Counterstrain Thorax Flashcards
Where are the AT1 and AT2 tender points located respectively?
On the episternal notch and the angle of Louis respectively. They are associated with the sternal fascia and the pectoralis major muscle.
What it the treatment position for AT1 and AT2?
Full nelson / arrest them. The physician places their hands on the manubrium.
Where are the AT3-AT6 tender points located?
On the sternal body at their respective rib level.
What could be an associated clinical presentation with the AT3-AT6 tender points?
Gastroesophageal reflux.
What is the treatment position for the AT3-AT6 tender points?
Cuff them (after arresting them). The patient lies supine with their arms hanging off the table.
Where is the AT7 tender point located?
At the xyphoid process or 1/4 the distance from the tip of the xyphoid to the umbilicus lateral to the midline (there are three AT7 tender points).
Where is the AT8 tender point located?
Halfway between the tip of the xyphoid and the unbilicus, lateral to the midline.
Where is the AT9 tender point located?
3/4 of the distance from the tip of the xyphoid to the umbilicus, lateral to the midline (rectus abdominus muscles just above the belly button).
What are some indications of the AT7-AT9 tender points?
The patient may complain of midthoracic, epigastric, or flank pain, as well as gastroesophageal reflux.
What is the treatment position for the AT7-AT9 tender points?
The patient is seated while the physician stands and places their foot on the table opposite of the tender point. The patients arm on the side of the tender point is adducted across the patient’s chest and is side-bent to the side of the tender point.
What are some indications for the AT10-AT12 tender points?
Somatic dysfunction of the thoracic and or lumbar region.
What is the location of the AT10 tender points?
1/4 the distance from the umbilicus to the pubic symphysis, lateral to the midline.
What is the location of the AT11 tender points?
Halfway between the umbilicus and the pubic symphisis, lateral to the midline.
What is the location of the AT12 tender point?
The superior and anterior surface of the iliac crest at the midaxillary line.
What is the treatment position for the AT10-AT12 tender points?
The patient’s hips and knees are flexed and placed on the physicians thigh. The patient’s knees are pulled toward the side of the tender point and the patient’s ankles are brought toward the side of the tender point.
