extremity counterstrain review Flashcards

1
Q

supraspinatus

A

F Abd ER

“cactus arms”

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2
Q

infraspinatus

A

F Abd er/ir

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3
Q

rhomboid minor/major

A

E Add

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4
Q

levator scapulae

A

IR Abd traction

only UE CS - prone

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5
Q

subscapularis

A

E IR

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6
Q

biceps-long head

A

F Abd ir

“scratching their head”

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7
Q

biceps-short head / coracobrachialis

A

F Add ir

“guarding arm”

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8
Q

pectoralis minor

A

f-F Add

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9
Q

radial head lateral

A

E SUP valgus

“donating plasma”

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10
Q

medial epicondyle (pronator teres)

A

F PRO Add

“shoulder press”

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11
Q

dorsal wrist (extensor carpi radialis)

A

E Abd

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12
Q

palmar wrist - flexor carpi radialis/ base of 2-3rd metacarpal

A

F Abd

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13
Q

palmar wrist - first metacarpal- abductor pollicis longus

A

F (wrist) Abd (thumb)

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14
Q

palmar wrist - flexor carpi ulnaris - base of 5th metacarpal

A

F Add

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15
Q

tensor fascia lata

A

f ABD

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16
Q

lateral trochanter - iliotibial band

17
Q

lateral hamstring-biceps femoris

18
Q

lateral meniscus/collateral ligament

A

thigh/ tibia ABD, er/ir
flex knee 35-40 deg
ankle - dorsiflexed, everted

19
Q

medial hamstring semimembranosus/semitendinosus

20
Q

medial meniscus/collateral ligament

21
Q

anterior cruciate

A

place pillow under the distal femur to create a fulcrum. apply a shearing force by moving the proximal tibia posteriorly on the femur

22
Q

posterior cruciate

A

place pillow under the distal femur to create a fulcrum. apply a shearing force by moving the distal femur posteriorly on the proximal tibia

23
Q

popliteus

24
Q

extension ankle gastrocnemius

A

marked plantar flexion of the ankle with knee flexion

25
medial ankle tibialis anterior
INV ir
26
lateral ankle/peroneus longus brevis/tertius
EV er
27
flexion calcaneus quadratus plantae
F
28
steps for extremity counterstrain
- OSE for Dx of Sd 1. find tenderpoint 2. establish tenderness scale 3. monitor tp throughout 4. position of ease- reduce by 70% 5. hold 90 sec 6. slowly return to neutral 7. reassess