Lab 3: Anterior C/T Counterstrain

Question 1

Which TP is found on posterior surface of the ascending ramus of the mandible and correct treatment position?

Answer 1

• AC1 mandible
• SARA

Question 2

Correct tx position for AC1 TP?

Answer 2

saRA

Question 3

Where are the AC2-6 tenderpoints and correct position + alternate?

Answer 3

• Anterior aspect of TP’s of corresponding vertebra
• F SARA
• Alternate is cervical extension w/ SARA

Question 4

Which TP is located on posterosuperior surface of prox. clavicle where SCM inserts; correct tx position for CS?

Answer 4

• AC7
• F ST RA

Question 5

Which TP is located on the clavicular insertion of the SCM near the sternal notch; correct position for CS?

Answer 5

• AC8
• F SARA

Question 6

Where is the TP for AT1 and AT2 located?

Answer 6

• AT1 = midline on suprasternal notch
• AT2 = midline on manurbium at sternal angle (angle of Louis)

Question 7

What is correct position for CS tx of AT1-AT6; modification?

Answer 7

• Pt supine; doc at head of table
• Cervical and thoracic flexion to level of TP; doc can place knee under head/neck or trunk to use as a wedge to flex pt to involved vertebrae

**Modification = pt seated and doc standing behind, flexing head to level of TP

Question 8

Which TP is located midline at the level of the costal cartilage relatd to the named vertebrae (at sternal-xiphoid jct.)

Answer 8

AT6

Question 9

Where is the AT7, AT8, and AT9 TP’s located?

Answer 9

• AT7 = midline or lateral to midline 1/4 distance from tip of xiphoid and umbilicus
• AT8 = midline or lateral to midline 1/2 btw xiphoid and umbilicus
• AT9 = midline or lateral to midline, 3/4 distance from xiphoid to umbilicus

Question 10

Correct setup and tx for AT7-AT9 CS; if lateral TP vs. midline TP?

Answer 10

• Pt seated; doc standing behind pt w/ foot on side opposite TP (if lateral TP)
• Use leg to SB torso towards TP and rotate torso away
• FSTRA

**If midline TP, flex to level of TP

Question 11

Where are the AT10-AT12 TP’s located bilaterally?

Answer 11

• AT10 = lateral to midline 1/4 from umbilicus to pubic symphysis (3-4 cm below umbilicus)
• AT11 = lateral to midline 1/2 from umbilicus to pubic symphysis (3-4 cm below umbilicus)
• AT12 = lateral to midline, MID-axillary line on the superoanterior surface of iliac crest

Question 12

What is the correct setup and technique for AT10-AT12 CS?

Answer 12

• Pt supine w/ doc same side as TP
• Flex pt’s hips/knees and place them on doc’s thigh, then flex further to desired level
• Pull pt’s knees toward doc; pull pt’s ankles towards doc
• FSTRA

Question 13

Correct position for CS of PT1-3 SP and TP?

Answer 13

• PT 1-3 SP = E
• PT 1-3 TP = E SA RA

Question 14

Correct position for CS of PT4-6 SP and TP?

Answer 14

• SP = E
• TP = E SA RT

Question 15

Correct position for CS of PT7-9 TP?

Answer 15

E SA RT

Question 16

Correct position for CS of PT10-12 TP?

Answer 16

E SA RT

Question 17

Treatment of a “maverick point” calls for doing what to the tissues around the TP?

Answer 17

LENGTHENING the pt’s tissues around TP rather than shortening/wrapping around them