Counterstrain Flashcards
where is AT1
apex of sternal notch
where is AT2
middle of manubrium
where is AT3-6
on the sternum at the level of the rib
where is AT7
under costochondral margin, just lateral and inferior to xiphoid, 1/4 distance between xiphoid and umbilicus – 1-2cm lateral to midline in rectus abdominus
where is AT8
1/2 distance between xiphoid and umbilicus, 2-3cm lateral to midline in rectus abdominal
where is AT9
3/4 distance between xiphoid and umbilicus, 2-3cm lateral to midline in rectus abdominus
where is AT10
same distance below umbilicus as AT9 above, 2-3cm lateral to midline in rectus abdominus
where is AT11
same distance below umbilicus as AT10 is from umbilicus, 2-3cm lateral to midline in rectus abdominus
where is AT12
inner surface of iliac crest at midaxillary line
how to treat AT1-6 tenderpoints?
supine with thoracic flexion from cervicothoracic junction to level of point
just flexion
how to treat AT7-9 tenderpoints?
seated, thoracic flexion with sidebending toward (physician’s knee under contralateral arm) and rotation away (ipsilateral arm draped across front of body) from points
F-STAR
how to treat A10-12 tenderpoints?
supine, stand on side of dysfunction. thoracic flexion with sidebending toward and rotation away by flexing hips and knees and bringing knees toward points
F-STAR
how to treat posterior thoracic tenderpoints on MIDLINE spinous process
extension alone
how to treat posterior thoracic tenderpoints on INFEROLATERAL edge of spinous process
E-SARA
how to treat posterior tenderpoint on transverse process?
E-SART
where is AR1?
below clavicle at first chondrosternal articulation
where is AR2
on superior aspect of the second rib at the midclavicular line
where is AR3-10
on the dysfunctional rib at the anterior axillary line
how to treat AR1
patient supine, using cervical-thoracic spine, flex, side bend and rotate toward
F-STRT
how to treat AR2
F-STRT
how to treat AR3-10
F-STRT
where is PR1
on posteriorsuperior aspect of rib 1 just lateral to the costotransverse articulation
where is PR2-6
on the posterior superior angle of corresponding rib
how to treat PR1
pt seated, E-SART
