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COMLEX DF > chapter 14: CS and FPR > Flashcards

chapter 14: CS and FPR Flashcards

1
Q

maverick point

A

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

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2
Q

AC1 tender point and treatement

A

posterior surface of ascending ramus of mandible

treatment RA, pt supine

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3
Q

AC2-6 tender pt and treatment

A

anterolateral aspect of TP of affected vertebra

pt supine treatment F SARA

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4
Q

AC 7 TP and treatment

A

posterosuperior surface of prox clavicle where SCM inserts (lateral to AC8)

pt supine F STRA

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5
Q

AC 8 TP and treatment

A

medial end of clavicle at sternal attachment of SCM

pt supine F SARA

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6
Q

AT 1-8 treatment

A

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

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7
Q

AT 1-8 locations

A 
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
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8
Q

AT9-12 location

A

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

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9
Q

AT 9-12 treatment

A

pt supine, dr same side of TP

flex pts legs, hips and knees bent 90 degrees with fine tuing by adding rotation toards dr

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10
Q

posterior cedrvical TPs location and treatment

A

usually at tip of spinous process or on lateral sides of spinous process

pt supine E SARA

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11
Q

PC1 inion location and treatment

A

1-2 cm inferior to external occipital protuberance, slighlty lateral, on insertion of semispinalis capitis

treat: pt supine, flexion while monitoring

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12
Q

posterior thoracic tenderpiont location and treatment

A

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)

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13
Q

AR 1 location and treatement

A

directly inferior to SC joint

treat: supine, dr head of table, F STRT

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14
Q

AR 2 location and treatement

A

6-8 cm lateral to sternum on rib 2

pt supine F STRT

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15
Q

AR 3-6 location and treatment

A

location: mid axillary line on corresponding rib
treat: F STRT of thorax (pt seated, unaffected side arm draped over physician knee)

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16
Q

posterior rib locations TP

A

angle of the corresponding rib

17
Q

treatment PR 1

A

pt seated, doc behind, pts arm side dysfunction on docs knee, sidebend and rotate pts head TOWARD dysfunction and extend

E STRT

18
Q

treatment PR 2

A

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

19
Q

tretment PR 3-6

A

pt seated doc pt arm affected side draped over docs knee, doc grabs pts shoulder on side of dysfucntion and SARA pt

20
Q

Anterior lumbar tenderpoints

AL1
AL2-4
AL5

A 
AL1: medial to ASIS
AL2: medial to AIIS
AL3: lateral to AIIS
AL4: inferior aspect of AIIS
AL5: 1 cm lateral to pubic syphysis
21
Q

treatment of AL1 and AL5

A

F STRA

22
Q

AL 2-4 treatment

A

pt supine, dr. opp side of TP
flex hips and knees 90
F SART

23
Q

iliacus TP location and treatment

A

location: 1-2 in (7 cm) medial to ASIS deep in iliac fossa

frog leg (supine, hip flexed and externally rotated)

24
Q

psoas TP location

A

halfway btwn ASIS and umbilicus

25
Q

piriformis TP

A

PSIS-ILA midpoint and greater trochanter

btwn these 2

26
Q

low ilium location and treatment

A

location: superior ascpect of lateral ramus where psoas crosses pelvic rim

pt supine, flex hip and knee
slight ER hip and fine tune one leg

27
Q

inguinal ligament TP location and treatment

A

location: lateral surface of pubic bone near attach of inguinal ligament

treatment position: supine, dr same side, flex hip and knee 90, cross opp ankle over leg

28
Q

PL location and treatment

A

location: PL1-5: either side of the spinous process or on the TP
PL3 and 4 may be on iliac crest
PL5 at PSIS

treat: pt prone doc on same side of TP, doc extends pts hip ipsilataral to tp, E Sidebend away, fine tune rotation

29
Q

LPL5

A

caudad to psis

treat: pt prone, hip and knee flexed, leg internally rotated and adducted

30
Q

UPL5 TP

A

superior medial edge of PSIS

extend and sidebend away

31
Q

sacrum

PS1

A

1/2 inch medial to inferior of PSIS

treat: pt prone, if PS1 tender on left, doc apply pressure on right ILA

32
Q

posterior sacrum 2-4

A

midline on sacrum btwn or below sacral spines

pt prone, doct next to them, pressure posterior to anterior on midline

33
Q

PS 5

A

1/4 inch medial and superiror to ILA

pt prone doc posterior to anterior pressure

PS5 tender on left, apply pressure at right sacral sulcus

34
Q

high ilium location and treatment

A

lateral PSIS

pt prone, extend pts hip and fine tune

35
Q

high ilium flare out HIFO

A

location: inch below and medial to lower edge PSIS

pt prone, extend ipsilateral leg then add adduction and slight external rotation

36
Q

pirifomis treatment

A

pt prone, doc seated on same side of dysfunction,

doc flexes pts leg over side of table to 135 and abduct and externally rotate pts hip

37
Q

flare in sacroiliac FISI

A

4 inches below psis

pt prone

doc seated on same side dysfunction
abduct pts hip, flex hip too

38
Q

when utilizing faciliated positional release to a superficial muscle, which is performed first?

A

straightening of the AP spinal curves

COMLEX DF (17 decks)

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