Counterstrain Posterior Ribs

Question 1

PR1 Location

Answer 1

Posterior superior aspect of rib 1 just lateral to the costotransverse articulation

Question 2

PR2 - PR6 Location

Answer 2

May have pt hug themselves to slide scapula laterally

Superior aspect of corresponding rib angles

Question 3

PR1 Treatment

Answer 3

• Patient seated
• Slight sidebending away
• Moderate rotation toward
• Slight extension
• ESART (Start with this position)
  Larry Jones, DO: Position for this point has the greatest amount of variability

Question 4

PR2 - PR6 Treatment

Answer 4

• Patient seated
  -Physician places his/her leg under the
  ipsilateral axilla - FSARA
  -Slight flexion, sidebending away & rotation away
  -Legs are on the table, on the side opposite of the dysfunction

(This is the same position as used for the opposite side’s anterior rib points)

For PR2, the patient’s legs do not need to be on the table, but rotation and sidebending of the head and neck are necessary