Periosteal /MS2 Flashcards
C1L (P)
TP: inf/med aspect of the mastoid process (med to lat on inner surface of the mastoid)
Tx: c/s SB away and Rot towards and glide the opp side of the post arch of C1 in an ant/ipsilateral (towards TP side)
C1F (P)
TP C1F: over medial arch of C1 (post to ant)
Tx: c/s flexion, sb and rot towards and compress head and neck in an inf/contralateral direction
C2F-C7F (P)
TP: posterior to the anterior deltoid muscle from inf to the greater tuberosity to the deltoid tuberosity. (lift and pinch the ant deltoid)
Tx: c/s flexion, sb and rot towards and compress head and neck in an inf/contralateral direction
T1F-T6F (P)
TP: posterior aspect of the biceps brachii from prox to distal musculoskeletal junctions (lift and pinch the biceps)
Tx: cervicothoracic flexion (marked to the level of the dysfunction, cervicothoracic SB and rot towards the TP side and compress the involved rib/thorax in an inf/med direction away from the involved side
T7F-T8F (P)
TP: lateral to the posterior aspect of the mid forearm flexor mass ( lift and pinch the flexor mass)
Tx: cervicothoracic flexion (marked to the level of the dysfunction) cervicothoracic SB and rot towards the TP side and compress the involved rib/thorax in an inf/med direction away from the involved side
T9F-T10F (P)
TP: under/ant to mid calf flexor mass (lift and pinch the mid soleus mass)
Tx: side lying, l/s flexion, l/s side bend toward the side of dysfunction (feet toward ceiling) and translation of the femur in a post direction to exaggerate the lumbar flexion deformity (using hip pressure)
* glide the ipsilateral corresponding rib in a post/inf direction*
T11F-L5F (P)
TP: under/ant to the mid hamstring (lift and pinch the flexor mass)
Tx: l/s flexion, l/s side bend toward the side of dysfunction (feet toward ceiling) and translation of the femur in a post direction to exaggerate the lumbar flexion deformity (using hip pressure)
C1E (P)
TP: ant aspect of the C1 transverse process
Tx: c/s extension, rot and side bend (Toward the TP Side)compress and translate in an inf/contra
C2E-C7E (P)
TP: ant attachment of the post deltoid to the humerus from inf to the greater tuberosity to the deltoid tuberosity
Tx: c/s extension, rotation and side toward the TP side - compress/translate in an inf/contralateral direction
T1E-T6E (P)
TP#1: post/lat tip of the transverse process (post/lat to the ant/med)
TP#2: ant/under the triceps brachii (lift and pinch the triceps)
Tx: extension, rotation and side bend toward the involved side and glide the involved rib in a post/inf and medial direction to rotate the involved segment ipsilaterally OR adduct and extend the ipsilateral arm with patient in prone
T7E-T8E (P)
TP: medial (under) the mid forearm extensor mass (lift and pinch under extensor mass - adjacent to the radius)
Tx: Tx: extension, rotation and side bend toward the involved side and glide the involved rib in a post/inf and medial direction to rotate the involved segment ipsilaterally OR adduct and extend the ipsilateral arm
T9E-T10E (P)
TP#1: post/lat tip of the transverse process (post/lat to the ant/med)
TP#2: post to (under) the mid/lateral anterior tibialis (lift and pinch to identify)
Tx: legs side bent toward the involved side with ipsilateral knee flexed. adduct the ipsilateral knee and glide the iliac crest in an ant/sup/med direction
T11E- L5E (P)
TP #1: post/lat tip of the transverse process (post/lat to the ant/med)
TP#2: under/post to the mid quad/rectus femoris mass (lift and pinch)
*alt L5E inf aspect of PSIS)
Tx: legs extended and side bend toward the involved side (lift ipsilateral iliac crest in an ant/med/sup direction)
R1S (P)
TP: ant/sup aspect of the coracoid process (ant to post)
Tx: shoulder horizontal abduction and ER
R2S-R12S (P)
TP: sup aspect of the corresponding rib angles (sup to inf)
2-7 alt dorsal/med border of the scapula 1/2 to 1 fw lateral to the medial scapular border
Tx: shoulder abduction (70-100) and translate/elevate and rotate towards TP side
**9-12 alt tx - LTR and side bend away from involved side
R1I (P)
TP1: ant/inf aspect of the coracoid process (ant to post)
Tx: make sure your head goes with you thoracic rotation and translate away from the involved side - glide the rib in an ant/inf and medial direction using UE or rib
R2I-R12I (P)
TP#1: inf aspect of the corresponding rib angles (3 fw lateral to the rib tubercles inf to sup)
TP#1: post aspect of the corresponding rib tubercles approach post to ant
Tx: ant/inf/med glide of the involved rib
SACF (P)
TP: dorsal aspect of the S3 spinous process
TP Alt: sharpy’s fibers of gluteus maximus on the dorsum of the LEFT sacrotuberous ligament. Most inferior point on the left.
Tx: glide upper sacrum (sacral base) using an ant/inf scooping motion
SACE (P)
TP: dorsal aspect of the S4 spinous process
TP Alt: in the sharpy’s fibers of the gluteus maximus on the dorsum of the RIGHT sacrotuberous ligament. Most inferior point on the right side.
Tx: lower sacrum (apex) using an ant/sup scooping motion
FST (P)
TP: dorsal/inferior sacrum (1cm sup/med to the inf lateral angle (ILA) (approach post to ant)
TP Alt: sharpy’s fibers of the gluteus maximus on the dorsum of the sacrotuberous ligament. Third most inferior point, bilaterally.
Tx: glide opp side sacral base adjacent to the PSIS ant and then diagonally inf toward the tender point) fine tune with sacral side bending
BST (P)
TP: located on the dorsal/superior sacrum 1cm med to the inf aspect of the PSIS (approach post to ant)
TP Alt: in the sharpy’s fibers of the gluteus maximus on the dorsum of the sacrotuberous ligament. The second most inferior point, bilaterally.
Tx: glide the opposite ILA ant and then diagonally superior toward the TP using a ‘scooping’ motion
fine tune with sacral side bending
SSS (P)
TP: dorsal/lateral border of the lower sacrum (ILA) (post/lat to ant/med)
TP Alt: in the sharpy’s fibers of the gluteus maximus on the dorsum of the sacrotuberous ligament. The second most superior point, bilaterally.
Tx: glide the sacrum on the involved side in a sup and medial direction utilizing a rotational movement (cw for L and ccw for the R)
ISS (P)
TP: dorsal/inf/medial border of the lower sacrum/ILA (1cm lateral to the coccyx) post/inf to ant/sup
TP Alt: in the sharpy’s fibers of the gluteus maximus on the dorsum of the sacrotuberous ligament. Superior most point, bilaterally.
Tx: hip adduction, and glide the sacrum on the involved side in an inf/med direction utilizing a rotational mvmt (CW for R, CCW for L)
CX1 (P)
TP: located over the dorsal aspect of 1st coccygeal segment (post to ant)
TP Alt: in the sharpy’s fibers of the gluteus maximus on the dorsum of the sacrotuberous ligament. The third most superior point on the RIGHT side.
Tx: glide coccyx into R deviation fine tune with rotation into the direction of ease