Anterior C/T/L CS Flashcards
exam1 and CPA2
AC1= MANDIBLE
where and what is the trx
SaRa
posterior surface of ramus or mandible
push post–>ant
AC1= TP
where and what is the trx
SaRa
midway between ramus and mastroid process on the TP of C1
push lateral to medial
AC2-6
where and what is the trx
FSaRa
anterior surface of transverse process of the corresponding vertebrae
AC7
where and what is the trx
FStRa
2 cm lateral to the medial end of the clavicle
(clavicular head of SCM), 2-3 cm lateral to proximal clavicle
Seventh Heaven, going up to the StRa (star)
AC8
where and what is the trx
FSaRa
medial end of the clavicle (sternal head of SCM at the sternal notch)
push superior to inferior
AT1
where he
suprasternal notch
AT2
where he
angle of the manubrium (Louis)
AT3-6
where he
on the sternum as the same numbered costal level
AT7-12
where they
7-11: lateral to the midline within the rectus abdominis
(AT7= inferior tip of xiphoid process [in between R7s])
AT11= halfway between the umbilicus and the pubic symphsysis
AT12= on the anterior superior surface of the iliac crest at the midaxillary line
see google doc for picture
AT1-6 treatment position
lying down supine with arms falling over the sides of the table: patient at head with ipsi hand monitoring the tender point
use contra hand under the head to flex the C and T spine to the level of the PTP
OR patient is sitting up with arms pulled behind and hooked under the table, physician standing behind so that the pt can just lean against them
use contra hand to bend forward their head while monitoring TP with ipsi hand
AT7-9 treatment position
thoracic flexion with StRa
patient is seated, physician is standing behind the patient. put your whole ipsi foot on the ipsi side next to the patient, misogynist lumberjack style
use contra hand to reach around and monitor the TP, use ipsi hand on patient’s head to induce StRa (the have their ipsi arm on your lumberjack leg and will end up leaning on it)
AT10-12
hip flexion, StRa torso
patient is supine, hands holding their titties (to get out the way)
you misogynist lumberjack style put your knee on the table so that you can grasp BOTH ankles to throw over your leg
monitor the ipsilateral TP with your cephalad hand
PT SPINOUS PROCESS 1-12
where and how treat
midline on the inferior, aspect/tip of spinous process of the dysfunctional segment
extension
they either supine for C spine
PT 1-3 TPs
where and how treat
ESaRa
on the transverse process of each thoracic vertebra (medial to articulation with associated rib)
associated with longissimus thoracis, levatores costarum, semispinalus, multifides, or rotatores
PT 4-9 TPs
where and how
ESaRt
on the TP of each thoracic vertebra (medial articulation w associated rib)
associated with longissimus thoracis, levatores costarum, semispinalus, multifidus or rotatores
PT 10-12 TPs
where and how
e-E SaRa (pelvis), e-E SaRt (torso)
on the transverse process of each thoracic vertebra (medial to articulation w associated rib)
if moving the LE towards the tender point, the torso and lumbars would be rotating ____ (towards/away)
away
rotation refers to the movement of lumbar vertebrae in relation to the PT
AL1
where and how treat
medial ASIS
FStRa
patient supine. doc on the ipsi side, misogynist lumberjack knee. monitor TP with cephalad hand patient flex hips/knees to 90, supporting with doc's leg on table pull ankles (SB component) and knees (ROT) towards doc
AL2
medial anterior inferior iliac spine
F SaRt
patient supine
doc is on contra lateral side, monitor TP w cephalad hand
grab both ankles together and flex hips and knees so that both their ankles can rest on your thigh (you’re standing on one leg with the other leg slightly flexed up to catch their ankles)
ankles (SB) and knees (R) toward doc
move the knees more than the ankles
AL3 + 4
lateral A.I.I.S (3), inferior A. I. I. S (4)
F SART
patient supine, doc on contra side misogynist lumberjack foot on table to rest both ankles on lumberjack leg, monitor the TP with cephalad hand
flex hips/knees to 90
ankles (SB) and knees (R) towards doc, away from TP
AL5
lateral to the pubic symphysis
F SARA
Pt supine, doc ipsi with misogynist lumberjack foot on table
felx hip to 135, ankles (SB) away from the TP towards doc to rest on lumberjack leg
iliacus TP
QL, medial to ASIS deep in the iliac fossa
patient supine
doc is ipsilateral w foot on the table, monitor at medial aspect of ASIS
flex hips/knees to 90 (to make diamond butterfly), cross ankles over doctor’s knee inducing marker ER
“frog leg”
low ilium
superior pubic ramus where psoas M crosses pelvic rim
patient supine
doc is on the ipsi side, misogynistic lumberjack style, monitor TP with cephalad hand,
lift on the ipsi leg, flex hips and knee to 90s, hold calf with caudad hand
fine tune as needed
inguinal Ligament
lateral pubic tubercle
pt supine
doc ipsilateral with misogynistic lumberjack leg on table, monitor TP with cephalad hand
flex both hips and knees to 90s, rest both doc’s knees
cross contra lateral ankle over ispi leg, pull that contra ankle over ipsilateral leg towards doc
IR or dysfunctional hip
psoas major
2/3 distance from ASIS to midline pressing deep
patient supine
doc ipsilateral misogynistic, lumberjack style food up on table have both ankles resting on lumberjack leg with marked hip flexion by leaning knee toward patient
pull feet and ankles toward TP side
fine tune as needed
