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
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TENDERPOINT LOCATION AND TREATMENT
iliotibial band
along IT band distal to lateral trochanter
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f ABD
TENDERPOINT LOCATION AND TREATMENT
lateral hamstring
distal aspect of biceps femoris near posterolateral fibular head
f ER Abd
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TENDERPOINT LOCATION AND TREATMENT
medial hamstring
posterior thigh medial to midline halfway down femur
F IR Add
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TENDERPOINT LOCATION AND TREATMENT
lateral meniscus / LCL
lateral aspect of medial knee joint line
F Abd IR/ER
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TENDERPOINT LOCATION AND TREATMENT
medial meniscus / MCL
anteromedial part of medial knee joint line
F IR Add
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TENDERPOINT LOCATION AND TREATMENT
anterior cruiciate
superior aspect of popliteal fossa adjacent to hamstring tendons
classic jones treatment
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TENDERPOINT LOCATION AND TREATMENT
posterior cruiciate
slightly below center of popliteal fossa
classic jones treatment
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TENDERPOINT LOCATION AND TREATMENT
popliteus
popliteus muscle just below popliteal space
F IR
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TENDERPOINT LOCATION AND TREATMENT
gastrocnemius (extension ankle)
gastrocnemius muscle distal to popliteal margin
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TENDERPOINT LOCATION AND TREATMENT
tibialis anterior (medial ankle)
anterior & inferior to medial malleolus along deltoid ligament
INV IR
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TENDERPOINT LOCATION AND TREATMENT
peroneus longus, brevis, tertius (lateral ankle)
anterior / inferior to lateral malleolus in talocalcaneal sulcus
EV ER
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TENDERPOINT LOCATION AND TREATMENT
quadratus plantae (flexion calcaneus)
& navicular
anterior aspect of plantar surface of calcaneus at plantar fascia attachment
F
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TENDERPOINT LOCATION AND TREATMENT
supraspinatus
midsupraspinatus m. just superior to scapular spine
F Abd ER
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TENDERPOINT LOCATION AND TREATMENT
UPPER infraspinatus
inferiolateral to scapular spine
F Abd ER/IR
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TENDERPOINT LOCATION AND TREATMENT
LOWER infraspinatus
lower portion of muscle, inferior to scapular spine & lateral to medial border
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F Abd ER
TENDERPOINT LOCATION AND TREATMENT
levator scapulae
superior medial border of scapula
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IR Abd Traction
TENDERPOINT LOCATION AND TREATMENT
rhomboid minor / major
medial border of scapula at rhomboid attachment
E Add
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TENDERPOINT LOCATION AND TREATMENT
subscapularis
anterolateral border of scapula on subscapularis muscle
E IR
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TENDERPOINT LOCATION AND TREATMENT
LONG HEAD biceps brachii
over long head in bicipital groove
F Abd IR
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TENDERPOINT LOCATION AND TREATMENT
SHORT HEAD biceps brachii / coracobrachialis
inferiolateral aspect of coracoid process
F Add IR
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TENDERPOINT LOCATION AND TREATMENT
pectoralis minor
inferior & medial to coracoid process
f-F Add
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TENDERPOINT LOCATION AND TREATMENT
supinator / lateral radial head
anterolateral aspect of radial head at supinator attachment
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E SUP Val
TENDERPOINT LOCATION AND TREATMENT
pronator teres / medial epicondyle
medial epicondyle at common flexor tendon and pronator teres
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F PRO Add
TENDERPOINT LOCATION AND TREATMENT
Extensor Carpi Radialis (Dorsal Wrist)
dorsal surface of 2nd metacarpal in extensor carpi radialis m.
E Abd
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TENDERPOINT LOCATION AND TREATMENT
extensor carpi ulnaris (dorsal wrist)
dorsal surface of 5th metacarpal in extensor carpi ulnaris
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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
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TENDERPOINT LOCATION AND TREATMENT
flexor carpi ulnaris (palmar wrist)
palmar base of 5th metacarpal in flexor carpi ulnaris m.
F Add
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TENDERPOINT LOCATION AND TREATMENT
abductor pollicis brevis (first carpometacarpal)
radial aspect of palmar base of 1st metacarpal in abductor pollicis brevis m.
F Abd
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