Counterstrain

Question 1

Find all Cervical Counterstrain Points. What are their mnemonics?

Answer 1

PC1 Inion. inferior to nuchal line, lateral to inion –> F St Ra

PC1 Occiput –> on the inferior nuchal line closest to the mastoid process but a bit lateral–> E SaRa

PC2 Occiput –> between both PC1 inion and occiput –> E SaRa

PC2 –> superior/superior lateral aspect of spinous process of C2 –> E SaRa

PC3 –> on the inferior tip/inferolateral aspect of spinous process of C2 –> F SARA

PC4-8 –> inferior or inferolateral aspect of spinous process. –> E SaRa

Question 2

Find all Lumbar Counterstrain Points and what are their setups?

Answer 2

PL1-5 Spinous Process –> inferolateral aspect of the spinous process –> E, Adduct, RT the leg away

PL1-3 TP –> E SaRt

UPL5 (superior medial surface of the PSIS) –> E, Adduct, IR/ER

LPL5 –> inferior to PSIS –> F off the table, IR, Adduct

HISI –> 2-3cm lateral to PSIS –> E, Abduct, ER

PL3 –> 3/4 lateral from PSIS to TFL –> E, Ab, ER

PL4 –> posterior margin of the TFL –> E, Ab, ER

Question 3

Find all Thoracic Spinous Process Counterstrain points and what are their setups?

Answer 3

PT1-3 SP (inferior aspect of the spinous process) –> (EXTEND) prone, arms over sides, extend patient up on table to monitor.

PT4-6 SP –> E

PT7-12 –> can use knee to extend them up. E

Question 4

Find all Thoracic Transverse Process Counterstrain points and what are their setups

Answer 4

PT1-3TP –> E SaRa, pt supine, head off table

PT4-9TP –> E SaRT –> stand opposite tender point, lift their tender point shoulder posterior and cephalad

PT10-12 –> grab asis opposite tender point and pull up. E SaRa of the pelvis, Rt torso,.

Question 5

What is the steps of Counterstrain?

Answer 5

Find significant tenderpoint

establish a tenderness scale

monitor tender point throughout

place patient in position of ease (reduce pain by 70%)

hold 90 seconds

slowly and passively return to neutral

recheck tenderness