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OS3-Unit 2 > Counterstrain Points > Flashcards

Counterstrain Points Flashcards

1
Q

Name the TP:

___: 1.5 inches below xiphoid

___: midline about 1-2 cm below umbilicus

___: midline below xiphoid, 1-2 cm above umbilicus

___: Midline about 3-4 cm below umbilicus

___: mid-axillary line on superior-medial surface of iliac crest

A

AT8

AT10

AT9

AT11

AT12

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2
Q

Name the TP:

___: On the costal cartilages of T5 and T6

___: On inferior medial surface of costal cartilages, 1 and 2 in from xiphoid

A

AL 5-6

AL 7-8

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3
Q

List the TP:

___: below clavicle on rib 1 lateral to manubrium

___: 1.5 in lateral to manubriumon rib, on midclavicular line, also found deep to axilla

___: anterior axillary line on ribs 3-6

A

AR1

AR2

AR 3-6

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4
Q

Name the TP:

____: superior surface of angles of ribs, at medial border of scapula about 2.5 in lateral to midline

___: posterior margin of rib head beneath the margin of trapezius

A

PR2-6

PR1

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5
Q

List the TP:

___: lateral to AIIS

___: inferior to AIIS

___: medial to ASIS

___: medial to AIIS

___: inferior to pubic tubercle

A

AL3

AL4

AL1

AL2

AL5

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6
Q

List the TP:

___: midline lumbar spinous process

___: transverse processes of L1-3

___: superior aspect of PSIS

___: inferior aspect of PSIS

___: 1/3 distance from PSIS to greater trochanter

___: 2/3 distance from PSIS to greater trochanter

A

PL1-5 midline

PL1-3 TP

UPL5

LPL5

PL3Lat

PL4Lat

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7
Q

Name the TP:

___ lower quadrant in the iliac fossa

A

Iliacus TP

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8
Q

Name the TP:

___: superior aspect of lateral ramus of pubic bone where psoas crosses pelvic rim

A

Low ilium

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9
Q

Name the TP:

Medial surface of descending ramus of pubic bone. May be related to iliococcygeus muscle

A

Low ilium flare out

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10
Q

Name the TP:

___: lateral surface of pubic bone, near attachment of inguinal ligament

A

Inguinal ligament TP

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11
Q

Name the TP:

___: near its muscle attachment on the ASIS. Palpate from about 2-3 cm caudad to ASIS by pushing toward inferior aspect of ASIS

A

Sartorius

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12
Q

Name the TP:

___: press against lateral aspect of PSIS. Depndening on depth of palpation, may be related to gluteus maximus or medius

A

High ilium

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13
Q

Name the TP:

___: inferolateral aspect of ILA. Probably sacrospinous or sacrotuberous ligament

A

High ilium flare out (HIFO)

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14
Q

Name the TP:

___: along sacroiliac joint, inferior to LPL5 and cephalon to ILA

A

Flare-in sacroiliac (FISI)

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15
Q

Name the TP:

___ : about 1/2 to 2/3 of the way form the ILA to the greater trochanter pushing toward its musculotendinous junction

A

Piriformis

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16
Q

Name the TP:

___: midline on sacrum between or below spines

___: 1/4 medial and superior to ILA b/l

___: 1/2 inch medial to inferior aspect f PSIS b/l

A

PS2-4

PS5

PS1

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17
Q

Name the TP:

___: superolateral aspect of posterior surface of greater trochanter. Probably the lateral aspect of piriformis m.

A

Posterior lateral trochanter

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18
Q

Name the TP:

___: inferior to greater trochanter and in mid-coronal line

A

Lateral trochanter

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19
Q

Name the TP:

___: close to middle of popliteral space (1 point)

___: at widest part of popliteal space (2 points)

A

PCL

ACL

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20
Q

name the TP:

__: located at the level of the lower edge of patella, at medial meniscus. Push medial to lateral

A

Medial meniscus

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21
Q

Name the TP:

__: attachment of medial hamstring tendon, lateral to medial meniscus of TP. Push medial to lateral, posterior to superior

A

Medial hamstring

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22
Q

Name the group for these 3 TPs:

  • On patellar ligament/tendon
  • In front on medial meniscus
  • on front of medial surface of tibia

Push anterior to posterior

A

Knee extenders

23
Q

Name the TP:

___: posterior joint of acromion and clavicle

A

Posterior acromioclavicular

24
Q

Name the TP:

___: slightly medial to the tip of the clavicle

A

Anterior acromioclavicular

25
Q

Name the TP:

___: in belly of this rotator cuff in the fossa above the spine of the scapula

A

Supraspinatus

26
Q

Name the TP:

___: 1 cm from medial margin and 5 cm inferior to spine of scapula

___: 2 or 3 cm below spine and 3 cm more lateral than the lower one

A

Low infraspinatus

Upper infraspinatus

27
Q

Name the TP:

___: lateral border of scapula under the arm, back of head of humerus

A

Teres minor

28
Q

Name the TP

___: lateral and posterior surface of scapula, at inferior angle.

A

Teres major

29
Q

Name the TP:

___: superior medial surface of front of coracoid process. Pec minor muscle

A

Medial coracoid

30
Q

Name the TP:

___: on anterior surface of scapula, DEEP in belly of the muscle

A

Subscapularis

31
Q

Name the TP:

___: slightly medial of center on the anterior humerus, on the tendon of the muscle

A

Latissimus dorsi

32
Q

Name the TP:

___: inferolateral aspect of coracoid process at insertion of this part of biceps muscle

A

Short head

33
Q

Name the TP:

___: tendon of this part of biceps muscle in the bicipital groove

A

Long head

34
Q

Name the TP:

___: Coronoid process of ulna

A

Flexion elbow

35
Q

Name the TP:

___: at side of olecranon process of ulna near triceps tendon

A

Extension elbow

36
Q

Name the TP:

___: lateral part of radial head. Push anterior to posterior on flexor surface

A

Radial head

37
Q

What are the big 3 muscles to evaluate in Tension headaches?

A

Trapezius
Levator scapulae
SCM

38
Q

What are common offender muscles in Anterior Shoulder Pain?

A 
Biceps (LH and SH)
Pec major and minor
Infra & supraspinatus
Deltoid
Scalenes
39
Q

What are common muscle offenders in Posterior Shoulder Pain?

A 
Levator scapulae
Teres major and minor
Supraspinatus
Trapezius
Subscapularis
Serratus posterior superior (referral pattern is to the shoulder)
40
Q

What are common tender points for Anterior Thoracic?

A

Pec major
Serratus anterior
T2-6 points

41
Q

What are common TPs for forearm/wrist/hand?

A

Triceps (LH most common)
Medial elbow-Pronator teres, flexor carpi radialis and ulnaris, palmaris longus
Lateral elbow-supinator (radial head), extensor carpi radialis/anconeus/common extensor tendon involved

42
Q

In regards to anterior lumbar/pelvis/hips TP’s:

Myofascially the ___ TP is in the internal oblique, ___ TP is in the lower external oblique, ___ TP’s in the iliopsoas, and ___ in the Rectus abdominal and pyramidalis

These muscles are often related to GI conditions (e.g., IBS)

A

AL1

AL2

AL3-4

AL5

Ext oblique, lower rectus, iliacus

43
Q

What muscles should be considered for deep pelvis pain

A

Obturator internus and external
Adductor magnus
Lower ext abdominal oblique

44
Q

What muscles should be considered for anterior hip pain?

A

Pectineus (inguinal l.)

Lower ext abdominal oblique

45
Q

For posterior lumbar/pelvis/sacrum, list the common muscles that refer to the pelvis:

A

Quadratus lumborum
Longissimus thoracis
Iliocostalis

46
Q

What are common anterior knee offenders?

A

Rectus femoris
Vastus medialis
Adductor longus/brevis

47
Q

What are common lateral knee offenders?

A

Vastus lateralis, IT band

48
Q

What are common posterior knee offenders?

A 
Gastrocs
Biceps femoris (athletes)
Soleus 
Semimembranosus
Semitendinosus
Popliteal
Plantaris
49
Q

What are common ankle offenders?

A 
Fibularis longus and brevis
Tibialis anterior (medial), soleus/posterior tibialis/gastrocnemius (posterior)
50
Q

What are common plantar heel pain offenders?

A

Quadratus plantae

51
Q

Name the common offenders for foot (bunion region):

A

Flexor digitorum brevis
Adductor hallicis
Flexor hallicis brevis

52
Q

Name common offenders for dorsum of foot:

A

Extensor digitorum brevis

Extensor hallicis brevis

53
Q

Name the TP:

___: midline in Supra sternal notch

___: level of costal cartilage related to named vertebra

___: midline manubrium

___: inch above xiphoid

___: tip of xiphoid

___: xiphoid-sternal junction

A

AT1

AT3-4

AT2

AT5

AT7

AT6

OS3-Unit 2 (7 decks)

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