Counterstrain Flashcards
Where are tender points located?
in the myofascia
What are the two type of posterior thoracic tender points?
spinous process tender point and transverse process tender points
How many spinous process tender points are there in the thoracic region?
1
where are the PTSP tender points located?
inferior aspect of the spinous processes
what is the treatment for all PTSP tender points?
e-E
What muscle are you trying to shorten when treating PTSP tender points?
interspinales muscle
What is considered an upper PTSP tender point?
PT1-PT4
What is considered a lower PTSP tender point?
PT5-PT12
What are the mechanics for treating an upper PTSP tender point?
you extend the patient’s head off the table
What are the mechanics for treating a lower PTSP tender point?
You use the table to lower the patient into extension
What is the treatment position for a PT1-3 TP?
E Sa Ra
What muscles are you trying to shorten when treating a PT1-3 TP?
multifidus/ rotatores muscle
What are the mechanics for treating a PT1-3 TP tender point?
use the patient’s neck as a lever to Extend, Sa and Ra
What is the treatment position for a PT4-9 TP tender point?
E Sa RT
What are the mechanics for treating a PT4-9 TP tender point?
retraction and elevation of the shoulder on the same side of the tender point
What is the treatment position for a PT 10-12 TP tender point?
e-E Sa Rt (pelvis)
What induces side bending in the thoracic region?
pulling the pelvis superiorly or inferiorly
if the left pelvis is pulled inferiorly, which way does the thoracic spine sidebend?
right
How many spinous process tender points are there in the lumbar spine?
2 per vertebrae
Where are the spinous process tender points located on the lumbar vertebrae?
on the infero-lateral aspect of the spinous process
What is the treatment position of a PL 1-5 SP tender point?
e-E Adduction RT (pelvis)
What muscle are you trying to shorten when treating the lumbar spinous process tender points?
multifidus
What is the treatment position of a PL 1-5 TP tender point?
E Sa RT (pelvis)
what muscle are you trying to shorten when treating a lumbar transverse process tender point?
intertransversarii muscle
where is the UPL5 tender point located?
superior medial surface of the posterior superior iliac Spain (PSIS)
where is the LPL5 tender point located?
on the ilium just inferior to PSIS pressing superiorly
where is the High Ilium Sacroiliac (HISI) tender point located?
2-3 cm lateral to the PSIS pressing medially toward the PSIS
Where is the PL3 gluteus tender point located?
2/3 lateral from PSIS to tensor fasciae latae
Where is the PL4 gluteus tender point located?
posterior margin of tensor fasciae latae
What is the treatment position for an UPL5 tender point?
E Adduction ir/er
what are you trying to shorten when treating an UPL5 tender point?
iliolumbar ligament
what is the treatment position for a LPL5 tender point?
F IR adduction
what are you trying to shorten when treating a LPL5 tender point?
posterior sacroiliac ligament
What is the treatment position for a HISI tender point?
e-E ABD ER
what muscle are you trying to shorten when treating a HISI tender point?
gluteus maximus
what is the treatment position for a PL3 or PL4 Gluteus (medius/minimus) tender point?
E Abd er
