Lab 2: Rib, Anterior Cervical/Thoracic Counterstrain Flashcards
1
Q
AC1 Mandible
A
- Location: Posterior surface of ascending ramus of mandible
- Setup:
- Patient: Supine
- Doctor: Head of table - push posterior to anterior
- Sidebend Away, Rotate Away (SARA)
2
Q
AC1 TP
A
- Location: C1 transverse process midway between ramus of mandible and mastoid process
- Setup:
- Patient: Supine
- Doctor: Head of table - push lateral to medial
- Sidebend Away, Rotate Away (saRA)
3
Q
AC2-6
A
- Location: Anterior aspect of transverse processes of corresponding vertebrate
- Setup:
- Patient: Supine
- Doctor: Head of table
- Flex, Sidebend Away, Rotate Away (F SARA)
4
Q
AC7
A
- Location: Posterosuperior surface of proximal clavicle where SCM muscle inserts
- Setup:
- Patient: Supine
- Doctor: Head of table
- Flexed, Sidebend Towards, Rotate Away (F STRA)
5
Q
AC8
A
- Location: Clavicular insertion of SCM muscle, near sternal notch
- Setup:
- Patient: Supine
- Doctor: Head of table
- Flexed, Sidebend Away, Rotate Away (F SARA)
6
Q
AT1
A
- Location: Midline on suprasternal notch
- Setup:
- Patient: supine
- Doctor: Head of table
- Treatment:
- Cervical and thoracic flexion to level of the TP
- Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
7
Q
AT2
A
- Location: Midline on manubrium at sternal angle
- Setup:
- Patient: supine
- Doctor: Head of table
- Treatment:
- Cervical and thoracic flexion to level of the TP
- Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
8
Q
AT3-4
A
- Location: Midline at the level of costal cartilage related to named vertebra
- Setup:
- Patient: supine
- Doctor: Head of table
- Treatment:
- Cervical and thoracic flexion to level of the TP
- Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
9
Q
AT5
A
- Location: Midline at the level of costal cartilage related to named vertebra - 1 inch superior to xiphoid
- Setup:
- Patient: supine
- Doctor: Head of table
- Treatment:
- Cervical and thoracic flexion to level of the TP
- Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
10
Q
AT6
A
- Location: Midline at the level of costal cartilage related to named vertebra - at sternal-xiphoid junction
- Setup:
- Patient: supine
- Doctor: Head of table
- Treatment:
- Cervical and thoracic flexion to level of the TP
- Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
11
Q
AT7
A
- Location: Can be midline or lateral to midline ¼ distance from tip of xiphoid and umbilicus
- Setup:
- Patient: seated
- Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
- Treatment: F STRA
- Use leg to sidebend torso towards TP and rotate torso away
12
Q
AT8
A
- Location: Can be midline or lateral to midline halfway distance from tip of xiphoid and umbilicus - 1.5 inches inferior to xiphoid
- Setup:
- Patient: seated
- Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
- Treatment: F STRA
- Use leg to sidebend torso towards TP and rotate torso away
13
Q
AT9
A
- Location: Can be midline or lateral to midline ¾ distance from tip of xiphoid and umbilicus - 1-2 cm superior to umbilicus
- Setup:
- Patient: seated
- Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
- Treatment: F STRA
- Use leg to sidebend torso towards TP and rotate torso away
14
Q
AT10
A
- Location: Lateral to midline, ¼ distance from umbilicus to pubic symphysis (1-2 cm inferior to umbilicus)
- Setup:
- Patient: supine
- Doctor: standing on same side of TP
- Treatment: F STRA
- Step 1: Flex patients hips and knees, and place them on physicians thigh, then flex further to desired level, flexion can be assisted w/ a pillow under pelvis or thorax
- Step 2: Pull patients knees towards the doctor, causing the pelvis and lower segment to rotate toward the TP while the torso and upper segment rotate away.
- Step 3: Pull patients ankles towards the doctor, which sidebends the dysfunctional segment toward the TP
15
Q
AT11
A
- Location: Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm inferior to umbilicus)
- Setup:
- Patient: supine
- Doctor: standing on same side of TP
- Treatment: F STRA
- Step 1: Flex patients hips and knees, and place them on physicians thigh, then flex further to desired level, flexion can be assisted w/ a pillow under pelvis or thorax
- Step 2: Pull patients knees towards the doctor, causing the pelvis and lower segment to rotate toward the TP while the torso and upper segment rotate away.
- Step 3: Pull patients ankles towards the doctor, which sidebends the dysfunctional segment toward the TP