Counterstrain Flashcards
AL 1
Location: Medial to ASIS, prob medial to lateral
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F RA ST
AL 2
Location: Medial to AIIS, probe medial to lateral
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT
AL 3
Location: Lateral to AIIS, probe lateral to medial
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT
AL 4
Location: Inferior to AIIS, probe inferior to superior
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT
AL 5
Location: Pubic Ramus Pt Pos: Supine Dr Pos: Side of dysfunction Motion: Flex knees to level of dysfunction, pull knees toward you and pus feet away from you Acronym: F SA RA
PL 1-5 Spinous
Location: Inferiolateral tip of L1-5 spinous process Pt Pos: Prone Dr Pos: Opposite of Dysfunction Motion: Pull bad-side ASIS up Acronym: E SA RA
PL 1-5 Transverse
Location: Transverse Process of L1-5 Pt Pos: Prone Dr Pos: Opposite of Dysfunction Motion: Lift bad-side leg up, fine tune by abducting/adducting Acronym: E SA RA
UPL 5
Location: Superior surface of PSIS Pt Pos: Prone Dr Pos: Opposite of Dysfunction Motion: Lift bad-side leg up, abduct, fine tune with rotation Acronym: E Add er/ir
LPL 5
Location: On ilium, just below PSIS Pt Pos: Prone Dr Pos: Seated at side of dysfunction Motion: Drop bad-side leg off table, push knee under the table, push foot under table Acronym: F Add IR
Quadratus Lumborum
Location: Lateral tips of lumbar transverse processes
Pt Pos: Prone
Dr Pos: Side of dysfunction
Motion: Drop bad-side leg off table, abduct, rotate foot away from you
Acronym:
Psoas
Location: 2/3 distance from ASIS to midline
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knee towards you, pull feet towards you
Acronym: F ST RT
Low Ilium/Psoas Minor
Location: Superior surface of iliopectinial eminence Pt Pos: Supine Dr Pos: Side of Dysfunction Motion: Flex knee, fine tune with SB/Rot Acronym: F
Iliacus
Location: 1/3 distance from ASIS to midline
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, cross patients lets and ankles (good over bad) and push in (frog legs)
Acronym: F Ext Rot
Inguinal Ligament/ Pectineus
Location: Medial Aspect of Inguinal Ligament
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, cross patient’s legs (good over bad), fine tune with SB/ROT
Acronym: F Add IR
Gluteus Medius
Location: 2/3 distance from PSIS to tensor fasciae latae
Pt Pos: Prone
Dr Pos: Side of Dysfunction
Motion: Lift bad leg up, abduct, rotate foot toward you
Acronym: E Abd ER
Piriformis
Location: Midpoint between lateral sacrum and greater trochanter
Pt Pos: Prone
Dr Pos: Seated at side of dysfunction
Motion: Drop bad-side leg off table, pull knee away from table, push foot toward table
Acronym: F Abd ER
High Ilium Sacroiliac
Location: 2-3 cm superiolateral to PSIS Pt Pos: Prone Dr Pos: Side of Dysfunction Motion: Lift bad-side leg up, adduct, push foot away from you Acronym: E Abd ER
High Ilium Flare Out
Location: On lateral aspect of inferior angle of sacrum Pt Pos: Prone Dr Pos: Opposite of Dysfunction Motion: Lift bad-leg up, adduct Acronym: E Add
AT 1
Location: At sternal notch Pt Pos: Supine Dr Pos: At head of patient Motion: Patients hands on head, reach around and flex patient, support with knee Acronym: F
AT 2
Location: At angle of Louis Pt Pos: Supine Dr Pos: At head of patient Motion: Patients hands on head, reach around and flex patient, support with knee Acronym: F
AT 3-6
Location: On sternum at T3-6 Pt Pos: Supine Dr Pos: At head of Patient Motion: Flex Pt to level of dysfunction, have Pt drop arms off table Acronym: F IR
AT 7
Location: 1/4 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST
AT 8
Location: 1/2 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST
AT 9
Location: 3/4 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST
AT 10
Location: 1/4 distance from umbilicus to pubic symphisis
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you
Acronym: F RA ST
AT 11
Location: 1/2 distance from umbilicus to pubic symphisis
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you
Acronym: F RA ST
AT 12
Location: Top of iliac crest Pt Pos: Supine Dr Pos: Side of dysfunction Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you Acronym: F RA ST
PT 1-3 Spinous
Location: Inferiolateral tip of T1-3 spinous process B/L
Pt Pos: Supine
Dr Pos: Seated at head of patient
Motion: Drop patient’s head off edge of table, sidebend away from dysfunction, rotate away from dysfunction
Acronym: E SA RA
PT 4-9 Spinous
Location: Inferiolateral tip of T4-9 Spinous process B/L
Pt Pos: Prone
Dr Pos: Side of Dysfunction
Motion: Grab good-side shoulder and lift up
Acronym: E SA RA
PT 10-12 Spinous
Location: Inferiolateral tip of T10-12 spinous process B/L
Pt Pos: Prone
Dr Pos: Opposite of Dysfunction
Motion: Move legs slightly toward good side, lift bad ASIS up
Acronym: E SA RA
PT 4-9 Transverse
Location: Transverse process of T4-9 Pt Pos: Prone Dr Pos: Opposite of dysfunction Motion: Rotate Pts head toward bad-side, lift bad-side shoulder Acronym: E SA RT
AC 1
Location: Posterior surface of ramus of mandible at level of earlobe
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Rotate head away from dysfunction, fine tune with other motions
Acronym: RA
AC 2-6
Location: Anteriolateral aspect of C2-6 transverse process
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Flex head, rotate and sidebend away from dysfunction
Acronym: F SA RA
AC 7
Location: Superior to medial end of clavicle at SCM
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Flex head, rotate away, sidebend toward dysfunction
Acronym: F RA ST
AC 8
Location: Superior to lateral sternum at SCM
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Flex head, rotate and sidebend away from dysfunction
Acronym: F SA RA
PC 1 Inion
Location: Inion Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, fine tune in other directions Acronym: F
PC 1 Occiput
Location: 1/2 distance between inion and mastoid
Pt Pos: Supine
Dr Pos: At head of Patient
Motion: Drop head off edge of table, sidebend/rotate away
Acronym: E SA RA
PC 2 Occiput
Location: Below occiput on inferior nuchal line
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Extend head (while still on table), sidebend and rotate away
Acronym: E SA RA
PC 2 Spinous
Location: Superior to C2 Spinous process Pt Pos: Supine Dr Pos: At head of patient Motion: drop head off table, sidebend/rotate away Acronym: E SA RA
PC 3 Spinous
Location: Inferior to C2 spinous process Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, sidebend/rotate away Acronym: F SA RA
PC 4-8 Spinous
Location: Inferior to n-1 spinous process
Pt Pos: Supine
Dr Pos: At head of Patient
Motion: Drop head off table, sidebend/rotate away
Acronym: E SA RA