(9) [CPA] Anterior C/T/L Counterstrain Flashcards
What are the (7) steps involved in counterstrain treatment?
- Regional exam
- Find worst TP
- Establish a tenderness scale
- Wrap around TP, Reduce pain to less than 70%
- Hold 90 seconds
- Slow return to neutral
- Retest TP/SD
When performing counterstrain, the patient position in geared to reduce strain.
How do you place the patient to do this?
Place pt. in position of EASE
What are the (5) Anterior cervical CS points?
AC1 (Mandible)
AC1 TP
AC 2-6
AC 7
AC 8
Where is the AC1 MandibleTP?
Posterior surface of ramus of mandible
-Push posterior to anterior
Where is the AC1 TP?
Midway b/w ramus and mastoid process on the transverse process of C1
(Push lateral to medial)
Where is the AC2-6 TP?
Anterior surface of transverse processes
Where is the AC7 TP?
2cm lateral to the medial end of the clavicle
(clavicular head of SCM)
Where is the AC8 TP?
Medial end of clavicle
(sternal head of SCM at sternal notch)
What is the treatment for AC1 Mandible?
Which direction do you push?
SaRa
Posterior to anterior
What is the treatment for AC1 TP?
Which direction do you push?
SaRa
Lateral to medial
What is the treatment for AC2-6 TP?
Which direction do you push?
FSaRa
Anterior to posterior
What is the treatment for AC7 TP?
FStRa
What is the treatment for AC7 TP?
FStRa
Cumulative table review
Fill out the entire table for the location and treatment of each TP
Take home points:
All of the Anterior Cervical CS points are treated with FLEXION except for???
AC1
Take home points:
All of the Anterior Cervical CS points are treated with SaRa except for???
That point is treated w/?
AC7
FStRa
Where is AT1 TP?
AT1 = Suprasternal notch
Where is AT2 TP?
AT2 = Angle of the manubrium (louis)
Where are AT3-AT6?
AT3-AT6 = on the sternum at the same numbered costal level
Where are AT7 TP?
Inferior tip of xiphoid
and/or
1/4 distance from tip of xiphoid and umbilicus
Where is AT8?
Halfway b/w tip of xiphoid and umbilicus
Where is AT9?
3/4 distance from tip of xiphoid and umbilicus
Where is AT10?
1/4 distance from the umbilicus to the pubic symphysis
Where is AT11?
Halfway b/w the umbilicus and pubic symphysis
Where is AT12?
On the anterior superior surface of the iliac crest at the midaxillary line
What is the treatment position for AT1-T6?
Cervical and thoracic flextion to the level of TP
What is the treatment for AT7-T9?
FStRa
Thoracic flexion w/ sidebending toward and rotation away
What is the treatment position for AT10-12?
FStRa
Hip flexion
SIdebending torso toward
Rotate torso away
Where are the posterior thoracic tender points?
Either midline (spinous) or lateral (transverse)
Spinous= Midline, inferior aspect/tip of spinous process
Transverse = On transverse process of each thoracic vertebrae
Treatment for PT 1-3?
ESaRa
Treatment for PT 4-9 TP?
ESaRT
If you are moving the lower extremity towards the tender point, the TORSO and LUMBARS would be rotating __________
If you are moving the lower extremity towards the tender point, the TORSO and LUMBARS would be rotating AWAY
Treatment for PT 10-12?
e-E SaRa (pelvis)
Anterior Lumbar Counterstain
Describe where AL1-5 are:
Treatment for AL1?
F STRA
Treatment for AL 2-4?
F SART
Doc: Contralateral w/ ft on table. Flex knees/hips to 90 degrees
Ankles (SB) and knees (Rot) towards doc, away from TP
Treatment for AL5?
F SARA
Doc: Ipsilateral w/ ft on table
Flex hip to 135, ankles SB away from TP
What are the other (4) Major pelvic tenderpoints?
Psoas major
Iliacus
Low ilium
Inguinal
Treatment for Iliacus?
FROG LEG ONE
Doc: Ipsilateral w/ foot on table
Flex hips/knees to 90, crossing ankles over doc’s knee. Inducing marked ER
Treatment for low ilium?
Doc: Ipsilateral, flex hip and knee to >90, fine tune as needed
Treatment for inguinal ligament?
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
Treatment of psoas major?
Doc: ipsilateral w/ foot on table
Marked hip flexion
Pull feet and ankles toward TP side
