Cervical & Thoracic Counterstrain Flashcards
Location and treatment position for counterstrain point AC1 mandible
Posterior surface of ascending ramus of mandible
Pt supine, dr at head of table; Push posterior to anterior [SARA]
Location and treatment position for counterstrain point AC1 TP
C1 transverse process found midway between ramus of mandible and mastoid process
Pt supine, Dr at head of table; Push lateral to medial, rotate away, fine tune with SB away [saRA]
Location and treatment position for counterstrain point AC2-6
Anterior aspect of associated transverse process
Pt supine; Dr at head of table; F SARA
[alternate tx: cervical extension with SARA]
Location and treatment position for counterstrain point AC7
Posterosuperior surface of proximal clavicle where SCM inserts (2-3 cm lateral to the AC8 TP)
Pt supine, Dr at head of table [F STRA]
Location and treatment position for counterstrain point AC8
Clavicular insertion of SCM near the sternal notch
Pt supine, Dr at head of table; F SARA
Location of counterstrain point AT1
Midline on suprasternal notch
Location of counterstrain point AT2
Midling on manubrium at sternal angle (angle of Louis)
Location of counterstrain point AT3-4
Midline at level of costal cartilage related to named vertebra
Location of counterstrain point AT5
Midline at the level of the costal cartilage related to the named vertebra (about 1 inch superior to xyphoid)
Location of counterstrain point AT6
Midline at level of costal cartilage related to named vertebra (at sternal-xiphoid junction)
Location of counterstrain point AT7
Can be midline OR lateral to midline 1/4 distance from tip of xiphoid to umbilicus
Location of counterstrain point AT8
Can be midline or lateral to midline, halfway between xiphoid and umbilicus (1.5” inferior to xiphoid)
Treatment position for AT1-AT6
Pt supine
Dr at head of table, cervical and thoracic FLEXION to level of TP.
Modification: perform with patient seated and dr standing behind pt, flexing head to level of TP
Treatment position for AT7-AT9 bilateral TPs
Pt seated
Dr standing behind, place foot on side opposite TP (if lateral TP), then use leg to SB torso towards TP, and rotate torso away [F STRA]
**if midline TP, flex to level of TP
Location of counterstrain point AT9
Can be midling or lateral to midline, 3/4 distance from xiphoid tip to umbilicus (1-2 cm superior to umbilicus)
Location of counterstrain point AT10
Lateral to midline, 1/4 distance from umbilicus to pubic symphysis (1-2cm inferior to umbilicus)
Location of counterstrain point AT11
Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm below umbilicus)
Location of counterstrain point AT12
Lateral to midline, midaxillary line on superoanterior surface of iliac crest
AT10-AT12 treatment position
Pt supine
Dr stands on same side of TP, flex pts hips/knees, pull pts knees toward doc, causing pelvis and lower segment to rotate toward TP while torso and upper segment rotate away; pull pts ankles toward doc, which SB dysfunctional segment toward TP
Location and tx position of PC1 inion
On inferior nuchal line, just lateral to inion
F StRa
Location and tx position of PC2 and PC3 occiput
PC1 occiput: inferior to superior nuchal line, midway between inion and mastoid associated with splenius capitis and/or the obliquus capitis superior mm.
PC2 occiput: inferior nuchal line within semispinalis capitis m.
Tx: ESARA
Location and tx position of PC3
Inferolateral aspects of C2 spinous process
F SARA
[may require STRA instead — maverick point]
Location and tx position of PC4-7
Inferolateral aspect of spinous processes named for spinal nerves which exit below vertebrae (e.g., PC5 points are on C4 SP)
Tx: ESARA
Location and tx position of PC8
Inferolateral aspect of spinous process of C7
Tx: F SARA or E SARA, depending on pt
Treatment positioin for PT1-3 SP
Pt prone with arms draped over side of table; extension to segment
Treatment position for PT1-3 TP
E SARA
Treatment position for PT4-6 SP
Pt prone with arms draped over TOP of table; extend to segment
Tx position for PT 4-9 TP
E SART
Tx position for PT 7-9 SP
Pt prone with arms draped over TOP of table with pillow under chest, add extension as needed
Tx position for PT10-12 SP
Pt prone with arms draped over TOP of table with pillow under chest, extend
Tx position for PT 10-12 TP
Pt prone; ESART
Treatment of what type of CS point requires lengthening of tissues around the TP rather than shortening/wrapping around them?
Maverick point
