Lab 4: Rib Counterstrain

Question 1

In exhalation dysf., which muscle is associated with ribs 3-5; 6-8; 9-10; and 11-12?

Answer 1

• 3-5 = Pec. Minor
• 6-8 = Serratus Anterior
• 9-10 = Lat. Dorsi
• 11-12 = Quad. Lumborum

Question 2

CS for ribs is held for how long?

Answer 2

120 seconds

Question 3

Anterior rib TP’s are usually indicative of a ________ rib; what type of rib SD (inhalation/exhalation)

Answer 3

Depressed (inhalation SD!!!!)

Question 4

Posterior rib TP’s are usually indicative of _______ ribs; what kind of rib SD (inhalation or exhalation)

Answer 4

Elevated; exhalation SD

Question 5

If there is an anterior or posterior rib TP along with a thoracic TP, which is treated first?

Answer 5

Tx thoracic TP first

Question 6

What is the correct CS position for AR1-AR2?

Answer 6

• F ST RT (NECK!)
• Pt supine w/ doc at head of table

Question 7

What is the correct CS position for AR3-6?

Answer 7

• F ST RT (neck and torso)
• Pt seat w/ doc behind pt and knee under arm on unaffected side

Question 8

Which TP is found on the posterior margin of rib head beneath margin of trapezius?

Answer 8

PR1

Question 9

What is the final positioning for CS of PR1?

Answer 9

E S (fine tune toward/away) RT

Question 10

What is the CS positioning for PR2?

Answer 10

• Pt seated w/ doc behind
• Place pt’s arm on side of dyf. on doctor’s knee
• F SA RA (trunk AND head)

Question 11

What is the CS positioning for PR3-6?

Answer 11

• Pt seated w/ doc behind
• Place pt’s arm on side of dysf. on knee, grasp pt’s shoulder
• F SA RA (trunk)