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)