Rib Counterstrain - Lab Flashcards
Anterior Ribs 1 and 2 CS
Anterior Ribs 3-10 CS
120 seconds (30 to relax pt, 90 for treatment)
Posterior Rib 1 CS
Posterior Rib 2 CS
Posterior Ribs 3-10 CS
Opposite of anterior treatment
If thoracic and rib TPs, which do you treat first?
Thoracic TP
Anterior rib tenderpoint indicates ____ rib
Depressed rib
Ribs depress with exhalation (sigh when you’re depressed)
Posterior rib TP is indicative of ______ rib
Elevated rib
Ribs elevate with inhalation
Ribs are typically more prominent when they are _____
Depressed
Location of Anterior Rib 1 TP
Below clavicle on 1st chostochondral articulation
Location of Anterior Rib 2 TP
Superior aspect of 2nd rib at the midclavicular line
Location of Anterior Ribs 3-10 tenderpoints
On the dysfunctional rib at the anterior axillary line
Location of Posterior Rib 1 TP
Posterosuperior aspect of rib 1 just lateral to costotransverse articulation
Location of posterior Rib 2-10 TPs
Posterosuperior angle of corresponding rib
Rib 1 Inhalation Treatment
Ribs 2-6 Inhalation Treatment
Ribs 7-10 Inhalation Treatment
Ribs 11-12 Inhalation Treatment
Ribs 1-2 Exhalation Treatment
Ribs 3-5 Exhalation Treatment
Ribs 6-8 Exhalation Treatment
Ribs 9-10 Exhalation Treatment
Ribs 11-12 Exhalation Treatment
What ribs require you to depress the key rib with exhalation in order to treat their inhalation dysfunction?
Ribs 1-10
What ribs require you to activate the quadratus lumborum to treat?
Ribs 11-12, for both inhalation and exhalation dysfunction
What ribs require activation of the anterior/middle scalene ms. to treat exhalation dysfunction?
Rib 1
What ribs require activation of the posterior scalene to treat exhalation dysfunction?
Rib 2
What ribs require activation of the pectoralis minor m. to treat exhalation dysfunction?
Ribs 3-5
What ribs require activation of the serratus anterior m. to treat exhalation dysfunction?
Ribs 6-8
What ribs require activation of the latissimus dorsi m. to treat exhalation dysfunction?
Ribs 9-10
