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OS III > Counterstrain CPA > Flashcards

Counterstrain CPA Flashcards

1
Q

Lower Thoracic (Under the shoulder, lateral recumbent)

A

Pt lateral recumbent with side to be treated up, facing pt; - finger pads placed on paravertebral muscles lateral to SP - engage muscles with ventral force and move out laterally to give a perpendicular stretch

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2
Q

AL1

A

Medial to ASIS

  • pts supine, dr. On side of TP w foot on table
  • flex hips/knees pulled toward Dr. And the TP

F STRT

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3
Q

AL2

A

Medial to AIIS - pt supine, dr. Opposite to side of TP w/ foot on table - flex hips/knees 90 deg, knee and ankles AWAY from the TP and TOWARDS the doc Tx require sigfig rotation of flexed hip AWAY from tender point Rt>>> SB

F SARA

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4
Q

AL3 & AL4

A

AL3- lateral to AIIS

AL4- inferior AIIS

  • pt supine dr. Same side as TP w/ foot on table
  • Flex knees/hips to 90 deg ankles away from the TP and dr. Induce SB, knees pulled TOWARD the TP and Dr.

F SART

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5
Q

AL5

A

Anterior aspect of pubic bone about 1cm lateral to pubic symphysis (near pubic tubercle)

  • pt supine; dr. Same side of TP w/ foot on table
  • Flex hip 90-135 deg, push ankles away TP and Dr. And Rt. Knees slightly TOWARD the TP and Dr.

F SART

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6
Q

PL 1-5 SP

A

Midline of respective SP

  • pt prone, dr. Same side of tender point
  • Extend pt IPSI hips to TP, fine tune as necessary
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7
Q

PL 1-3 TrP

A

On respective TrP

  • pt prone, dr. OPPOSITE of TP
  • Extend IPSI hip to TP and rot. pts leg TOWARD TP
  • fine tuning as necessary
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8
Q

UPL5

A

Superomedial to PSIS

  • pt prone dr OPPOSITE side of TP
  • Extend pt IPSI hip to TP and rot pt leg toward the TP
  • fine tuning as necessary
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9
Q

LPL5

A

Inferior aspect of PSIS

  • pt prone w/ thigh on dysfunctional side suspended over side of table
  • dr. SAME side - Flex pt hips and knees to 90 deg + adduction and internal rot.
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10
Q

PL3 Lat (Glut. Medius)

A

2/3 way b/n PSIS & tensor fascia lata

  • pt prone, dr on whichever side more comfortable
  • Extend pt IPSI hip
  • fine tune as necessary
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11
Q

PL4 Lat (Glut Medius)

A

Posterior margin of TFL

  • pt prone, dr stands of whichever side more comfortable
  • Extend pt IPSI hip
  • fine tune as necessary
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12
Q

Iliacus (IL)

A

Lower quadrant, 1-2” medial to ASIS deep in iliac fossa

  • pt supine; dr SAME side as TP w/ foot on table
  • Flex knees/hips 90 deg, ankles crossed on dr knees with knee separated (marked ER of both hips)

“FROG LEGS”

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13
Q

Low Ilium (LI)

A

Lateral aspect of superior ramus, where psoas muscle crosses pelvic rim

  • pt supine; dr same side of TP
  • Flex IPSI knee/hip 90 deg, slight ER hip
  • fine tube with AD/AB
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14
Q

Inguinal Ligament (Inlig)

A

Lateral surface of the pubic bone near attachment of Inguinal ligament (associated with pectineus m. and/or inguinal ligament)

  • pt supine; dr. SAME side of TP w/ foot on table
  • Flex knee/hip 90 deg and rest on dr knees, cross opposite ankle over the leg on the side of the dr.
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15
Q

High Ilium Sacroiliac (HISI)

A

Lateral aspect of PSIS (associated w/ gluteus maximus, quadratus lumborum, or iliolumbar ligament)

  • pt prone; dr. SAME side monitor TP by pressing lateral => medial
  • Extend pts IPSI hip and fine tune w/ AB/ AD
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16
Q

High Ilium Flare Out (HIFO)

A

2” inferior and just medial to PSIS, related to coccygeus m.

  • pt prone; dr. OPPOSITE side
  • Extend dysfunctional leg to clear other leg
  • induce marked AD and ext rot by pulling leg toward dr.
17
Q

Piriformis

A

Half-way from sacral ILA to greater trochanter

  • pt prone; dysfunctional side at edge of the table
  • dr seated on SAME side, monitor TP in piriformis m. belly
  • Flex pt hip to 135 deg off the side of the table, induce AB+ ext rot by lifting the pts’ knee superolaterally
18
Q

Flare- IN Sacroiliac (FISI)

A

4” below PSIS, related to gluteus maximus attachment

  • pt prone; dr. SAME side
  • AB hip+ flex knee to clear table
  • fine tune w/ ext rot.
19
Q

PS 1 (b/l)

A

Medial to inferior border of PSIS b/l

  • pt prone; dr. SAME side
  • apply posterior => anterior P, diagonally opposite the TP
20
Q

PS 2, 3, 4 (midline)

A

Midline on sacrum b/n sacral spines

  • pt prone; dr standing on pt’s side - posterior => anterior P on apex (if PS2) or base (if PS4) of sacrum - PS3 may vary where force applied (ask where tenderness is reduced)
21
Q

PS5(b/l)

A

Superomedial ILA (b/l)

  • pt prone; dr. SAME side
  • apply posterior =>anterior P at location diagonally opposite to the TP
22
Q

AC1 or LC1 (C1TP)

A

On the posterior surface of ascending ramus of mandible

  • pt supine; dr. @ HEAD of table

RA

23
Q

AC2-6

A

Anterolateral aspect of the TP of affected vertebra - pt supine; dr. @ head of table F SARA

24
Q

AC7

A

Posterosuperior surface of proximal clavicle where SCM inserts - pt supine; dr. @ head of table F STRA

25
Q

AC8

A

On the medial end of the clavicle at the sternal attachment of SCM - pt supine; dr. @ head of table F SARA

26
Q

AT1-8

A

AT1: Midline on suprasternal notch AT2: midline on the manubrium AT3: midline at the level of the costal cartilage related to the named vertebra AT4: midline at the level of the costal cartilage related to the names vertebra AT5: midline about 1” superior to xyphoid AT6: midline at sternal-xiphoid junction AT7: midline at the tip of xiphoid AT8: midline 1.5” inferior to xiphoid Pt supine w/ feet flat on table - dr at head of table, place knee under pts head/neck or trunk - Flex pt to involved vertebra - dr operating hand support upper back and fine tune Flexion (More Flexion needed for the lower TP)

27
Q

AT9-12

A

AT9: midline 1-2 cm superior to umbilicus AT10: midline 1-2 cm inferior to umbilicus AT11: midline 3-4 cm below umbilicus AT12: midaxillary line on the superomedial surface of iliac crest (b/l) - pt supine - dr. SAME side of TP w/ foot on table - use pt’s leg to cause Flexion at waist, - pts. Hip & knees bend to 90 deg w/ fine tuning by adding rot TOWARD dr.

OS III (1 decks)

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