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OS3 Exam 1 > (9) [CPA] Anterior C/T/L Counterstrain > Flashcards

(9) [CPA] Anterior C/T/L Counterstrain Flashcards

1
Q

What are the (7) steps involved in counterstrain treatment?

A
  1. Regional exam
  2. Find worst TP
  3. Establish a tenderness scale
  4. Wrap around TP, Reduce pain to less than 70%
  5. Hold 90 seconds
  6. Slow return to neutral
  7. Retest TP/SD
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2
Q

When performing counterstrain, the patient position in geared to reduce strain.

How do you place the patient to do this?

A

Place pt. in position of EASE

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3
Q
A
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4
Q

What are the (5) Anterior cervical CS points?

A

AC1 (Mandible)

AC1 TP

AC 2-6

AC 7

AC 8

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5
Q

Where is the AC1 MandibleTP?

A

Posterior surface of ramus of mandible

-Push posterior to anterior

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6
Q

Where is the AC1 TP?

A

Midway b/w ramus and mastoid process on the transverse process of C1

(Push lateral to medial)

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7
Q

Where is the AC2-6 TP?

A

Anterior surface of transverse processes

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8
Q

Where is the AC7 TP?

A

2cm lateral to the medial end of the clavicle

(clavicular head of SCM)

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9
Q

Where is the AC8 TP?

A

Medial end of clavicle

(sternal head of SCM at sternal notch)

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10
Q

What is the treatment for AC1 Mandible?

Which direction do you push?

A

SaRa

Posterior to anterior

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11
Q

What is the treatment for AC1 TP?

Which direction do you push?

A

SaRa

Lateral to medial

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12
Q

What is the treatment for AC2-6 TP?

Which direction do you push?

A

FSaRa

Anterior to posterior

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13
Q

What is the treatment for AC7 TP?

A

FStRa

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14
Q

What is the treatment for AC7 TP?

A

FStRa

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15
Q

Cumulative table review

Fill out the entire table for the location and treatment of each TP

A
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16
Q

Take home points:

All of the Anterior Cervical CS points are treated with FLEXION except for???

A

AC1

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17
Q

Take home points:

All of the Anterior Cervical CS points are treated with SaRa except for???

That point is treated w/?

A

AC7

FStRa

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18
Q
A
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19
Q

Where is AT1 TP?

A

AT1 = Suprasternal notch

20
Q

Where is AT2 TP?

A

AT2 = Angle of the manubrium (louis)

21
Q

Where are AT3-AT6?

A

AT3-AT6 = on the sternum at the same numbered costal level

22
Q

Where are AT7 TP?

A

Inferior tip of xiphoid

and/or

1/4 distance from tip of xiphoid and umbilicus

23
Q

Where is AT8?

A

Halfway b/w tip of xiphoid and umbilicus

24
Q

Where is AT9?

A

3/4 distance from tip of xiphoid and umbilicus

25
Q

Where is AT10?

A

1/4 distance from the umbilicus to the pubic symphysis

26
Q

Where is AT11?

A

Halfway b/w the umbilicus and pubic symphysis

27
Q

Where is AT12?

A

On the anterior superior surface of the iliac crest at the midaxillary line

28
Q

What is the treatment position for AT1-T6?

A

Cervical and thoracic flextion to the level of TP

29
Q

What is the treatment for AT7-T9?

A

FStRa

Thoracic flexion w/ sidebending toward and rotation away

30
Q

What is the treatment position for AT10-12?

A

FStRa

Hip flexion

SIdebending torso toward

Rotate torso away

31
Q
A
32
Q

Where are the posterior thoracic tender points?

A

Either midline (spinous) or lateral (transverse)

Spinous= Midline, inferior aspect/tip of spinous process

Transverse = On transverse process of each thoracic vertebrae

33
Q

Treatment for PT 1-3?

A

ESaRa

34
Q

Treatment for PT 4-9 TP?

A

ESaRT

35
Q

If you are moving the lower extremity towards the tender point, the TORSO and LUMBARS would be rotating __________

A

If you are moving the lower extremity towards the tender point​, the TORSO and LUMBARS would be rotating AWAY

36
Q

Treatment for PT 10-12?

A

e-E SaRa (pelvis)

37
Q

Anterior Lumbar Counterstain

Describe where AL1-5 are:

A
38
Q

Treatment for AL1?

A

F STRA

39
Q

Treatment for AL 2-4?

A

F SART

Doc: Contralateral w/ ft on table. Flex knees/hips to 90 degrees

Ankles (SB) and knees (Rot) towards doc, away from TP

40
Q

Treatment for AL5?

A

F SARA

Doc: Ipsilateral w/ ft on table

Flex hip to 135, ankles SB away from TP

41
Q

What are the other (4) Major pelvic tenderpoints?

A

Psoas major

Iliacus

Low ilium

Inguinal

42
Q

Treatment for Iliacus?

A

FROG LEG ONE

Doc: Ipsilateral w/ foot on table

Flex hips/knees to 90, crossing ankles over doc’s knee. Inducing marked ER

43
Q

Treatment for low ilium?

A

Doc: Ipsilateral, flex hip and knee to >90, fine tune as needed

44
Q

Treatment for inguinal ligament?

A

Doc: ipsilateral w/ foot on table

Flex hips/knees to 90 degrees, rest on docs knee

Cross c/l ankle over i/l leg, pull ankles towards doc

IR of dysfunctional hip

45
Q

Treatment of psoas major?

A

Doc: ipsilateral w/ foot on table

Marked hip flexion

Pull feet and ankles toward TP side

46
Q
A

OS3 Exam 1 (14 decks)

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