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CRAM > Anterior Points > Flashcards

Anterior Points Flashcards

1
Q

Order of What to do:

A
  1. Diagnose somatic dysfunction
  2. Find a significant tender point
  3. Establish pain scale
  4. Wrap around the TP while monitoring
  5. Reduce pain at least 70% (pt comfy)
  6. Maintain position for 90 seconds (120 for ribs)
  7. Slowly passively return to neutral
  8. Reassess tender point
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2
Q

AC 1

A

Location: posterior surface of ascending ramus of the mandible

Treatment: rotate head away (RA)

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3
Q

Ac 2-6

A

Location: anterior lateral aspect of the TP of affected vertebra

Treatment: flex head and neck, side bend away, rotate away (F SARA)

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4
Q

AC 7

A

Location: posterior superior surface of proximal clavicle where SCM inserts

Treatment: flex head, side bend toward, rotate away (F STRA)

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5
Q

AC 8

A

Location: anterior aspect of sternoclavicular joint where SCM inserts

Treatment: flex head, side bend away, rotate away (F SARA)

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6
Q

AT 1

A

Location: midline on suprasternal notch

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7
Q

AT 2

A

Location: body of manubrium

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8
Q

AT 3

A

Location: midline at the level of the costal cartilage related to the named vertebra

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9
Q

AT 4

A

Location: midline at the level of the costal cartilage related to the named vertebra

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10
Q

AT 5

A

Location: midline about 1 inch superior to xyphoid

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11
Q

AT 6

A

Location: midline at sternal-xyphoid junction

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12
Q

AT 7

A

Location: midline at the tip of the xyphoid

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13
Q

AT 8

A

Location: midline 1.5 inches inferior to xyphoid

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14
Q

AT 9

A

Location: midline 1-2 cm superior to umbilicus

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15
Q

Treatment for AT 1-8

A

Place knee under patients head or trunk to use as a wedge to flex trunk to involved vertebrae

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16
Q

AT 10

A

Location: midline 1-2 cm inferior to umbilicus

17
Q

AT 11

A

Location: inline 3-4 cm below umbilicus

18
Q

AT 12

A

Location: mid-axillary line on the superior medial surface of iliac crest (can be on either side!)

19
Q

Treatment for AT 9-12

A

Use patients legs to cause flexing at the waist. Knees and hips are at 90 degrees. Fine tune by adding rotation towards the student

20
Q

AR 1

A

Location: inferior to clavicle on rib 1, lateral to manubrium

Treatment: pt supine, doc at head. Flex neck, side bend and rotate toward (F STRT)

(Treats a depressed rib, inhalation dysfunction)

21
Q

AR 2

A

Location: 1.5 inch lateral manubrium on rib 2 at mid clavicular line

Treatment: supine, flex neck, side bend and rotate toward (F STRT)

(Treats depressed rib, inhalation restriction)

22
Q

AR 3-6

A

Location: anterior a ill art line on ribs 3-6

Treatment: patient seated, students knee under arm on unaffected side, flex head and neck, side bend and rotate torso toward (F STRT)

(Treats a depressed rib, inhalation restriction)

23
Q

AL 1

A

Location: medial to ASIS

Treatment: supine, foot on table same side as dysfunction, flex hip and knees 90, pull legs towards student (F STRT)

24
Q

AL 2

A

Location: medial AIIS

Treatment: supine, stand on opposite side, with foot on table, pull legs toward student (F SARA)

25
Q

AL 3

A

Location: lateral to AIIS

Treatment: supine, stand opposite with foot on the table, flex hips and knees 90, move ankles toward students (minimal knee rotation) (F SART)

26
Q

AL 4

A

Location: inferior aspect of AIIS

Treatment: supine, student opposite with foot on table, flex hips and knees 90, pull ankles towards student (F SART)

27
Q

AL 5

A

Location: anterior aspect of pubic bone about 1cm lateral to pubic symphysis

Treatment: supine, student on same side with foot on table. Flex hip 90-135 degrees, push ankle away and rotate knees slightly toward (F SART)

28
Q

Iliacus Point

A

Location: lower abdominal quadrant, 1-2 inches medial to ASIS

Treatment: supine, on same side with foot on table, flex hips and knees 90, knees separated (frog legged)

29
Q

Low Ilium

A

Location: superior aspect of lateral ramus where psoas muscle crosses pelvic rim

Treatment: supine, on the same side, flex ipsilateral knee and hip 90, slight ER hip, fine tune with adduction or abduction

30
Q

Inguinal Ligament

A

Location: lateral surface of the pubic bone near attachment of inguinal ligament

Treatment: supine, same side of tender point, foot on table, flex hips and knees 90, cross opposite ankle over the leg, pull ankle towards student (IR hip on side of TP)

CRAM (12 decks)

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