Extremity Counterstrain

Question 1

Tensor fasciae latae

Location?
Positioning?

Answer 1

Inferior to iliac crest

Flexed, abducted

Question 2

Ilitibial tract

Location

Position

Answer 2

IT band below greater trochanter

Flexion, abduction.

Question 3

Lateral hamstring

Location x2
Positioning

Answer 3

Posterolateral knee by fib head
And
Lateral, mid hamstring

Knee flexed, tibia ext rot, abducted. Plantar flex foot.

Question 4

Medical hamstring

Location x2
Position

Answer 4

Medial tibial condyle
Medial belly of hamstring

Knee flex, int rot, adduction. Planter flex foot.

Question 5

Lateral meniscus/lateral collateral ligament

Location
Position

Answer 5

Lateral knee joint line

Flex knee, abduct tibia, rotate as needed.(ankle dorsiexion/eversion)

Question 6

Medial meniscus/medial collateral

Location
Position

Answer 6

Medial knee joint

Flex knee, adduct tibia, int rotation. (Plantar flex foot)

Question 7

Anterior cruciate ligament

Location
Position

Answer 7

Superior aspect of posterior knee

Upper leg on towel=Translate tibia posteriorly

(like posterior drawer test)

Question 8

Posterior cruciate ligament

Location
Position

Answer 8

Below center of posterior knee

Force femur posteriorly(lower leg on towel)

Question 9

Popliteus

Location
Position

Answer 9

Muscle inferior to popliteal space(slightly lateral)

Flex knee, int rot

Question 10

Gastrocnemius

Location, position

Answer 10

Medial, and lateral body of calf (2 points)

Knee flex, pressure on calcaneus for plantar flexion(foot resting on your thigh)

Question 11

Tibialis anterior

Location
Position

Answer 11

Lateral ant shin and
Anterior/inferior to medial malleolus

Inversion(plantar,int rot,supinate)

Question 12

Fibularis longus,Brevis,teritias

Location
Position

Answer 12

Anterior/inferior to lateral malleolus

Eversion(ext rot, dorsiflexion, probation)

Question 13

Calcaneus/quadratics plantar

Location
Position

Answer 13

Anterior calcaneus, midline

Plantarflexion with pushing calcaneus forward(complete foot flexion)

Question 14

Navicular

Location
Position

Answer 14

Medial side, plantar foot

Plantar flexion and supination of foot

Question 15

Supraspinatus

Location
Position

Answer 15

Mid muscle, superior to scapular spine

Supine: Arm flexed 45, abducted 45, ext rot

Question 16

Infraspinatus

Locationx2
Position

Answer 16

Posterior aspect GLenohumera joint
Below scapular spine

Flex arm 90-120, abduction, ext rot

Question 17

Levatlor scapular

Answer 17

Between neck and superior/medial scapula

Rotate head away, int rotate shoulder, slight traction arm

Question 18

Rhomboids

Answer 18

Between shoulder and spinous process

Arm extension, adducted (elbow posterior and medially)

Question 19

Subscapularis

Answer 19

Anterior, deep in axilla

Extend, int rot, traction

Question 20

Long head biceps

Answer 20

Bicipital Groove

Flex arm, arm abducted, int rot.

Question 21

Short head biceps

Answer 21

Inferior/lateral to coracoid process

Arm flexed, arm abducted, int rot

Question 22

Pec minor

Answer 22

Inferior/medial coracoid process

Adduct arm across chest, pull scapula “forward, down, medial”

Question 23

Supinator

Answer 23

Anterolateral elbow(“radial head”

Elbow extension, SUPiNATED, valgus

Question 24

Pronator teres

Answer 24

Medial elbow,

Elbow flexed, PRONATN, slight adduction

Question 25

Extensor carpi radialis

Answer 25

Dorsal hand, base 2nd metacarpal

Extend and abduct wrist

Question 26

Extensor Carli ulnaris

Answer 26

Dorsal hand, 5th metatarsa base

Extend and Adduct

Question 27

Flexor carpi radialis

Answer 27

Palm, base 2/3 metacarpal

Flex, abduct wrist

Question 28

Flexor carpi ulnaris

Answer 28

Palm, base of 5th metacarpal

Flex, adduct wrist

Question 29

Abductor pollicis brevis

Answer 29

Palm, base of thumb

Flex wrist, abduct thumb (thumb points “out” from hand