Thoracic counterstrain Flashcards

1
Q

ALT 5-6T

A

Pt: seated, Dr: behind pt w/ leg on table under pt’s arm on unaffected side; F STRA

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2
Q
A
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3
Q

A1T

A

Midline in suprasternal notch (palpate inferiorly).

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4
Q

A2T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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5
Q

A3T-A4T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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6
Q

A5T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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7
Q

A6T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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8
Q

A7T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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9
Q

A7T

A

A2T: Midline on the manubrium

A3-4T: At the level of the costal cartilage related to the named vertebra

A5T: about an inch above the xiphoid junction

A6T: at the sternal-xiphoid junction

A7T: at the tip of the xiphoid

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10
Q

A8T

A

A8T: 1 1⁄2 inches below the

xiphoid

A9T: midline below the xiphoid, 1-2 cm above the umbilicus

A10T: Midline about 1-2 cm below the umbilicus

A11T: Midline about 3-4 cm below the umbilicus

A12T: Mid-axillary line on superior-medial surface of the iliac crest (palpate inferior-lat)

AL5-6: On costal cartilages of these levels

AL7-8: On inferior medial surface of costal cartilages, 1 and 2 inches from xyphoid.

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11
Q

A9T

A

A8T: 1 1⁄2 inches below the

Anterior Thoracic Tender Points

xiphoid

A9T: midline below the xiphoid, 1-2 cm above the umbilicus

A10T: Midline about 1-2 cm below the umbilicus

A11T: Midline about 3-4 cm below the umbilicus

A12T: Mid-axillary line on superior-medial surface of the iliac crest (palpate inferior-lat)

AL5-6: On costal cartilages of these levels

AL7-8: On inferior medial surface of costal cartilages, 1 and 2 inches from xyphoid.

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12
Q

A10T

A

A8T: 1 1⁄2 inches below the

Anterior Thoracic Tender Points

xiphoid

A9T: midline below the xiphoid, 1-2 cm above the umbilicus

A10T: Midline about 1-2 cm below the umbilicus

A11T: Midline about 3-4 cm below the umbilicus

A12T: Mid-axillary line on superior-medial surface of the iliac crest (palpate inferior-lat)

AL5-6: On costal cartilages of these levels

AL7-8: On inferior medial surface of costal cartilages, 1 and 2 inches from xyphoid.

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13
Q

A11T

A

A8T: 1 1⁄2 inches below the

Anterior Thoracic Tender Points

xiphoid

A9T: midline below the xiphoid, 1-2 cm above the umbilicus

A10T: Midline about 1-2 cm below the umbilicus

A11T: Midline about 3-4 cm below the umbilicus

A12T: Mid-axillary line on superior-medial surface of the iliac crest (palpate inferior-lat)

AL5-6: On costal cartilages of these levels

AL7-8: On inferior medial surface of costal cartilages, 1 and 2 inches from xyphoid.

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14
Q

A12T

A

A8T: 1 1⁄2 inches below the

Anterior Thoracic Tender Points

xiphoid

A9T: midline below the xiphoid, 1-2 cm above the umbilicus

A10T: Midline about 1-2 cm below the umbilicus

A11T: Midline about 3-4 cm below the umbilicus

A12T: Mid-axillary line on superior-medial surface of the iliac crest (palpate inferior-lat)

AL5-6: On costal cartilages of these levels

AL7-8: On inferior medial surface of costal cartilages, 1 and 2 inches from xyphoid.

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15
Q
A

PT1-3

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16
Q
A

PT 4-6: Patient is prone, with arms draped over top of table (this aids in extension of the T-spine). Doc stands at head of table and cups pt’s chin with one hand, using the other hand to monitor the tender point. Slowly and passively extend the patient’s neck, fine-tuning with rotation and sidebending “away” from the tender point (may be to either side).

17
Q
A

PT7-9

Patient is prone, with arms draped over top of table with a pillow under his/her chest to further extend the thoracic spine. Doc stands at head of table and cups pt’s chin with one hand, using the other hand to monitor the tender point. Slowly and passively extend the patient’s neck, fine-tuning with rotation and sidebending “away” from the tender point (may be to either side).

18
Q
A

PT10-12

Patient is prone, with arms draped over top of table with a pillow under his/her chest to further extend the thoracic spine. Doc stands at side of table, and grasps the patient’s ASIS on the side opposite the dysfunction, raising the patient’s hip and inducing extension of the lower T-spine.

19
Q

arms draped over side of table

passively extend the patient’s neck, fine- tuning with rotation and sidebending “away” from the tender point.

tp on spinous process

A

PT 1-3

20
Q

arms draped over top of table (this aids in extension of the T-spine).

cups pt’s chin with one hand, slowly and passively extend the patient’s neck, fine-tuning with rotation and sidebending “away” from the tender point (may be to either side).

tp on spinous process of respective vertebra

A

PT 4-6

21
Q

arms draped over top of table with a pillow under his/her chest to further extend the thoracic spine.

slowly and passively extend the patient’s neck, fine-tuning with rotation and sidebending “away” from the tender point (may be to either side).

tp on spinous process

A

PT 7-9

22
Q

arms draped over top of table with a pillow under his/her chest to further extend the thoracic spine. Doc stands at side of table, and grasps the patient’s ASIS on the side opposite the dysfunction, raising the patient’s hip and inducing extension of the lower T-spine.

A

PT10-12

23
Q
  1. arms to the side of the table
  2. arms over the top of the table
  3. arms over the top of the table with a pillow under their chest
  4. grasps the patient’s ASIS on the side opposite the dysfunction, raising the patient’s hip and inducing extension of the lower T-spine.
A
  1. PT1-3 arms to the side of the table
  2. PT4-6 arms over the top of the table
  3. PT7-12: arms over the top of the table with a pillow under the chest
  4. PT10-12
24
Q

ALT7

A

On inferior medial surface of costal cartilages, 1 inferolaterally from xiphoid

Pt: seated, Dr: behind pt w/ leg on table under pt’s arm on unaffected side; F STRA

25
Q
A
26
Q

ALT8

A

On inferior medial surface of costal cartilages 2 in. inferolaterally from xiphoid

Pt: seated, Dr: behind pt w/ leg on table under pt’s arm on unaffected side; F STRA

27
Q

ALT 5-8

A

At the costosternal joint at the affected level

Treatment position: On inferior medial surface of costal cartilages, 1 and 2 in. inferolaterally from xiphoid

Pt: seated, Dr: behind pt w/ leg on table under pt’s arm on unaffected side; F STRA