UE/LE Counterstrain

Question 1

Tensor Fascia Latae

Answer 1

f ABD

Patients knee is abducted and slightly flexed (may need IR)

Question 2

Iliotibial Band

Answer 2

f Abd

Hip/Thigh is abducted and slightly flexed (may need IR/ER of hip)

Question 3

Lateral Hamstring

Answer 3

F ER Abd

Knee is flexed, Tibia ER with slight Abd, compression on calcaneus is added to plantar flex the ankle

Question 4

Medial Hamstring

Answer 4

F IR Add

Knee is flexed, Tibia IR with slight Adduction – compression on the calcaneus is added to plantar flex the ankle.

Question 5

Lateral Meniscus (Lateral Collateral Ligament)

Answer 5

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

Question 6

Medial Meniscus (Medial Collateral Ligament)

Answer 6

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

Question 7

Anterior Cruciate Ligament

Answer 7

(Towel roll under Distal Femur)

Apply force to proximal Tibia –

to translate tibia posteriorly on distal femur

Question 8

Posterior Cruciate Ligament

Answer 8

(Towel Roll under Proximal Tibia)

Apply force to distal femur to translate femur posteriorly on proximal tibia

Question 9

Popliteus

Answer 9

F IR

Knee is flexed

Tibia IR

Question 10

Gastrocnemius (Extension Ankle)

Answer 10

Knee Flexed, dorsum of foot on doc’s thigh

Add compressive force through calcaneus

Question 11

Tibialis Anterior (Medial Ankle)

Answer 11

(Lateral Recumb. w/ Pillow under affected leg)

Inversion force to foot and ankle, with slight IR

Question 12

Lateral Ankle Fibularis Longus, Brevis, Tertius

Answer 12

(Lateral Recumb, w/ Pillow under affected leg)

Inversion force to foot and ankle with slight IR

Question 13

Flexion Calcaneus (Quadratus Plantae)

Answer 13

Knee is Flexed, dorsum of foot on docs thigh

marked flexion while translating calcaneus toward the forefoot

Question 14

Navicular

Answer 14

F

Knee is flexed, dorsum of foot on docs thigh

plantar flexion of subtalar joint

supination of forefoot

Question 15

Supraspinatus

Answer 15

F Abd ER

Arm is flexed 45 degrees

Abducted 45 degrees

ER

Question 16

Upper Infraspinatus

Answer 16

F Abd ER/IR

Arm is Flexed (90-120), and Abducted

May need IR/ER (upper point)

Question 17

Lower Infraspinatus

Answer 17

F Abd ER

Arm is flexed (135-150), Abducted, ER

Question 18

Levator Scapulae

Answer 18

IR Abd Traction

IR pts shoulder

Mild-moderate traction with Abd

Question 19

Rhomboid Minor/Major

Answer 19

E Add

Pt’s shoulder extended adducted by pulling elbow posterior and medially

Question 20

Subscapularis

Answer 20

E IR

Shoulder Extended, and IR (Traction can help)

Question 21

Biceps Brachii (Long Head)

Answer 21

F Abd IR

Elbow and Shoulder Flexed

Arm is minimally Abd and IR

Question 22

Biceps Brachii (Short Head) / Coracobrachialis

Answer 22

F Add IR

Elbow and Shoulder is Flexed

Arm is minimally abducted and IR

Question 23

Pec Minor

Answer 23

f-F Add

Arm across chest

Shoudler/Scapula pulled Anterior, Inferior, and Medial

Question 24

Radial Head-Lateral (Supinator)

Answer 24

E Sup Valgus

Elbow is fully extended

Forearm markedly supinated

find tune with VALGUS force

Question 25

Medial Epicondyle (Pronator Teres)

Answer 25

F Pro Add

Pts elbow flexed, marked pronation, forearm slightly adducted

Question 26

Dorsal Wrist (Extensor Carpi Radialis)

Answer 26

E ABD/RD

pt’s wrist passively extended and abducted

Question 27

Dorsal Wrist (Extensor Carpi Ulnaris)

Answer 27

E Add

Pts wrist passively extended and Adducted

Question 28

Palmar Wrist (Flexor Carpi Radialis)

Answer 28

F Abd

Pts wrist passively flexed and Abducted

Question 29

Palmar Wrist (Flexor Carpi Ulnaris)

Answer 29

F Add

Wrist is passively flexed and Adducted

Question 30

First CMP (Abductor Pollicis Brevis)

Answer 30

F (wrist), Abd (Thumb)

wrist is passively flexed, thumb abducted