Week 16 Flashcards
What is the 2nd most common reason people visit a doctor’s office?
Low Back Pain
How long do you hold the counterstrain treatment position?
90 seconds
What is an acceptable reduction in pain at a tender point for setting up a patient for counterstrain treatment?
70%
we want 100%
Do tender points radiate?
NO
Main motion of lumbar spine.
Flexion/Extension
What are myofascial trigger points?
Sensitive areas of the body that radiate pain elsewhere when pressure is applied.
What are the locations for the anterior lumbar tender points? (L1-L5)
L1: medial to ASIS L2: medial to AIIS L3: lateral to AIIS (press medially) L4: inferior to AIIS (press cephalad) L5: 1cm lateral to pubic symphysis on pubic ramus
What is the setup for treatment of anterior L1?
Physician at the side of the tender point
Patient supine
Flex legs up to the L2 level
Rotate pelvis and lumbar spine towards the physician up to the level of L2 (this makes the L1 vertebrae rotated AWAY in reference to L2)
Side bend the patients ankles toward the physician
SO the patient is Flexed, ankles are side bent towards, and the torso is rotated away.
(FSTRA)
What is the setup for the treatment of anterior L2-L4?
Physician on opposite side of tender point.
Patient supine
Knees are flexed to the level below the dysfunctional vertebrae.
Pelvis is rotated towards the physician
Ankles are side bent towards the physician.
What is the setup for the treatment of anterior L5?
Physician on same side as the tender point.
Patient supine
Knees flexed to engage the sacrum
Pelvis rotated toward the physician
Ankles side bent away from the physician.
Where are the posterior tender points for lumbar counterstrain?
Either on the spinous processes or down the transverse processes of the lumbar vertebrae.
What are the 2 set ups to treat posterior lumbar dysfunction with counterstrain?
Treatment 1:
Patient prone
Physician on opposite side of tender point
Extend, adduct, externally rotate the leg that is on the same side of the tender point.
Treatment 2:
Patient Supine
Physician stands on the opposite side of the tender point.
Patient’s legs are pulled to the side that leads to the greatest reduction in tenderness.
Physician grasps the ASIS on the same side of the tender point and lifts it upwards to minimize tenderness.
What is the set up for quadratus lumborum counterstrain treatment?
Patient Prone
Physician stands on the same side of the tender point.
Trunk is bent toward the side of the tenderpoint.
Hip is extended, abducted, externally rotated.
