Counterstrain Flashcards

1
Q

Where are tender points located?

A

in the myofascia

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2
Q

What are the two type of posterior thoracic tender points?

A

spinous process tender point and transverse process tender points

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3
Q

How many spinous process tender points are there in the thoracic region?

A

1

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4
Q

where are the PTSP tender points located?

A

inferior aspect of the spinous processes

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5
Q

what is the treatment for all PTSP tender points?

A

e-E

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6
Q

What muscle are you trying to shorten when treating PTSP tender points?

A

interspinales muscle

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7
Q

What is considered an upper PTSP tender point?

A

PT1-PT4

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8
Q

What is considered a lower PTSP tender point?

A

PT5-PT12

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9
Q

What are the mechanics for treating an upper PTSP tender point?

A

you extend the patient’s head off the table

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10
Q

What are the mechanics for treating a lower PTSP tender point?

A

You use the table to lower the patient into extension

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11
Q

What is the treatment position for a PT1-3 TP?

A

E Sa Ra

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12
Q

What muscles are you trying to shorten when treating a PT1-3 TP?

A

multifidus/ rotatores muscle

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13
Q

What are the mechanics for treating a PT1-3 TP tender point?

A

use the patient’s neck as a lever to Extend, Sa and Ra

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14
Q

What is the treatment position for a PT4-9 TP tender point?

A

E Sa RT

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15
Q

What are the mechanics for treating a PT4-9 TP tender point?

A

retraction and elevation of the shoulder on the same side of the tender point

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16
Q

What is the treatment position for a PT 10-12 TP tender point?

A

e-E Sa Rt (pelvis)

17
Q

What induces side bending in the thoracic region?

A

pulling the pelvis superiorly or inferiorly

18
Q

if the left pelvis is pulled inferiorly, which way does the thoracic spine sidebend?

A

right

19
Q

How many spinous process tender points are there in the lumbar spine?

A

2 per vertebrae

20
Q

Where are the spinous process tender points located on the lumbar vertebrae?

A

on the infero-lateral aspect of the spinous process

21
Q

What is the treatment position of a PL 1-5 SP tender point?

A

e-E Adduction RT (pelvis)

22
Q

What muscle are you trying to shorten when treating the lumbar spinous process tender points?

A

multifidus

23
Q

What is the treatment position of a PL 1-5 TP tender point?

A

E Sa RT (pelvis)

24
Q

what muscle are you trying to shorten when treating a lumbar transverse process tender point?

A

intertransversarii muscle

25
Q

where is the UPL5 tender point located?

A

superior medial surface of the posterior superior iliac Spain (PSIS)

26
Q

where is the LPL5 tender point located?

A

on the ilium just inferior to PSIS pressing superiorly

27
Q

where is the High Ilium Sacroiliac (HISI) tender point located?

A

2-3 cm lateral to the PSIS pressing medially toward the PSIS

28
Q

Where is the PL3 gluteus tender point located?

A

2/3 lateral from PSIS to tensor fasciae latae

29
Q

Where is the PL4 gluteus tender point located?

A

posterior margin of tensor fasciae latae

30
Q

What is the treatment position for an UPL5 tender point?

A

E Adduction ir/er

31
Q

what are you trying to shorten when treating an UPL5 tender point?

A

iliolumbar ligament

32
Q

what is the treatment position for a LPL5 tender point?

A

F IR adduction

33
Q

what are you trying to shorten when treating a LPL5 tender point?

A

posterior sacroiliac ligament

34
Q

What is the treatment position for a HISI tender point?

A

e-E ABD ER

35
Q

what muscle are you trying to shorten when treating a HISI tender point?

A

gluteus maximus

36
Q

what is the treatment position for a PL3 or PL4 Gluteus (medius/minimus) tender point?

A

E Abd er