TPs and Clinical application Flashcards
PC1 inion location?
1-2 cim inf to occipital protuberance. slight lat on insertion of semispinalis capitis
PC1 inion TX?
Flex neck while monitoring point
What is unique about PC1 inion?
It is a Maverick point
What is different about Maverick points?
You need to lengthen the patient’s tissues around tender point rather than shortening/wrapping
PC1 location?
3 cm below inion and 1 cm medial to occipitomastoid suture
PC1 force on point?
anteromedial
PC1 and 2, how do you move the head?
ESARA
PC2 location?
In main muscle mass 2-3 cm lat to midline and just below occiput
PC3 location?
Inferolateral aspects of C2 spinous process?
PC3 Tx?
FSARA F=45 deg
May have to sidebend towards
PC4-7 locations?
On inferolateral spinous process of vert above
PC4-7 Tx?
ESARA
PC8 location
same as PC4-7
PC8 Tx?
FSARA or ESARA
Where are the locations for posterior thoracic tender points?
On SP of respective vert.
PT1-9 what does doc do?
Grab chin and pull up
PT1-3 pt position?
Prone, arms off side of table
PT 4-6 pt position?
Prone, arms over top of table
PT 7-9 Pt position?
Prone, arms over top of table and pillow under chest
PT 10-12, what does doc do?
Pulls oppo asis
PT 10-12, pt position?
Prone, arms over top of table, pillow under chest
P-rib 1 location?
Post margin of rib head beneath trapezius
Pt position for all post-ribs?
Pt seated and hold 120 seconds
P-rib 1 Tx?
Arm on dysfunction side goes on knee of doc.
ESTRT head
P-rib 2 location?
Sup. Surface of angles of ribs at medial border of scapula
2 and 1/2 inch from lat to midline
P-Rib 2 Tx?
Dysfunction arm on docs knee
F-head
SARA - Trunk and neck
120 seconds
P-Rib 3-6 location?
Same as P-rib 2
P-Rib 3-6 Tx
Dysfunction arm on doc knee
Grasp dysfunction shoulder,
SARA Trunk
120 seconds
PL 1-5 SP (midline) location?
On SP of Lumbar Vert.
PL 1-5 Tx?
Pt prone
Doc on same side of TP
Extend ipsilateral hip
PL 1-3 Transverse P locatoin
on TP of Lumbar vert
PL 1-3 Tx?
Pt prone
Doc oppo side
Extend ipsilateral hip and rotate leg toward TP
UPL5/PL5 location?
Superior/medial edge of PSIS
UPL5/PL5 Tx?
Same as PL 1-3 TP
LPL5 location?
Inf aspect of PSIS
LPL5 Tx?
Pt prone
Dysfuntional thigh over side of table
Doc flexes hip to 90 deg.
adds adduction and int. rotation
PL3 Lat is associated with what muscle?
Gluteus Medius
PL3 Lat location?
2/3 lat btw PSOS and Tensor fascia latae
PL3 lat Tx?
Pt prone
Doc extends ipsilateral hip
PL4 Lat associated w/what muscle?
Glut Medius
PL4 Lat location?
Post margin of tensor fascia latae
PL4 Lat Tx?
Pt prone
Extend ipsilateral hip (less than PL3)
PS1 location?
1/2 inch medial to inf. aspect of PSIS B/L
PS 1 and PS 5Tx?
Pt prone
Doc applies ant pressure diagonally oppo from TB
PS1 = ILAs PS5 = Sacral sulcus
PS 2,3,4 (midline) location?
Midline on sacrum btw or below sacral spines
PS 5 location
1/4 inch medial and sup to ILA B/L
High Ilium (HI) location?
Lat aspect of PSIS
HI Tx?
Pt prone
Doc on SS as dysfunction
Hip extension w/ab/adduction fine tuning
High Ilium Flare-out (HIFO) Location
1 3/4” below 1/4” medial to lower edge of PSIS
HIFO Tx?
Pt prone
Extend ipsilateral leg to clear oppo leg
Adduct leg and external rotation
Piriformis location?
1/2-2/3 of distance btw ILA and greater trochanter
Piriformis Tx?
Pt prone
Doc on SS as dysfunction
Flex leg to 135 deg over side of table
Abduct and ext rotate hip
Flare-in Sacroiliac (FISI) location?
4” below PSIS and slightly lateral
FISI is related to what muscle attachment?
Gluteus maximus
FISI Tx?
Pt prone
Doc on SS
Abduct hip, flex hip w/knee clearing table
Ext rotate