuchal line, lateral to the inion
3. Rectus Capitis Minor m.

Question 4

PC1 Occiput

• Treatment position
• Location
• Muscle focus

Answer 4

• E SaRa
• Inferior to the nuchal line, between the inion and mastoid
• Obliquus Capitis Superior M.

Question 5

PC2 Occiput

1. Treatment position
2. Location
3. Muscle focus

Answer 5

1. E SaRa
2. Inferior to nuchal line
3. Semispinalis Capitis M.

Question 6

PC2

1. Treatment position
2. Location
3. Muscle focus

Answer 6

1. e-E SaRa
2. Superior aspect of C2
3. Rectus Capitis m. and Oliquus Capitus inferior m.

Question 7

Majority of HA have some sort of _________ component. What does this mean?

Answer 7

Cervicogenic; thus, HA are reffered pain to problem in the neck. they are very responsible to manipulation

Question 8

When treating HA, what area do we focus on?

Answer 8

Suboccipital triangle, specifially the Greater Occipital Nerve

Question 9

Suboccipital Triangle is HIGHLY sensitive to _____, which is affected by [fascia, muscle spindles, vestibular ocular system]

Answer 9

• Proopioception
• Chronic neck pain = highly associated with ⬇︎ balance