Tender points

Question 1

anterior TPs are associated with ___________ ribs

Answer 1

depressed (inhalation restriction, exhalation SD)

Question 2

posterior TPs are associated with _______________ ribs

Answer 2

elevated (exhalation restriction, inhalation SD)

Question 3

anterior cervical - location

Answer 3

anterior to or on the most lateral aspect of the lateral masses

Question 4

anterior cervical - treatment

Answer 4

• sidebend away

- rotate away

Question 5

anterior C7 - location

Answer 5

2-3 cm lateral to the medial end of the clavicle (lateral attachment of SCM)

Question 6

anterior C7 - treatment

Answer 6

• flex away
• sidebend away
• rotate away

Question 7

posterior cervical - location

Answer 7

tip OR lateral sides of spinous process

Question 8

posterior cervical - treatment

Answer 8

• extend away
• sidebend away
• rotate away

Question 9

inion - location

Answer 9

at inion or just below

Question 10

inion - treatment

Answer 10

marked flexion

Question 11

anterior T1-T6 location

Answer 11

midline of sternum at attachment of corresponding rib

Question 12

anterior T7-T12 location

Answer 12

rectus ab 1 inch lateral to midline

Question 13

anterior thoracic - treatment

Answer 13

• flex thorax
• sidebend away
• rotate away

Question 14

posterior thoracic - location

Answer 14

either side of spinous process or on transverse process

Question 15

posterior thoracic - treatment

Answer 15

• extend away
• rotate away
• sidebend away

Question 16

anterior rib 1 - location

Answer 16

just below medial end of clavicle

Question 17

anterior rib 2 - location

Answer 17

6-8 cm lateral to sternum on rib 2

Question 18

anterior rib 3-6 location

Answer 18

mid axillary line on corresponding rib

Question 19

anterior ribs 1 and 2 - treatment

Answer 19

• flex head
• sidebend toward
• rotate toward

Question 20

anterior ribs 3-6 treatment

Answer 20

• sidebend thorax toward
• rotate thorax toward
• encourage slight flexion

Question 21

posterior ribs - treatment

Answer 21

• minimal flexion
• sidebend away
• rotation away

Question 22

anterior L1 - location

Answer 22

medial to ASIS

Question 23

anterior L2-L4 location

Answer 23

on AIIS

Question 24

anterior L5 - location

Answer 24

1 cm lateral to pubic symphysis on superior ramus

Question 25

anterior lumbar - treatment

Answer 25

• patient supine
• hips and knees flexed
• markedly rotated away

Question 26

posterior lumbar - location

Answer 26

either side of spinous process or on transerse process

• L3, 4 may be found on iliac crest
• L5 may be found on PSIS

Question 27

posterior lumbar - treatment

Answer 27

• patient prone
• stand on opposite side
• extend leg
• sidebend and rotate pelvis toward TP

Question 28

lower pole L5 - location

Answer 28

caudad to PSIS 1 cm

Question 29

lower pole L5 - treatment

Answer 29

• patient prone
• stand on same side
• hip and knee flexed
• leg internally rotated and adducted

Question 30

iliacus - location

Answer 30

7 cm medial to ASIS

Question 31

iliacus - treatment

Answer 31

• patient supine
• hip flexed
• hip externally rotated

Question 32

piriformis - location

Answer 32

7 cm medial to and slightly cephalad to greater trochanter

Question 33

piriformis - treatment

Answer 33

• patient prone
• hip and knee flexed
• thigh abducted and externally rotated