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OS3 Exam 1 > (7) [CPA] Upper and Lower Extremity Counterstrain > Flashcards

(7) [CPA] Upper and Lower Extremity Counterstrain Flashcards

1
Q

What are the steps for counterstrain?

A
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2
Q

Where is the tensor fasciae latae?

A
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3
Q

How do you treat the lateral trochanter (tensor fasciae latae)?

A

Pt. position = supine or prone

Doc = ipsilateral to TP

Positioning = pt.s knee is ABDUCTED and slightly FLEXED

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4
Q

Where is the liotibial band?

A
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5
Q

How do you treat the lateral trochanter (IT band)?

A

Pt position = supine or prone

Doc = ipsilateral to TP

Positioning = pt’s hip/thigh is ABDUCTED and slightly FLEXED until the tenderness is less than or equal to 70% reduction

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6
Q

Where are the lateral hamstring TPs?

A

Distal aspect of the biceps femoris near attachment to the posterolateral surface of the fibular head

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7
Q

How do you treat lateral hamstring TPs?

A

Pt position = supine or prone

Doc = ipsilateral to TP

Positioning = pt/s knee is FLEXED and TIBIA is EXTERNALLY ROTATED with slight abduction; compression on the calcaneus is added to plantar flex the ankle

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8
Q

Where are the medial hamstring TPs?

A
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9
Q

How do you treat medial hamstring TPs?

A

Pt position = supine or prone

Doc = ipsilateral to TP, grasp lateral ankle/foot to control the lower leg

Positioning = pt.s knee is FLEXED and the tibia is INTERALLY ROTATED with slight ADDUCTION; compression on the calcaneus is added to plantar flex the ankle

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10
Q

What is the quick and dirty medial hamstring treatment?

A

F IR ADd

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11
Q

Summary slide of all the treatments covered so far:

Latearl trochanter (tensor fasciae latae)

IT band

Lateral hamstring

Medial hamstring

A
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12
Q

Quick and dirty treatment for:

IT band

A

f ABD

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13
Q

Quick and dirty treatment for:

Latearl hamstring TP

A

F ER ABd

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14
Q

Quick and dirty treatment for:

Medial hamstring

A

F IR ADd

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15
Q

How do you treat lateral meniscus/Lateral (fibular) collateral ligament?

A

Pt position = supine

Doc = ipsilateral, seated

Positioning = Pts thigh is ABDUCTED so leg is off table, FLEX KNEE 35-40 degrees, tibia is abducted and extrenally or internally rotated until tenderness is reduced by at least 70%

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16
Q

How do you treat the medial meniscus/medial (tibial) collateral ligament?

A

Pt position = supine

Doc = ipsilateral, seated

Positioning = pts thigh is ABDUCTED so leg is off table, flex knee 35-40 degrees, tibia is adducted and internally rotated until the tenderness is reduced by more than 70%

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17
Q

How do you treat anterior cruciate?

A

Pt position = supine

Doc = ipsilateral

Positioning = TOWEL/PILLOW under distal femur for fulcrum, apply force to PROXIMAL TIBIA to translate tibia posteriorly on distal femur until tenderness is reduced by 70%

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18
Q

How do you treat posterior cruciate ligament?

A

Pt position = supine

Doc = ipsilateral

Positioning = TOWEL/PILLOW under proximal tibia for fulcrum, apply force to distal femur to translate femur posteriorly on proximal tibia until the tenderness is reduced by 70%

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19
Q

Where is the popliteus m.?

A
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20
Q

How do you treat the popliteus m.?

A

Pt position = prone

Doc = ipsilateral

Positioning = pts KNEE FLEXED and TIBIA INTERNALLY ROTATED until the tenderness is reduced by 70% or more

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21
Q

How do you treat extension ankle (gastrocnemius)?

A

Pt position = prone

Doc = ipsilateral

Positioning = pts KNEE FLEXED and DORSUM OF FOOT on doc’s thigh, add a COMPRESSIVE FORCE through calcaneus until the tenderness is reduced by 70%

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22
Q

Review slide of treatments

A
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23
Q

Where are the TPs for tibialis anterior?

A
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24
Q

How do you treat medial ankle (tibialis anterior): inversion TP?

A

Pt position = LATERAL RECUMBENT with PILLOW UNDER AFFECTED LEG

Positioning= Apply INVERSION force to foot and ankle with slight internal rotation until the tendernes is reduced by at least 70%

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25
Q

How do you treat lateral ankle EVERSION?

A

Pt position = lateral recumbent w/ PILLOW UNDER AFFECTED LEG

Positioning = Apply EVERSION force to foot and ankle w/ slight EXTERNAL ROTATION until the tenderness is reduced by 70%

26
Q

Where the flexion calcaneus TP?

A
27
Q

How do you treat flexion calcaneus (quadratus plantae)?

A

Pt: Supine or prone

Doc : Ipsilateral to TP

Positioning : pts knee is FLEXED, dorsum of foot on doc’s thigh, marked FLEXION while translating calcaneus toward the forefoot until the tenderness is reduced by at least 70%

28
Q

Where is the navicular?

A
29
Q

Where is the supraspinatus m.?

A
30
Q

How do you treat the supraspinatous m. TP?

A

Pt position = supine

Doc = ipsilateral to TP

Positioning = pt.s arm is FLEXED 45 degrees, ABDUCTED 45 degrees, and ER until the tenderness is reduced by at least 70%

31
Q

Where is the infraspinatus m.?

A
32
Q

How do you treat the infraspinatous m. TP?

A

Pt position = supine

Doc = Ipsilaterl to TP

Positioning = pts arm is FLEXED 90-120 degrees and ABDUCTED

33
Q

How do you treat the lower infraspinatus m. TP?

A

F Abd ER

Pt position = Lateral recumbent (TP up)

Doc = in front or behind pt

Positioning = pts arm is FLEXED 135-150 degrees, ABDUCTED, and ER to fine tune

34
Q

Where is levator scapulae m.?

A
35
Q

How do you treat levator scapulae?

A

IR Abd traction

pt position= prone, head rotated away

doc= ipsilateral to TP

Positioning = INTERNAL ROTATION of pts shoulder, add mild-mod TRACTION w/ minimal abduction

36
Q

Where are the rhomboid m.s?

A
37
Q

How do you treat rhomboid minor/major?

A

E Add

pt position= seated/prone

Doc = either side

Positioning = pts shoulder is EXTENDED ADDUCTED by pulling elbow POSTERIOR/MEDIAL

38
Q

Where is the subscapularis m.?

A
39
Q

How do you treat subscapularis TP?

A

E IR

Pt position = supine

Doc= seated ipsilateral

Positioning = pts shoulder is EXTENDED and INTERNALLY ROTATED, traction can help

40
Q

Where is the long head of the biceps brachii?

A
41
Q

How do you treat biceps brachii (long head)?

A

F ABd IR

Pt position = supine

Doc = ipsilateral

Positioning = Elbow and shoulder are FLEXED, arm is minimally abducted and internally rotated

42
Q

Where is the short head of biceps brachii?

A
43
Q

How do you treat the short head of biceps brachii?

A

Pt position = supine

Doc = ipsilateral

Positioning = elbow and shoulder FLEXED and arm is minimally abducted and internally rotated

44
Q

Where is pectoralis minor m.?

A
45
Q

How do you treat pectoralis minor m.?

A

Pt position = supine

Doc = ipsilateral

Positioning = pts arm accross chest, shoulder/scapula pulled ANTERIOR, INFERIOR and MEDIAL to shorten fibers

46
Q

Where is the radial head/lateral (supinator)?

A
47
Q

How do you treat the radial head?

A

Pt position = supine

Doc = ipsilateral

Positioning = pts elbow in FULL EXTENSION, forearm markedly SUPINATED

48
Q

Where is the pronator teres m. TP?

A
49
Q

How do you treat medial epicondyle (pronator teres)?

A

F PRO Add

Pt position = supine

Doc = ipsilateral

Positioning = pts elbow is FLEXED, marked PRONATION, forearm slightly ADducted

50
Q

Where is the extensor carpi radialis?

A

Dorsal wrist

51
Q

How do you treat dorsal wrist?

A

Pt position = seated or supine

Doc = ipsilateral

Positioning = pts wrist passively extended and ABducted

52
Q

Where is extensor carpi ulnaris?

A

Dorsal wrist

53
Q

How do you treat extensor carpi ulnaris?

A

Pt position = supine or seated

Doc = ipsilateral

Positioning = Pts writs passivley EXTENDED and ADDucted

54
Q

Where is flexor carpi radialis?

A
55
Q

How do you treat flexor carpi radialis?

A

Pt positon= supine or seated

Doc = ipsilateral

Positioning = pts wrist passively FLEXED and ABducted

56
Q

Where is flexor carpi ulnaris?

A
57
Q

How do you treat flexor carpi ulnaris?

A

Pt position = supine or seated

Doc = ipsilateral

Positioning = pts wrist passively FLEXED and ADDUCTED

58
Q

Where is abductor pollicis brevis?

A
59
Q

How do you treat abductor pollicis brevis?

A

Pt position = supine or seated

Doc = ipsilateral

Positioning = pts wrist passively FLEXED, THUMB is ABUCTED

60
Q
A

OS3 Exam 1 (14 decks)

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