UE/LE Counterstrain Flashcards
1
Q
supraspinatus
A
- location: belly of supraspinatus muscle superior to spine of scapula
- pt position: supine
- doc position: ipsilateral to TP
- tx position: flexion of shoulder 45 degrees, abduction 45 degrees, external rotation
- acronym: F Abd ER
2
Q
infraspinatus upper
A
- location: inferior and lateral to spine of scapula at posterior medial aspect of of glenohumeral joint
- tx position: flexion of shoulder to 90-120 degrees and abduction; may require external or internal rotation
- acronym: F Abd er/ir
3
Q
infraspinatus lower
A
- location: in lower portion of muscle inferior to spine and lateral to medial border of scapula
- tx position: flexion of shoulder to 135 degrees w/ slight abduction and external or internal rotation
- acronym: F Abd er/ir
4
Q
rhomboid major/minor
A
- location: along medial border of scapula at attachment of rhomboid muscles
- tx position: patient seated or prone; shoulder extension w/ adduction by pulling arm posterior and medial
- acronym: E Add
5
Q
levator scapulae
A
- location: superior medial border of scapula at attachment of muscle
- pt position: prone, head rotated away
- doc position: ipsilateral to TP
- tx position: glide scapula superiorly and medially to shorten muscle, may alternatively be tx by marked internal rotation of shoulder w/ traction and slight abduction
- acronym: Scap Sup & Medial; IR Abd traction
6
Q
subscapularis
A
- location: anterolateral border of scapula on subscapularis muscle pressing from anterior lateral to posteromedial direction
- pt position: supine
- doc position: seated ipsilateral
- tx position: shoulder extension and internal rotation
- acronym: E IR
7
Q
long head biceps
A
- location: over tendon of biceps muscle in bicipital groove
- pt position: supine
- doc position: ipsilateral
- tx position: flexion of elbow, shoulder flexion, abduction, internal rotation
- acronym: Elbow F, Shoulder F Abd ir
8
Q
short head biceps/coracobrachialis
A
- location: inferolateral aspect of coracoid process
- pt position: supine
- doc position: ipsilateral
- tx position: elbow flexion, shoulder flexion, adduction, internal rotation
- acronym: Elbow F, Shoulder F Add ir
9
Q
pectoralis minor
A
- location: inferior and medial to coracoid process
- tx position: adduction of arm, protract scapula
- acronym: f-F Add
10
Q
lateral radial head
A
- location: anterolateral aspect of radial head at attachment of supinator
- pt position: supine or seated
- doc position: ipsilateral
- tx position: full elbow extension, forearm supination, slight valgus force
- acronym: E SUP Valgus
11
Q
medial epicondyle
A
- location: medial epicondyle of humerus at common flexor tendon and attachment of pronator teres
- pt position: supine or seated
- doc position: ipsilateral
- tx position: flexion, pronation, and slight adduction of forearm w/ slight flexion of wrist
- acronym: Elbow F PRO Add, Wrist f
12
Q
dorsal wrist
A
- location: dorsal surface of 2nd metacarpal in extensor carpi radialis muscle OR dorsal surface of 5th metacarpal in extensor carpi ulnaris muscle
- pt position: supine or seated
- doc position: ipsilateral
- tx position: wrist extension w/ slight abduction OR wrist extension w/ slight adduction
- acronym: 2nd E Abd; 5th E Add
13
Q
palmar wrist
A
- location: palmar base of 2nd/3rd metacarpal in flexor carpi radialis muscle OR palmar base of 5th metacarpal in flexor carpi ulnaris muscle
- pt position: supine or seated
- doc position: ipsilateral
- tx position: wrist flexion w/ slight abduction OR wrist flexion w/ slight adduction
- acronym: 2nd F Abd; 5th F Add
14
Q
palmar wrist 1st carpometacarpal
A
- location: palmar base of 1st metacarpal in abductor pollicis brevis muscle
- tx position: wrist flexion w/ abduction of thumb
- acronym: Wrist F, Thumb Abd
15
Q
lateral trochanter (tensor fasciae latae)
A
- location: inferior to iliac crest in body of TFL
- pt position: supine or prone
- doc position: ipsilateral to TP
- tx position: hip/thigh abduction, slight flexion, may require slight internal rotation of hip
- acronym: f ABD
16
Q
IT band
A
- location: along IT band distal to greater trochanter
- pt position: supine or prone
- doc position: ipsilateral to TP
- tx position: hip/thigh abduction and flexion, may require slight internal/external rotation of hip
- acronym: f ABD
17
Q
lateral hamstrings (biceps femoris)
A
- location: distal aspect of biceps femoris near attachment to posterolateral surface of fibular head
- pt position: supine or prone
- doc position: ipsilateral to TP
- tx position: knee flexion, tibia externally rotated w/ slight abduction, compression on calcaneus added to plantar flex ankle
- acronym: F ER Abd
18
Q
medial hamstring
A
- location: distal aspect of medial hamstring tendons near attachment to posterior medial surface of tibial condyle
- pt position: supine or prone
- doc position: ipsilateral to TP, grasp lateral ankle/foot to control lower leg
- tx position: knee flexion, tibia internally rotated w/ slight adduction, compression on calcaneus to plantar flex ankle
- acronym: F IR Add
19
Q
lateral meniscus (lateral collateral ligament)
A
- location: lateral aspect of meniscus along joint line
- pt position: supine
- doc position: ipsilateral, seated
- tx position: thigh abduction (leg off table), knee flexion 35-40 degrees, tibia abduction and external/internal rotation, may require dorsiflexion/eversion of ankle
- acronym: Thigh Abd, Knee F, Tibia Abd ir/er
20
Q
medial meniscus (medial collateral ligament)
A
- location: medial knee joint line
- pt position: supine
- doc position: ipsilateral, seated
- tx position: thigh abduction (leg off table), knee flexion 35-40 degrees, tibia adducted and internally rotated, may require plantar flexion and inversion of ankle
- acronym: Thigh Abd, Knee F, Tibia Add ir
21
Q
anterior cruciate
A
- location: superior aspect of popliteal fossa adjacent to hamstring tendons
- pt position: supine
- doc position: ipsilateral
- tx position: towel roll/pillow under distal femur, apply force to proximal tibia to translate tibia posteriorly on distal femur
- acronym: anterior to posterior force on lower leg
22
Q
posterior cruciate
A
- location: slightly below center of popliteal fossa
- pt position: supine
- doc position: ipsilateral
- tx position: towel roll/pillow under proximal tibia, apply force to distal femur to translate femur posteriorly on proximal tibia
- acronym: anterior to posterior force on upper leg
23
Q
popliteus
A
- location: muscle belly inferior to popliteal space
- pt position: prone
- doc position: ipsilateral
- tx position: knee flexion, tibia internal rotation
- acronym: Knee F, Tibia IR
24
Q
extension ankle (gastrocnemius)
A
- location: proximal gastrocnemius muscles distal to popliteal margin
- pt position: prone
- doc position: ipsilateral
- tx position: knee flexion, dorsum of foot on doc’s thigh, compressive force through calcaneus
- acronym: Knee F, Ankle PF
25
Q
medial ankle (tibialis anterior)
A
- location: anterior and inferior medial malleolus along deltoid ligament
- pt position: lateral recumbent w/ pillow under affected leg
- tx position: inversion force to foot/ankle w/ slight internal rotation
- acronym: Ankle Inv ir
26
Q
lateral ankle (fibularis longus, brevis, tertius)
A
- location: anterior and inferior to lateral malleolus in sinus tarsi
- pt position: lateral recumbent w/ pillow under affected leg
- tx position: eversion force to foot/ankle w/ slight external rotation
- acronym: Ankle Eversion er
27
Q
flexion calcaneus (quadratus plantae)
A
- location: anterior aspect of plantar surface of calcaneus at attachment of plantar fascia
- pt position: supine or prone
- doc position: ipsilateral to TP
- tx position: knee flexion, dorsum of foot on doc’s thigh
- acronym: Knee F, Ankle PF
28
Q
navicular
A
- location: navicular bone (medial base of foot)
- pt position: supine or prone
- doc position: ipsilateral
- tx position: knee flexion, dorsum of foot on doc’s thigh, plantar flexion of subtalar joint, supination of forefoot
- acronym: Knee F, Ankle PF Sup
