Pelvic counterstrain

Question 1

Psoas TP Location

Answer 1

2/3 from basis to midline

a-p

Question 2

Psoas TP Tx

Answer 2

frogleg
hip flexion ~<90
external rotation
sidebending towards

Question 3

Psoas TP m

Answer 3

Psoas Major

Question 4

Iliacus TP Locaton

Answer 4

1/3 from asis to midline

a-p and lateral

Question 5

Iliacus TP Tx

Answer 5

Frogleg
marked hip flexion
external rotation

Question 6

Iliacus TP m

Answer 6

iliacus in the iliac fossa

Question 7

Low Ilium TP Location

Answer 7

Superior surface of the iliopectineal (iliopubic) eminence

a-p

Question 8

Low Ilium TP Tx

Answer 8

Marked ipsilateral hip flexion
• Fine tuning with
– External rotation of the thigh
– ADDuction
– ABDuction

Question 9

Low Ilium TP m

Answer 9

psoas minor

Question 10

Inguinal Ligament TP Location

Answer 10

Medial aspect of the inguinal ligament near the pubic tubercle
l-m

Question 11

Inguinal Ligament TP Tx

Answer 11

Flexion of thighs with contralateral thigh crossed over ipsilateral thigh. Ipsilateral lower leg pulled laterally to create slight internal rotation of the hip on the affected side

Question 12

Inguinal Ligament TP m

Answer 12

pectineus

Question 13

Piriformis TPLocation

Answer 13

Midpoint between the lower half of the lateral aspect of the sacrum’s Inferior Lateral Angle and the greater trochanter

Question 14

Piriformis TP Tx

Answer 14

peeing dog
lots of flexion
abduction
fine tune with IR and ER

Question 15

Piriformis TP m

Answer 15

Piriformis

Question 16

Posterior Lateral Trochanter TP Loc

Answer 16

Superolateral aspect of the posterior surface of the greater trochanter

Question 17

Posterior Lateral Trochanter TP Tx

Answer 17

pt prone ph same side
• Extension
• Marked external rotation
• Abduction if needed for fine tuning

Question 18

Posterior Lateral Trochanter TP m

Answer 18

Probably another piriformis

Question 19

High Ilium Sacroiliac TP Loc

Answer 19

2-3 cm lateral to the PSIS, pressing medially toward the PSIS

Question 20

High Ilium Sacroiliac TP Tx

Answer 20

• Hip extension with

* fine tuning in abduction and external rotation

Question 21

High Ilium Sacroiliac TP m

Answer 21

• Depending on the depth of palpation, may be related to the gluteus maximus or gluteus medius

Question 22

High Ilium Flare-Out TP Loc

Answer 22

• Lateral aspect of the ILA and/or lateral aspect of the coccyx

Question 23

High Ilium Flare-Out TP Tx

Answer 23

• Patient prone
• Can be done (as in textbook) by standing on opposite side, holding leg of affected side just below the knee and pulling it over the midline
• Hip extension (of the ipsilateral leg, enough to clear the leg on the unaffected side)
• Adduction
• External rotation, slight, on occasion (especially if the TP is located closer to the ILA)

Question 24

High Ilium Flare-Out TP m

Answer 24

– Probably sacrospinous or sacrotuberous ligaments

Question 25

Lateral Trochanter TP Loc

Answer 25

Along the iliotibial band distal to the greater trochanter

Question 26

Lateral Trochanter TP Tx

Answer 26

Moderateabductionof the thigh, slight flexion

Question 27

Lateral Trochanter TP m

Answer 27

IT band maybe sensor fascia lata