UE/LE Counterstrain Flashcards
Tensor Fascia Latae
f ABD
Patients knee is abducted and slightly flexed (may need IR)
Iliotibial Band
f Abd
Hip/Thigh is abducted and slightly flexed (may need IR/ER of hip)
Lateral Hamstring
F ER Abd
Knee is flexed, Tibia ER with slight Abd, compression on calcaneus is added to plantar flex the ankle
Medial Hamstring
F IR Add
Knee is flexed, Tibia IR with slight Adduction – compression on the calcaneus is added to plantar flex the ankle.
Lateral Meniscus (Lateral Collateral Ligament)
Thigh Abducted so leg is off table
Flex Knee to 35-40 deg
Tibia is Abducted and ER/IR
May need Ankle Dorsiflexion and Eversion of Ankle
Medial Meniscus (Medial Collateral Ligament)
Thigh is Abducted so leg is off table
Flex Knee 35-40 deg
Tibia is Adducted and IR
May need Plantar Flexion and Inversion of ankle
Anterior Cruciate Ligament
(Towel roll under Distal Femur)
Apply force to proximal Tibia –
to translate tibia posteriorly on distal femur
Posterior Cruciate Ligament
(Towel Roll under Proximal Tibia)
Apply force to distal femur to translate femur posteriorly on proximal tibia
Popliteus
F IR
Knee is flexed
Tibia IR
Gastrocnemius (Extension Ankle)
Knee Flexed, dorsum of foot on doc’s thigh
Add compressive force through calcaneus
Tibialis Anterior (Medial Ankle)
(Lateral Recumb. w/ Pillow under affected leg)
Inversion force to foot and ankle, with slight IR
Lateral Ankle Fibularis Longus, Brevis, Tertius
(Lateral Recumb, w/ Pillow under affected leg)
Inversion force to foot and ankle with slight IR
Flexion Calcaneus (Quadratus Plantae)
Knee is Flexed, dorsum of foot on docs thigh
marked flexion while translating calcaneus toward the forefoot
Navicular
F
Knee is flexed, dorsum of foot on docs thigh
plantar flexion of subtalar joint
supination of forefoot
Supraspinatus
F Abd ER
Arm is flexed 45 degrees
Abducted 45 degrees
ER
Upper Infraspinatus
F Abd ER/IR
Arm is Flexed (90-120), and Abducted
May need IR/ER (upper point)
Lower Infraspinatus
F Abd ER
Arm is flexed (135-150), Abducted, ER
Levator Scapulae
IR Abd Traction
IR pts shoulder
Mild-moderate traction with Abd
Rhomboid Minor/Major
E Add
Pt’s shoulder extended adducted by pulling elbow posterior and medially
Subscapularis
E IR
Shoulder Extended, and IR (Traction can help)
Biceps Brachii (Long Head)
F Abd IR
Elbow and Shoulder Flexed
Arm is minimally Abd and IR
Biceps Brachii (Short Head) / Coracobrachialis
F Add IR
Elbow and Shoulder is Flexed
Arm is minimally abducted and IR
Pec Minor
f-F Add
Arm across chest
Shoudler/Scapula pulled Anterior, Inferior, and Medial
Radial Head-Lateral (Supinator)
E Sup Valgus
Elbow is fully extended
Forearm markedly supinated
find tune with VALGUS force
Medial Epicondyle (Pronator Teres)
F Pro Add
Pts elbow flexed, marked pronation, forearm slightly adducted
Dorsal Wrist (Extensor Carpi Radialis)
E ABD/RD
pt’s wrist passively extended and abducted
Dorsal Wrist (Extensor Carpi Ulnaris)
E Add
Pts wrist passively extended and Adducted
Palmar Wrist (Flexor Carpi Radialis)
F Abd
Pts wrist passively flexed and Abducted
Palmar Wrist (Flexor Carpi Ulnaris)
F Add
Wrist is passively flexed and Adducted
First CMP (Abductor Pollicis Brevis)
F (wrist), Abd (Thumb)
wrist is passively flexed, thumb abducted
