Anterior Points Flashcards
Order of What to do:
- Diagnose somatic dysfunction
- Find a significant tender point
- Establish pain scale
- Wrap around the TP while monitoring
- Reduce pain at least 70% (pt comfy)
- Maintain position for 90 seconds (120 for ribs)
- Slowly passively return to neutral
- Reassess tender point
AC 1
Location: posterior surface of ascending ramus of the mandible
Treatment: rotate head away (RA)
Ac 2-6
Location: anterior lateral aspect of the TP of affected vertebra
Treatment: flex head and neck, side bend away, rotate away (F SARA)
AC 7
Location: posterior superior surface of proximal clavicle where SCM inserts
Treatment: flex head, side bend toward, rotate away (F STRA)
AC 8
Location: anterior aspect of sternoclavicular joint where SCM inserts
Treatment: flex head, side bend away, rotate away (F SARA)
AT 1
Location: midline on suprasternal notch
AT 2
Location: body of manubrium
AT 3
Location: midline at the level of the costal cartilage related to the named vertebra
AT 4
Location: midline at the level of the costal cartilage related to the named vertebra
AT 5
Location: midline about 1 inch superior to xyphoid
AT 6
Location: midline at sternal-xyphoid junction
AT 7
Location: midline at the tip of the xyphoid
AT 8
Location: midline 1.5 inches inferior to xyphoid
AT 9
Location: midline 1-2 cm superior to umbilicus
Treatment for AT 1-8
Place knee under patients head or trunk to use as a wedge to flex trunk to involved vertebrae
AT 10
Location: midline 1-2 cm inferior to umbilicus
AT 11
Location: inline 3-4 cm below umbilicus
AT 12
Location: mid-axillary line on the superior medial surface of iliac crest (can be on either side!)
Treatment for AT 9-12
Use patients legs to cause flexing at the waist. Knees and hips are at 90 degrees. Fine tune by adding rotation towards the student
AR 1
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)
AR 2
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)
AR 3-6
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)
AL 1
Location: medial to ASIS
Treatment: supine, foot on table same side as dysfunction, flex hip and knees 90, pull legs towards student (F STRT)
AL 2
Location: medial AIIS
Treatment: supine, stand on opposite side, with foot on table, pull legs toward student (F SARA)
AL 3
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)
AL 4
Location: inferior aspect of AIIS
Treatment: supine, student opposite with foot on table, flex hips and knees 90, pull ankles towards student (F SART)
AL 5
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)
Iliacus Point
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)
Low Ilium
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
Inguinal Ligament
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)
