Counterstrain

Question 1

8 steps of counterstrain

Answer 1

1. Diagnose SD
2. Find TP
3. Est pain scale
4. wrap around TP while monitoring
5. reduce pain by 70%
6. Maintain position for 90 sec
7. Slowly and passively return pt to neutral
8. Reasses SD

Question 2

AC1 Mandible location and Tx

Answer 2

posterior surface ascending ramus; pt supine, SARA

Question 3

AC1 TP location and Tx

Answer 3

C1 TP midway between ramus of mandible and mastoid process; pt supine, saRA

Question 4

AC2-6 location and Tx

Answer 4

anterior TP of corresponding vertebrae; pt supine, FSARA

Question 5

AC7 location and tx

Answer 5

posterosuperior of proximal clavicle where SCM inserts; F STRA

Question 6

AC8 location and tx

Answer 6

clavicular insertion of SCM near sternal notch; FSARA

Question 7

AT1 location and tx

Answer 7

midline on suprasternal notch; cervical and thoracic flexion

Question 8

AT2 location and tx

Answer 8

midline on manubrium at sternal angle; cervical and thoracic flexion

Question 9

AT3 location and tx

Answer 9

midline at level of costal cartilage related to vertebra; cervical and thoracic flexion

Question 10

AT4-AT6 location and tx

Answer 10

midline at level of costal cartilage related to vertebra; cervical and thoracic flexion

Question 11

AT7 location and tx

Answer 11

midline or lateral 1/4 between xiphoid and umbilicus; FSTRA

Question 12

AT 8 location and tx

Answer 12

halfway between xiphoid and umbilicus; FSTRA

Question 13

AT 9 location and tx

Answer 13

3/4 xiphoid to umbilicus; FSTRA

Question 14

AT10 location and tx

Answer 14

1/4 umbilicus to pubic symphysis; FSTRA (flex knees and hips, pelvis and lower torso rotate towards, upper segment rotates away, side bend toward TP)

Question 15

AT 11 location and tx

Answer 15

halfway between umbilicus and pubic symphysis; FSTRA (flex knees and hips, pelvis and lower torso rotate towards, upper segment rotate away, side bend towards)

Question 16

AT12 location and tx

Answer 16

midaxillary line on superoanterior surface of iliac crest; FSTRA (flex knees and hips, pelvis and lower torso rotate towards, upper segment rotates away, side bend towards)

Question 17

Anterior rib TPs are indicative of what SD

Answer 17

depressed rib

Question 18

Posterior rib TPs are indicative of what SD

Answer 18

elevated rib

Question 19

AR1 location and Tx

Answer 19

inferior to clavicle on rib 1, lateral to manubrium, FSTRT

Question 20

AR2 location and tx

Answer 20

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

Question 21

AR 3-6 location and tx

Answer 21

anterior axillary line ribs 3-6; FSTRT - pt seated with arm of unaffected side on docs knee

Question 22

PR 1 location and tx

Answer 22

posterior margin of rib head beneath trap; ESART

Question 23

PR 2 location and tx

Answer 23

superior surface angles of ribs at medial border of scapula, lateral to midline; FSARA

Question 24

PR3-6 location and tx

Answer 24

superior surface of angles of ribs at medial scapula; FSARA

Question 25

What TP should be treated first if there is equal intensity?

Answer 25

most proximal or midline

Question 26

What TP should be treated if there is a thoracic TP and rib TP?

Answer 26

thoracic

Question 27

Tx of maverick point differs how?

Answer 27

requires lengthening of tissues around TP

Question 28

Definition of rotation

Answer 28

refers to movement of lumbar vertebrae in relation to TP, think of torso movement