UE/LE Counterstrain Tx Flashcards
Anterior AC
Pt. supine, Doc oppo TP
Pt.’s arm in F/ADD/IR + traction
Posterior AC
Pt. prone, Doc oppo TP
Pt.’s arm in E/ADD + traction
Subscapularis
Pt. supine, Doc ipsi TP
Pt.’s arm E/ABD/IR
Latissimus Dorsi
Pt. supine, Doc ipsi TP
Pt.’s arm E/ABD/IR + traction
LH Biceps
Pt. supine, Doc ipsi TP facing head
Pt.’s arm F/IR + dorsum of hand on forehead with downward pressure on humerus
SH Biceps
Pt. supine, Doc ipsi TP facing head
Pt.’s arm F/IR + dorsum of hand on forehead with downward pressure on humerus + fine tune with ADD
Supraspinatus
Pt. supine, Doc ipsi TP
Pt.’s arm F/ABD/ER to 45˚ in all planes
Extension elbow
Pt. supine, doc ipsi TP
Hyperextend elbow + fine-tune with ABD/ADD
Flexion elbow
Pt. supine, Doc ipsi TP
Pt.’s elbow F with arm Pronated/ABD/out lateral
Radial head
Pt. supine, Doc ipsi TP
Elbow in supination and fully E over knee
Flexion wrist
Pt. supine, Doc ipsi TP
Pt.’s wrist F + fine-tune with rotation
Flexion thumb
Pt. supine, Doc ipsi TP
Pt.’s wrist F + pull thumb across palmar aspect
Extension wrist
Pt. supine, Doc ipsi TP
Pt.’s wrist E + fine-tune with rotation
Extensor carpo-metacarpal and metacarpophalangeal joints
Pt. supine, Doc ipsi TP
Pt.’s wrist and fingers E
Posterior lateral trochanter
Pt. prone, Doc ipsi TP
Pt.’s leg E/ER + fine-tune with ABD
Lateral trochanter
Pt. prone, Doc ipsi TP
Pt.s leg ABD + fine-tune with F
Sartorius
Pt. supine, Doc ipsi TP
Pt.’s knee/hip F to 135˚ + slight ABD
Patellar tendon
Pt. supine, Doc ipsi TP
Push ant to post and hyperextend knee
Medial hamstring
Pt. supine, Doc ipsi TP with foot on table
Pt.’s foot under Doc’s knee
Pt.’s knee F/ER + fine-tune with ADD
Posterior cruciate ligament
Pt. supine, Doc ipsi TP
Towel under proximal tibia
Push femur post with cephalad hand
Anterior cruciate ligament
Pt. supine, Doc ipsi TP
Towel under distal femur
Push tibia post with cephalad hand
Lateral ankle
Pt. lat recum on ipsi TP w/ knee bent and foot over table + rolled up towel under ankle
Force through heel causing eversion and ER of whole foot
Medial ankle
Pt. lat recum on oppo TP w/ knee bent and foot over table + rolled up towel under ankle
Invert foot with little IR
Extension ankle
Pt. prone, Doc ipsi TP
Pt.’s knee F, ankle plantarflexed with dorsum on Doc’s thigh
Axial compression on instep through ankle
Flexion ankle
Pt. prone, Doc ipsi TP
Force under ball of foot + fine-tune with rotation