Counterstrain Flashcards
1
Q
What are the steps to counterstrain?
A
- find SD
- find tp
- painscale
- wrap around
- reduce 70
- hold for 90 (120 for rib)
- return to neutral
- reassess
2
Q
AC1
A
- posterior surface of ascending ramus of mandible
- tx position: pt supine, doc at head of table, RA head
3
Q
AC2-6
A
anterolateral aspect of TP of affected vertebra
-tx: pt. supine, doc at head, F SARA
4
Q
AC7
A
- posteriosuperior of px clavicle where SCM inserts (lateral to AC8 TP)
- tx: pt supine, doc at head, FSTRA
5
Q
AC8
A
- on medial end of clavicle at thw sternal attachment of SCM
- tx: pt. supine, doc at head, F SARA
6
Q
PC1 inion
A
- just below occipital protuberance
- tx: cradle head in monitoring hand, other on forehead, FLEX their neck
- Maverick point…. lengthen not wrap
7
Q
PC1
A
- about 3 cm below inion, 1 cm medial to OM suture, press anteromedially
- tx: ESARA
8
Q
-PC2
A
- in main muscle mass about 2-3 cm lateral to midline and just below occiput
- tx: ESARA
9
Q
PC3
A
- inferolateral aspects of C2 spinous process
- tx: FSARA, flex to 45 degreees, may require STRA instead
10
Q
PC4-7
A
- on inferolateral aspect of SP’s, named for spinal nerves which exit BELOW vertebrae (like PC5 points will actually be on C4 SP)
- Tx: ESARA
11
Q
PC8
A
- same as PC4-7
- tx: FSARA or ESARA… depending on patient so try both
12
Q
AR1
A
- inferior to clavicle on rib 1, lateral to manubrium
- Tx: pt supine, doc at head, F STRT
13
Q
AR2
A
- 1.5 inches lateral to manubrium on rib 2 at mid clavicular line
- tx: pt supine, doc at head, F STRT
14
Q
AR3-6
A
- anterior axillary line on ribs 3-6
- tx: pt seated, doc behind, knee under arm on unaffected side… FSTRT
- treats a depressed rib, inhalation restriction… all of these anterior rib ones do
15
Q
PR1
A
- posterior margin of rib head beneath margin of trapezius
- tx: pt seated, doc standing behind, doc places pt’s arm on his knee, doc does so E STRT of the HEAD
- hold for 120 sec
