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
16
Q
PR2
A
- superior surface of angles of ribs at medial border of scapula
- about 2.5 inches lateral to midline
- tx: pt seated, doc standing behind, doc places pt’s arm on side of df on docs knee, doc flexes pt’s head, sb and rotates the trunk away from the dysfunction, then rotates and sb NECK away
17
Q
PR 3-6
A
-on superior surface of angles of ribs, at medial border of scapula, about 2.5 inches
lateral to midline
-tx: pt seated, doc standing behind, doc places pt’s shoulder on side of df and sb and rotates the TRUNK away at level of df
-hold for 120 sec
