Thoracic counterstrain Flashcards
ALT 5-6T
Pt: seated, Dr: behind pt w/ leg on table under pt’s arm on unaffected side; F STRA
A1T
Midline in suprasternal notch (palpate inferiorly).
A2T
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
A3T-A4T
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
A5T
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
A6T
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
A7T
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
A7T
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
A8T
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.
A9T
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.
A10T
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.
A11T
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.
A12T
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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PT1-3
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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).
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PT7-9
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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).
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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.
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
PT 1-3
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
PT 4-6
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
PT 7-9
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.
PT10-12
- arms to the side of the table
- arms over the top of the table
- arms over the top of the table with a pillow under their chest
- grasps the patient’s ASIS on the side opposite the dysfunction, raising the patient’s hip and inducing extension of the lower T-spine.
- PT1-3 arms to the side of the table
- PT4-6 arms over the top of the table
- PT7-12: arms over the top of the table with a pillow under the chest
- PT10-12
ALT7
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
ALT8
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
ALT 5-8
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