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 2cm lateral to the medial end of the clavicle (clavicular head of SCM) on the 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 medial end of clavicle (where the sternal head of SCM inserts) at 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 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)
• Flex then 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

Hip Flexion

Sidebending torso toward

Rotate Torso away

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