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Boards OMM > Chapter 14 - Counterstrain and FPR > Flashcards

Chapter 14 - Counterstrain and FPR Flashcards

1
Q

Counterstrain is (passive/active) and (direct/indirect)

A

Passive, Indirect

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2
Q

Tenderpoints are typically located where?

A

Near bony attachments of tendons, ligaments

OR in the belly of some muscles

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3
Q

Why is counterstrain held for 90 seconds?

A

The time required for the proprioceptive firing to decrease in frequency and amplitude

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4
Q

If a tenderpoint is associated with a V-S reflex, how long will the pain be reduced following a counterstrain treatment?

A

A few hours at most

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5
Q

Anterior cervical TPs - treatment position?

A

SB and Rotate AWAY

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6
Q

Tenderpoint 2-3 cm lateral to the SC joint on the clavicle

This point is considered a _____

Treatment position?

A

C7 (SCM lateral attachment)

Maverick point

Flex, SB toward, Rotate away

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7
Q

Posterior cervical TPs - treatment position?

A

Extend, SB and Rotate AWAY

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8
Q

PC1 inion - location?

Considered a ____

Treatment position?

A

Posterior occipital protuberance

Maverick point

FLEXION

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9
Q

T1 - T6 - locations

*AT2 tenderpoint specifically?

A

Midline on the sternum at the attachment of those ribs

AT2 is on the sternum at the Angle of Lewis

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10
Q

T7-T12 - locations

specifics for AT9-12
*what is special about AT12?

A

(MOST) In the rectus abdominus muscle, 1 inch lateral to midline on the R or L

AT9 - 1cm above umbilicus
AT10 - 1-2 cm below umbilicus
AT11 - 2 in below umbilicus
AT12- inner ala of ilium in midaxillary line bilaterally (*the only AT tender point with two locations - bilateral)

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11
Q

Anterior thoracic points - treatment position?

A

Flex thorax, little SB and Rotation AWAY

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12
Q

Posterior thoracic points - treatment position?

A

Extend thorax, little SB and Rotation AWAY

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13
Q

Anterior rib tenderpoints = ____

Posterior rib tenderpoints = ____

A

EXHALATION (depressed) ribs

INHALATION (elevated) ribs

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14
Q

AR1 - location

Treatment position?

A

Below the medial clavicle, where rib 1 attaches to the manubrium

Flex head, SB and Rotation TOWARDS (like rib 2)

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15
Q

AR2 - location

Treatment position?

A

6-8 cm lateral to sternum on rib 2

Flex head, SB and Rotation TOWARDS (like rib 1)

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16
Q

Ribs 3-6 - location

Treatment position?

A

Mid-axillary line on the corresponding rib

SB and Rotate thorax TOWARD, slight flexion

17
Q

Posterior rib points - location

Treatment position?

A

Angle of the rib

SB and Rotate AWAY, minimal flexion

18
Q

L1 - location
L2-4 - locations
**L5 - location

A 
L1 = Medial to ASIS
L2-4 = Medial, Lateral, and Inferior to ASIS
L5 = 1cm lateral to pubic symphysis on superior ramus
19
Q

Anterior lumbar points - treatment position

A

Supine, hips and knees flexed and ER (rot away)

20
Q

Posterior lumbar points - locations

A

SP or TP of lumbar vertebrae
L3, L4 = maybe iliac crest
L5 = maybe PSIS

21
Q

Posterior lumbar points - treatment position

A

Prone, extended, SB away (Rotation toward or away)

22
Q

Lower pole L5 - location

Treatment position

A

Caudad to PSIS

Prone, Hip and knee flexed, leg IR and ADD

23
Q

Iliacus - location

Treatment position

A

7 cm medial to ASIS

Supine, hip flexed and ER

24
Q

Piriformis - location

Treatment position

A

7 cm medial and slightly cephalad to trochanter

Prone, Hip and Knee flexed, thigh abducted and ER

25
Q

Describe FPR

  • Direct or indirect?
  • Patient position? Why?
  • After positioning?
  • How long to hold?
A

Indirect MFR where body part is placed into a NEUTRAL position to diminish tissue and joint tension in all planes, then adding an ACTIVATING force (compression or torsion). Hold force for 3-4 seconds.

26
Q

FPR - steps (5)

A
  1. Neutral position, straighten the AP curvature
  2. Apply facilitating force (compression or torsion)
  3. Shorten muscle
  4. Hold for 3-4 seconds
  5. Release and re-evaluate

Boards OMM (18 decks)

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