chapter 14: CS and FPR Flashcards
maverick point
approx 5% of Tender points wil not improve with expected treatment even with careful fine tuning
these maverick points are treated by positioning the pt in a position opposite of what would be used typically
AC1 tender point and treatement
posterior surface of ascending ramus of mandible
treatment RA, pt supine
AC2-6 tender pt and treatment
anterolateral aspect of TP of affected vertebra
pt supine treatment F SARA
AC 7 TP and treatment
posterosuperior surface of prox clavicle where SCM inserts (lateral to AC8)
pt supine F STRA
AC 8 TP and treatment
medial end of clavicle at sternal attachment of SCM
pt supine F SARA
AT 1-8 treatment
pt supine, dr at head of table
dr places knee under pts head and kneck and flex them up and fine tune by flex and sidebending away a tad bit
AT 1-8 locations
1- suprasternal notch 2- midline on manubrium 3- midline at level of costal carilage 4- midline at level of costal carilage 5- 1 inch superior to xyphoid 6 at sternal xiphioid junction 7- tip of xiphoid 8 midline 1.5 inches inferior to xiphoid
AT9-12 location
9- midline 1-2 cm supedrior to umbilicus
10- midline 1-2 cm inferior to umbilicus
11- midline 3-4 cm below umbilicus
12- mid ax line on superomedial surface of iliac crest
AT 9-12 treatment
pt supine, dr same side of TP
flex pts legs, hips and knees bent 90 degrees with fine tuing by adding rotation toards dr
posterior cedrvical TPs location and treatment
usually at tip of spinous process or on lateral sides of spinous process
pt supine E SARA
PC1 inion location and treatment
1-2 cm inferior to external occipital protuberance, slighlty lateral, on insertion of semispinalis capitis
treat: pt supine, flexion while monitoring
posterior thoracic tenderpiont location and treatment
location: on either side of spinous process or on the transverse process
treat: pt prone, E SARA
1-3 pts arms off side of table
4-6 pts arms over top of table
7-9 arms over top of table with pillow under chest
10-12 arms over top of table with pillow under chest (grab ASIS side oppp of dyfunction and raise pts hip)
AR 1 location and treatement
directly inferior to SC joint
treat: supine, dr head of table, F STRT
AR 2 location and treatement
6-8 cm lateral to sternum on rib 2
pt supine F STRT
AR 3-6 location and treatment
location: mid axillary line on corresponding rib
treat: F STRT of thorax (pt seated, unaffected side arm draped over physician knee)
posterior rib locations TP
angle of the corresponding rib
treatment PR 1
pt seated, doc behind, pts arm side dysfunction on docs knee, sidebend and rotate pts head TOWARD dysfunction and extend
E STRT
treatment PR 2
pt seated, doc behind/to side, doc places pts arm on side of dysfunction on docs knee, doc flexes pts head and sidebends and rotates trunk away from dysfunction and neck too
F SARA
tretment PR 3-6
pt seated doc pt arm affected side draped over docs knee, doc grabs pts shoulder on side of dysfucntion and SARA pt
Anterior lumbar tenderpoints
AL1
AL2-4
AL5
AL1: medial to ASIS AL2: medial to AIIS AL3: lateral to AIIS AL4: inferior aspect of AIIS AL5: 1 cm lateral to pubic syphysis
treatment of AL1 and AL5
F STRA
AL 2-4 treatment
pt supine, dr. opp side of TP
flex hips and knees 90
F SART
iliacus TP location and treatment
location: 1-2 in (7 cm) medial to ASIS deep in iliac fossa
frog leg (supine, hip flexed and externally rotated)
psoas TP location
halfway btwn ASIS and umbilicus
