LAB: counterstrain Flashcards

1
Q

What does the following diagnosis/nomenclature mean? E RaSt

A

Extend, rotate away and sideband toward SP if you had a tenderpoint on the right, you would extend, rotate LEFT and sideband RIGHT

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2
Q

What does uppercase and lowercase letters mean?

A

lowercase means a little and capital means a LOT

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3
Q

_______ is a tenderpoint with treatment position opposite of rest of region

A

Maverick

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4
Q

______ is a distinct palpable TTA without tenderness

A

Stoic

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5
Q

If there is more than one tender point, how should they be treated?

A

Central to peripheral

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6
Q

What is the PC1 inion?

A

Just lateral to the inion

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7
Q

Where is the PC1 occiput?

A

On the inferior nuchal line midway between the inion and the mastoid

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8
Q

Where is the PC2 tenderpoint?

A

On the superior or superior lateral aspect/tip of the spinous process of C2

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9
Q

What is the PC3 tender point?

A

On the inferior tip or inferolateral aspect of the spinous process of C2

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10
Q

What is the PC4-8 tenderpoints?

A

On the inferior or inferolateral aspect (tip) of the spinous process

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11
Q

Where is the PC4 tednerpoint?

PC5?

A

PC4 is inferior to the C3 spinous process

PC5 is inferior to the spinous process of C4, and the remainder of tender points follow this pattern

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12
Q

What is the treatment position for the PC1 inion?

A

F St Ra

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13
Q

What is the treatment positions for PC1 and PC2 occiputs?

A

e-E Sa Ra

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14
Q
A
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15
Q

What is the treatment postion for the PC2; PC4-PC8 spinous processes?

A

e-E Sa Ra

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16
Q

_________ ________ is another name for the PC3 tender point

A

Maverick point

17
Q

What is the treatment postion for PC3?

A

f-F Sa Ra

18
Q

What are the two types of posterior thoracic points?

A
  1. Spinous process: midline inferior aspect tip of spinous process
  2. Transverse process: On transverse process medial to costovertebral joint
19
Q

______ tenderpoints are on the inferior aspect of the spinous process and are involved with the interspinales muscles

A

PTSP- posterior thoracic spinous process

20
Q

What is the treatment position for all of the PTSP?

Distingiush between the upper and lower PTSP

A

e-E

– Upper PTSP (PT1-PT4): Extend off table

– Lower PTSP: Use doctor’s knee or use the table lifts to increase extension

21
Q

What is the treatment position for the PT 1-3 TP?

A

E Sa Ra

*** try to shorten the multifidus and rotatores muscles

22
Q

What is the treatment position for the TTP 4-9?

A

E Sa RT

23
Q

Retraction of the left shoulder causes ______ _______ left and extension

A

Thoracic rotation

24
Q

Elevation of the left shoulder causes thoracic _________ right

A

sidebending

25
Q

The pelvis rotates ________ the lumbar and thoraic spine

A

opposite

26
Q

Moving the pelvis (superiorly/inferiorly) towards the head side bends towards the ipsilateral side

A

Superiorly

27
Q

Moving the pelvis inferiorly towards the feet causes sidebending towards the __________ side

A

contralateral

28
Q

What are the treatment positions for the PT 10-12 TP?

A

Torso: e-E Sa Ra

Pelvis: e-E Sa Rt

29
Q

Pelvis rotates ______ of the lumbar spine

A

opposite of

30
Q

What are the treatment positions for PL 1-5 spinous processes?

A

e-E Adduction RA (torso) RT (pelvis)

31
Q
A
32
Q

Describe the PL 1-5 spinous process treatment

A

Treatment: e-E Adduction RA (torso) RT (pelvis)

– Exampleshown:RightPL4SP

– Use ipsilateral LE (right LE) to lever lumbar spine;

doctor stands on opposite side (left side)

– Lift ipsilateral LEcauses lumbar extension

– Externally rotate LErotates pelvis toward TP

(right) and rotates torso away from TP (left)

– Adduct ipsilateral LElumbar Sidebending left

33
Q
A
34
Q

Describe the upper pole L5 tender point

What is the treatment?

A

Superior medial surface of the posterior superior iliac spine (PSIS)

E Adduction IR/ER

use the ipsilateral LE to lever the lumbar; stand on the opposite side and figure out which motion improves the patients tenderness

35
Q

Where is the lower pole lumbar point of tenderness and what is the treatment?

A

On the ilium just inferior to PSIS pressing superiorly

F IR Adduction

– Sit on same side as TP, patient prone

– Flex ipsilateral leg off table

– Use ipsilateral knee to IR and ADduct the leg

36
Q

What is the high ilium sacroiliac tender point and what is the treatment position?

A

2–3 cm lateral to the PSIS pressing medially toward the PSIS

e-E ABD ER

***Use ipsilateral leg to extend, Abduct, and ER the leg

37
Q

Where are the tenderness points for the PL3 and PL4 gluteus and what is the treatment position?

A

PL3 Glut – 2⁄3 lateral from PSIS to tensor fasciae latae

PL4 Glut - posterior margin of tensor fasciae latae

Treatment: E Abd er

38
Q

Which treatments does the doctor stand on the OPPOSITE Side?

A

PL 1-5 SP

PL 1-5 TP

UPL5

39
Q

What are the treatments where the doctor stands on the SAME side?

A

LPL5

HSIS

PL3 and 4 GLUT