Lecture 6: UE/LE Counterstrain *CPA Flashcards
list the steps in counterstrain (8)
locate somatic dysfunction
find tenderpoint
establish pain / tenderness scale
shorten local tissues while monitoring
reuce pain by 70%
hold 90 sec
passively return neutral
reassess
TENDERPOINT LOCATION AND TREATMENT
tensor fascia latae
just inferior to iliac crest in TFL
f ABD
TENDERPOINT LOCATION AND TREATMENT
iliotibial band
along IT band distal to lateral trochanter
f ABD
TENDERPOINT LOCATION AND TREATMENT
lateral hamstring
distal aspect of biceps femoris near posterolateral fibular head
f ER Abd
TENDERPOINT LOCATION AND TREATMENT
medial hamstring
posterior thigh medial to midline halfway down femur
F IR Add
TENDERPOINT LOCATION AND TREATMENT
lateral meniscus / LCL
lateral aspect of medial knee joint line
F Abd IR/ER
TENDERPOINT LOCATION AND TREATMENT
medial meniscus / MCL
anteromedial part of medial knee joint line
F IR Add
TENDERPOINT LOCATION AND TREATMENT
anterior cruiciate
superior aspect of popliteal fossa adjacent to hamstring tendons
classic jones treatment
TENDERPOINT LOCATION AND TREATMENT
posterior cruiciate
slightly below center of popliteal fossa
classic jones treatment
TENDERPOINT LOCATION AND TREATMENT
popliteus
popliteus muscle just below popliteal space
F IR
TENDERPOINT LOCATION AND TREATMENT
gastrocnemius (extension ankle)
gastrocnemius muscle distal to popliteal margin
TENDERPOINT LOCATION AND TREATMENT
tibialis anterior (medial ankle)
anterior & inferior to medial malleolus along deltoid ligament
INV IR
TENDERPOINT LOCATION AND TREATMENT
peroneus longus, brevis, tertius (lateral ankle)
anterior / inferior to lateral malleolus in talocalcaneal sulcus
EV ER
TENDERPOINT LOCATION AND TREATMENT
quadratus plantae (flexion calcaneus)
& navicular
anterior aspect of plantar surface of calcaneus at plantar fascia attachment
F
TENDERPOINT LOCATION AND TREATMENT
supraspinatus
midsupraspinatus m. just superior to scapular spine
F Abd ER
TENDERPOINT LOCATION AND TREATMENT
UPPER infraspinatus
inferiolateral to scapular spine
F Abd ER/IR
TENDERPOINT LOCATION AND TREATMENT
LOWER infraspinatus
lower portion of muscle, inferior to scapular spine & lateral to medial border
F Abd ER
TENDERPOINT LOCATION AND TREATMENT
levator scapulae
superior medial border of scapula
IR Abd Traction
TENDERPOINT LOCATION AND TREATMENT
rhomboid minor / major
medial border of scapula at rhomboid attachment
E Add
TENDERPOINT LOCATION AND TREATMENT
subscapularis
anterolateral border of scapula on subscapularis muscle
E IR
TENDERPOINT LOCATION AND TREATMENT
LONG HEAD biceps brachii
over long head in bicipital groove
F Abd IR
TENDERPOINT LOCATION AND TREATMENT
SHORT HEAD biceps brachii / coracobrachialis
inferiolateral aspect of coracoid process
F Add IR
TENDERPOINT LOCATION AND TREATMENT
pectoralis minor
inferior & medial to coracoid process
f-F Add
TENDERPOINT LOCATION AND TREATMENT
supinator / lateral radial head
anterolateral aspect of radial head at supinator attachment
E SUP Val
TENDERPOINT LOCATION AND TREATMENT
pronator teres / medial epicondyle
medial epicondyle at common flexor tendon and pronator teres
F PRO Add
TENDERPOINT LOCATION AND TREATMENT
Extensor Carpi Radialis (Dorsal Wrist)
dorsal surface of 2nd metacarpal in extensor carpi radialis m.
E Abd
TENDERPOINT LOCATION AND TREATMENT
extensor carpi ulnaris (dorsal wrist)
dorsal surface of 5th metacarpal in extensor carpi ulnaris
E Add
TENDERPOINT LOCATION AND TREATMENT
flexor carpi radialis (palmar wrist)
palmar base of 2nd or 3rd metacarpal in flexor carpi radialis m.
F Abd
TENDERPOINT LOCATION AND TREATMENT
flexor carpi ulnaris (palmar wrist)
palmar base of 5th metacarpal in flexor carpi ulnaris m.
F Add
TENDERPOINT LOCATION AND TREATMENT
abductor pollicis brevis (first carpometacarpal)
radial aspect of palmar base of 1st metacarpal in abductor pollicis brevis m.
F Abd
