UE and LE CS Flashcards
LE counterstrain TP thigh
TFL: inferior to crest of . ilium in body of TFL
IT Band - along IT band distal to greater trochanter .
Lat. hamstring biceps femoris: Post. thigh, lateral to midline halfway down femur
Medial hamstraight: post thing medial to midline, halfway fown thigh
LE CS TP knee
Lateral meniscus, LCL: lat. aspect of menisus @ joint line
Medial meniscus, MCL: ant/med aspect of meniscus on joint line
Ant. cruciate: sup aspect of posterior fossa on hamstring tendon
Post. cruciate: center or below center of popliteal fossa
LE CS TP leg
popliteus
Extension ankle gastroc: distal to pop margin
Medial ankle
Lateral ankle
Flexion calcaneus QP: ant aspect of calcaneus at attachment of plantar fascia
TFL treatment
Patients knee is abducted and slightly flexed
might need a little IR
FAbIR
IT Band treatment
Patient knee is abducted and slightly flexed
Might need a little Er or Ir
Lateral hamstring TP tx
PL surface of fibular head
Pt is sup or pro, doc ips
Knee flexed, tibial ER w slight abduction
Compress calcaneus to plantar flex
FAbER
Medial hamstring TP tx
Doc ipsilateral to pt (sup/pro), grabbing lateral ankle/foot
Knee is flexed, tibia IR
Slight Adduction, add IR as needed
FAdIR
LCL tx
Supine, doc ips Pt w thigh abducted so leg is off table Knee flexed 35-40* Tibia abducted and ER or IR Might need to dorsiflex and evert ankle
MCL tx
Supine, doc ips
Pt thigh abducted so leg off table
Flex knee 35-40*
Tibia is adducted and IR
Might need plantar flexion and inversion of ankle
Anterior cruciate ligament
pillow under distal femur
apply posterior force to proximal tibia
Posterior cruciate ligament
Pillow under proximal tibia
Apple posterior force to distal femur
Popliteus tx
Prone pt, doc ips
Flex knee and IR tibia
Extension ankle (Gastroc) tx
Doc ips, pt pro
Knee flexed w dorsum of foot on thigh
Compress through calcaneus
Medial ankle (tibialis anterior)
Lateral recumbant w pillow under affected leg
Apply inversion force on foot and ankle w slight IR
Lateral ankle
Lateral recumbant w pillow under affected leg
apply eversion force w slight ER to foot and ankle
Flexion calcaneus
Sup or pro, doc ips
Pt knee is flexed, dorsum of foot on doc’s thigh inducing marked plantar flexion
translate calcanues towards forefoot
navicular
sup/pro, doc ips
pt knee flexed w dorsum of foot on doc thing
Plantar flex subtalar joint
supinate forefoot until tenderness gone
supraspinatus Tx
FAbER
pt supine w doc ips
flex arm 45, abduct 45, ER until reduction
Upper infraspinatus tx
FAbEr/Ir
pt supine w doc ips
flex arm 90-120 and abduct. finetune w ER/IR
Lower infraspinatus
Lateral recumbent w YP up
Pt arm flexed 135-150, abducted, ER
FAbER
Levator Scapulae
Prone w head rotated away
doc ips to TP
IR pt shoulder and add traction w minimal abduction
rhomboid minor/major
Seated or prone, doc either side
Extend pt should and adduct by pulling elbow posterior and medial
Subscapularis Tx
Extend and IR Pt supine
can apply traction
biceps brachii long head
FAbIR
Elbow and shoulder flexed, arm minimally abducted and IR
Biceps brachii short head
elbow and shoulder flexed, arm minimally adducted and IR
Pec minor tx
Flex and adduct; arm across chest pulling scapula anterior
Lateral radial head (supinator)
Pt elbow fully extended, marked forearm supination, finetune w valgus force
Medial epicondyle (pronator teres)
Flex, pronate, and adduct
Dorsal wrist (extensor carpi radialis)
Extend, abduct wrist
TP is on dorsal surface of 2nd MC
Dorsal wrist (extensor carpi ulnaris)
Extend and adduct
TP at 5th metacarpal
Palmar wrist (flexor carpi radialis)
Flex and abduct
Palmar wrist (flexor carpi ulnaris)
Flex and adduct
First CMP - abductor pollicis brevis
Flex wrist and abduct thumb (this is the one with the weird hand thing)
