Counterstrain Flashcards

1
Q

AL 1

A

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

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2
Q

AL 2

A

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

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3
Q

AL 3

A

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

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4
Q

AL 4

A

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

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5
Q

AL 5

A
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
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6
Q

PL 1-5 Spinous

A
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
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7
Q

PL 1-5 Transverse

A
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
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8
Q

UPL 5

A
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
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9
Q

LPL 5

A
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
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10
Q

Quadratus Lumborum

A

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:

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11
Q

Psoas

A

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

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12
Q

Low Ilium/Psoas Minor

A
Location: Superior surface of iliopectinial eminence
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knee, fine tune with SB/Rot
Acronym: F
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13
Q

Iliacus

A

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

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14
Q

Inguinal Ligament/ Pectineus

A

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

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15
Q

Gluteus Medius

A

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

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16
Q

Piriformis

A

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

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17
Q

High Ilium Sacroiliac

A
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
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18
Q

High Ilium Flare Out

A
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
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19
Q

AT 1

A
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
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20
Q

AT 2

A
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
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21
Q

AT 3-6

A
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
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22
Q

AT 7

A

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

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23
Q

AT 8

A

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

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24
Q

AT 9

A

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

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25
Q

AT 10

A

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

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26
Q

AT 11

A

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

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27
Q

AT 12

A
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
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28
Q

PT 1-3 Spinous

A

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

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29
Q

PT 4-9 Spinous

A

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

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30
Q

PT 10-12 Spinous

A

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

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31
Q

PT 4-9 Transverse

A
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
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32
Q

AC 1

A

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

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33
Q

AC 2-6

A

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

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34
Q

AC 7

A

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

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35
Q

AC 8

A

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

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36
Q

PC 1 Inion

A
Location: Inion
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Flex head, fine tune in other directions
Acronym: F
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37
Q

PC 1 Occiput

A

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

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38
Q

PC 2 Occiput

A

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

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39
Q

PC 2 Spinous

A
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
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40
Q

PC 3 Spinous

A
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
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41
Q

PC 4-8 Spinous

A

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

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42
Q

PC 3-8 Lateral

A

Location: Just superior to articular pillar of C3-7
Pt Pos: Supine
Dr Pos: at head of patient
Motion: Drop head off table, sidebend/rotate away
Acronym: E SA RA

43
Q

PC 8 Lateral

A

Location: Just inferior to articular pillar of C7
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Drop head off table, sidebend/rotate away
Acronym: E SA RA

44
Q

Indication for treating AC1 Mandible/Transverse

A

Frontal or migraine headaches, blurring of vision, TMJ dysfunction

45
Q

Muscles associated with AC1 Mandible

A

Rectus capitis anterior

46
Q

Muscles associated with AC1 Transverse

A

Rectus capitis lateralis

47
Q

Indication for treating AC2-6

A

Posterolateral neck pain

48
Q

Muscles associated with AC2

A

Middle scalene and longus colli muscles

49
Q

Muscles associated with AC3-4

A

Anterior and middle scalenes, longus capitis, longus colli muscles

50
Q

Muscles associated with AC5-6

A

Anterior, middle, posterior scalenes; longus capitis, longus colli muscles

51
Q

Indication for treating AC7

A

Pain in the lower cervical region

52
Q

Muscles associated with AC7

A

SCM

53
Q

Indication for treating AC8

A

Pain in the lower cervical region

54
Q

Muscles associated with AC8

A

SCM

55
Q

Indication for treating PC1 Inion

A

Pain in the suboccipital region and frontal/periorbital headache

56
Q

Muscles associated with PC1 Inion

A

Medial border of semispinalis capitis, rectus capitis posterior minor

57
Q

Indication for treating PC1-2 Occiput

A

Posterolateral headache and pain behind the eye

58
Q

Muscles associated with PC1 Occiput

A

Splenius capitis, rectus capitis posterior major/minor, obliquus capitis superior muscles

59
Q

Muscles associated with PC2 Occiput

A

Semispinalis capitis muscle and greater occipital nerve

60
Q

Indication for treating PC2, PC4-PC8 Spinous Processes (midline)

A

Posterior neck pain and generalized headache

61
Q

Muscles associated with PC2 midline

A

Rectus capitis posterior major/minor and obliquus capitis inferior muscles

62
Q

Muscles associated with PC4-8 midline

A

Semispinalis capitis, multifidus, rotatores

63
Q

Indication for treating PC3 Spinous Process (midline)

A

Suboccipital headache, earache, tinnitus, and/or vertigo

64
Q

Muscles associated with PC3 Spinous Process (midline)

A

Greater/third occipital nerve, middle scalene, longus capitis, longus colli

65
Q

Indication for treating PC3-7 Articular processes (lateral)

A

Neck pain and headache

66
Q

Muscles associated with PC-7 Articular processes (lateral)

A

transversospinalis muscle group (semispinalis cervicis and capitis, multifidus, rotatores)

67
Q

Indication for treating AT1-2

A

Anterior chest wall pain and upper back pain

68
Q

Muscles associated with AT1-2

A

Sternal fascia and pectoralis major

69
Q

Indication for treating AT3-6

A

Anterior chest wall pain, upper back pain, gastroesophageal reflux

70
Q

Muscles associated with AT3-6

A

Sternal Fascia and pectoralis major

71
Q

Indication for treating AT7-9

A

Midthoracic pain, epigastric or flank pain, gastroesophageal reflux

72
Q

Muscles associated with AT7-9

A

Rectus abdominis, external/internal oblique, transversus abdominis

73
Q

Indication for treating AT9-12

A

Lower thoracic or upper lumbar pain, lower abdominal pain, flank pain

74
Q

Muscles associated with AT9-12

A

Rectus abdominus, external/internal oblique and transversus abdominis

75
Q

Indication for treating PT1-12 Spinous Process (midline)

A

Tenderness in the center of the back and flattening of the throacic kyphosis

76
Q

Muscles associated with PT1-12 Spinous Process (midline)

A

Supraspinous ligament, interspinales, spinalis, semispinalis thoracic muscles

77
Q

Indication for treating PT1-9 Spinous process (inferolateral)

A

Tenderness in the center of the back and flattening of the throacic kyphosis

78
Q

Muscles associated with PT1-9 spinous process (inferolateral)

A

Semispinalis and multfidus

79
Q

Indication for treating PT4-9 (transverse)

A

Tenderness in the center of the back and flattening of the throacic kyphosis

80
Q

Muscles associated with PT4-9 (transverse)

A

Longissimus thoracis, levatores costarum, semispinalis, multifidus, rotatores

81
Q

Indication for treating AL1

A

Throacolumbar region, lower lateral abdominal wall, anterior thigh

82
Q

Muscles associated with AL1

A

Transversus abdominis, internal oblique muscles and iliopsoas muscle group

83
Q

Indication for treating AL2

A

Lower back and anterior lateral hip pain

84
Q

Muscles associated with AL2

A

External oblique, genitofemoral nerve, iliopsoas muscle group

85
Q

Indication for treating AL3-4

A

Lower back, groin, and/or anterior lateral hip pain

86
Q

Muscles associated with AL3-4

A

Lateral border of iliacus muscle, psoas, lateral femoral cutaneous nerve, femoral and obturator nerves

87
Q

Indication for treating AL5

A

Tenderness in the pubic region, low back, sacral, pelvic pain

88
Q

Muscles associated with AL5

A

Rectus abdominis, adductor longus, pubic shear dysfunction from obturator entrapment

89
Q

Indication for treating Psoas Major

A

thoracolumbar region pain or anterior hip, thigh, or groin pain

90
Q

Indication for treating Iliacus

A

Thoracolumbar region and or anterior hip/thigh pain

91
Q

Indication for treating low ilium (psoas minor)

A

Pain in the anterior hip and/or groin

92
Q

Indication for treating Inguinal/Pectineus

A

Pain in the anterior hip, thigh, or groin

93
Q

Indication for treating PL1-5

A

Lower back pain in the area of the tender point

94
Q

Muscles associated with PL1-5

A

Multifidus, Rotatores

95
Q

Indication for treating quadratus lumborum

A

Lower back pain at the top of the iliac crest, and in the posterior hip, buttock, sacroiliac region

96
Q

Indication for treating Lower Pole L5 (LPL5)

A

Low back pain and/or pelvic pain

97
Q

Muscles associated with Lower Pole L5 (LPL5)

A

Posterior sacroiliac liagments, erector spinae or biceps femoris muscle, referred from iliopsoas muscle group

98
Q

Indication for treating Upper Pole L5 (UPL5)

A

Low back and pelvic pain

99
Q

Muscles associated with Upper Pole L5 (UPL5)

A

Multifidus, rotatores, iliolumbar ligament

100
Q

Indication for treating High Ilium Sacroiliac

A

Pain in the buttock with strain of quadratus lumborum/gluteus maximus or sprain of iliolumbar ligament

101
Q

Indication for treating High Ilium Flare Out (Coccygeus)

A

Pain in the lower medial portion of gluteus maximus, deep within the coccygeus muscle and pelvic floor

102
Q

Indication for treating PL3-4 Lateral (Gluteus Medius)

A

Pain below the iliac crest in the posterior gluteal region while walking or getting up from seated position

103
Q

Indication for treating Piriformis

A

Buttock and posterior thigh (sciatic neuritis)