Counterstrain

Question 1

counterstrain treatment steps

Answer 1

1. diagnose SD
2. find significant TP
3. establish pain scale
4. wrap around TP while monitoring
5. reduce pain by 70%
6. maintain position 90s
7. slowly, passively return pt to neutral
8. reassess SD

Question 2

AR1 location

Answer 2

inferior to clavicle on rib 1, lateral to manubrium (directly inferior to SC joint)

Question 3

AR2 location

Answer 3

1.5in lateral to manubrium on rib 2, below mid-clavicular line

Question 4

AR3-10 location

Answer 4

anterior axillary line on ribs 3-6

Question 5

AR1 treatment

Answer 5

pt supine or seated, FStRt, doc at head of table (same as AR2)

Question 6

AR2 treatment

Answer 6

pt supine or seated, FStRt, doc at head of table (same as AR1)

Question 7

AR3-10 treatment

Answer 7

pt seated, doc behind pt, knee under contralateral arm, FStRt

Question 8

PR1 location

Answer 8

posterior margin of rib head beneath margin of trapezius

Question 9

PR2 location

Answer 9

superior surface of angles of ribs at medial border of scapula, about 2.5 inch lateral to midline

Question 10

PR3-10 location

Answer 10

superior surface of angles of ribs at medial border of scapula

Question 11

PR1 treatment

Answer 11

pt supine or seated, doc standing behind, ESaRt, if seated, place pt’s ipsilateral arm on knee

Question 12

PR2 treatment

Answer 12

pt seated, doc standing behind/to the side, FSaRa

Question 13

PR3-10 treatment

Answer 13

pt seated, doc standing behind/to the side, pt’s ipsilateral arm on doc’s knee, grasp pt’s shoulder or brace head, FSaRa