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OS3 Exam 1 > (7) [CPA] Upper and Lower Extremity Counterstrain > Flashcards

(7) [CPA] Upper and Lower Extremity Counterstrain Flashcards

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1
Q

What are the steps for counterstrain?

A
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2
Q

Where is the tensor fasciae latae?

A
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3
Q

How do you treat the lateral trochanter (tensor fasciae latae)?

A

Pt. position = supine or prone

Doc = ipsilateral to TP

Positioning = pt.s knee is ABDUCTED and slightly FLEXED

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4
Q

Where is the liotibial band?

A
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5
Q

How do you treat the lateral trochanter (IT band)?

A

Pt position = supine or prone

Doc = ipsilateral to TP

Positioning = pt’s hip/thigh is ABDUCTED and slightly FLEXED until the tenderness is less than or equal to 70% reduction

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6
Q

Where are the lateral hamstring TPs?

A

Distal aspect of the biceps femoris near attachment to the posterolateral surface of the fibular head

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7
Q

How do you treat lateral hamstring TPs?

A

Pt position = supine or prone

Doc = ipsilateral to TP

Positioning = pt/s knee is FLEXED and TIBIA is EXTERNALLY ROTATED with slight abduction; compression on the calcaneus is added to plantar flex the ankle

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8
Q

Where are the medial hamstring TPs?

A
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9
Q

How do you treat medial hamstring TPs?

A

Pt position = supine or prone

Doc = ipsilateral to TP, grasp lateral ankle/foot to control the lower leg

Positioning = pt.s knee is FLEXED and the tibia is INTERALLY ROTATED with slight ADDUCTION; compression on the calcaneus is added to plantar flex the ankle

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10
Q

What is the quick and dirty medial hamstring treatment?

A

F IR ADd

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11
Q

Summary slide of all the treatments covered so far:

Latearl trochanter (tensor fasciae latae)

IT band

Lateral hamstring

Medial hamstring

A
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12
Q

Quick and dirty treatment for:

IT band

A

f ABD

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13
Q

Quick and dirty treatment for:

Latearl hamstring TP

A

F ER ABd

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14
Q

Quick and dirty treatment for:

Medial hamstring

A

F IR ADd

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15
Q

How do you treat lateral meniscus/Lateral (fibular) collateral ligament?

A

Pt position = supine

Doc = ipsilateral, seated

Positioning = Pts thigh is ABDUCTED so leg is off table, FLEX KNEE 35-40 degrees, tibia is abducted and extrenally or internally rotated until tenderness is reduced by at least 70%

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16
Q

How do you treat the medial meniscus/medial (tibial) collateral ligament?

A

Pt position = supine

Doc = ipsilateral, seated

Positioning = pts thigh is ABDUCTED so leg is off table, flex knee 35-40 degrees, tibia is adducted and internally rotated until the tenderness is reduced by more than 70%

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17
Q

How do you treat anterior cruciate?

A

Pt position = supine

Doc = ipsilateral

Positioning = TOWEL/PILLOW under distal femur for fulcrum, apply force to PROXIMAL TIBIA to translate tibia posteriorly on distal femur until tenderness is reduced by 70%

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18
Q

How do you treat posterior cruciate ligament?

A

Pt position = supine

Doc = ipsilateral

Positioning = TOWEL/PILLOW under proximal tibia for fulcrum, apply force to distal femur to translate femur posteriorly on proximal tibia until the tenderness is reduced by 70%

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19
Q

Where is the popliteus m.?

A
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20
Q

How do you treat the popliteus m.?

A

Pt position = prone

Doc = ipsilateral

Positioning = pts KNEE FLEXED and TIBIA INTERNALLY ROTATED until the tenderness is reduced by 70% or more

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21
Q

How do you treat extension ankle (gastrocnemius)?

A

Pt position = prone

Doc = ipsilateral

Positioning = pts KNEE FLEXED and DORSUM OF FOOT on doc’s thigh, add a COMPRESSIVE FORCE through calcaneus until the tenderness is reduced by 70%

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22
Q

Review slide of treatments

A
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23
Q

Where are the TPs for tibialis anterior?

A
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24
Q

How do you treat medial ankle (tibialis anterior): inversion TP?

A

Pt position = LATERAL RECUMBENT with PILLOW UNDER AFFECTED LEG

Positioning= Apply INVERSION force to foot and ankle with slight internal rotation until the tendernes is reduced by at least 70%

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25
How do you treat **lateral ankle EVERSION?**
Pt position = lateral recumbent w/ **PILLOW UNDER AFFECTED LEG** Positioning = Apply **EVERSION** force to foot and ankle w/ slight **EXTERNAL ROTATION** until the tenderness is reduced by 70%
26
Where the **flexion calcaneus** TP?
27
How do you treat **flexion calcaneus (quadratus plantae)?**
Pt: Supine or prone Doc : Ipsilateral to TP Positioning : pts knee is **FLEXED**, dorsum of foot on doc's thigh, marked **FLEXION** while translating calcaneus toward the forefoot until the tenderness is reduced by at least 70%
28
Where is the navicular?
29
Where is the **supraspinatus m.?**
30
How do you treat the **supraspinatous m. TP?**
Pt position = supine Doc = ipsilateral to TP Positioning = pt.s arm is **FLEXED 45 degrees, ABDUCTED 45 degrees,** and **ER** until the tenderness is reduced by at least 70%
31
Where is the **infraspinatus m.?**
32
How do you treat the **infraspinatous m. TP?**
Pt position = supine Doc = Ipsilaterl to TP Positioning = pts arm is **FLEXED 90-120 degrees** and **ABDUCTED**
33
How do you treat the **lower infraspinatus m. TP?**
F Abd ER Pt position = **Lateral recumbent (TP up)** Doc = in front or behind pt Positioning = pts arm is **FLEXED 135-150 degrees**, **ABDUCTED**, and ER to fine tune
34
Where is **levator scapulae m.?**
35
How do you treat **levator scapulae?**
IR Abd traction pt position= prone, head rotated away doc= ipsilateral to TP Positioning = **INTERNAL ROTATION** of pts shoulder, add mild-mod **TRACTION** w/ minimal abduction
36
Where are the **rhomboid m.s?**
37
How do you treat **rhomboid minor/major?**
E Add pt position= seated/prone Doc = either side Positioning = pts shoulder is **EXTENDED ADDUCTED** by pulling elbow **POSTERIOR/MEDIAL**
38
Where is the **subscapularis m.?**
39
How do you treat **subscapularis TP?**
E IR Pt position = supine Doc= seated ipsilateral Positioning = pts shoulder is **EXTENDED** and **INTERNALLY ROTATED**, traction can help
40
Where is the long head of the **biceps brachii?**
41
How do you treat **biceps brachii (long head)?**
F ABd IR Pt position = supine Doc = ipsilateral Positioning = Elbow and shoulder are **FLEXED**, arm is minimally abducted and internally rotated
42
Where is the **short head** of **biceps brachii?**
43
How do you treat the **short head of biceps brachii?**
Pt position = supine Doc = ipsilateral Positioning = elbow and shoulder **FLEXED** and arm is minimally abducted and internally rotated
44
Where is **pectoralis minor m.?**
45
How do you treat **pectoralis minor m.?**
Pt position = supine Doc = ipsilateral Positioning = pts arm accross chest, shoulder/scapula pulled **ANTERIOR**, **INFERIOR** and **MEDIAL** to shorten fibers
46
Where is the **radial head/lateral (supinator)?**
47
How do you treat the **radial head?**
Pt position = supine Doc = ipsilateral Positioning = pts elbow in **FULL EXTENSION**, forearm markedly **SUPINATED**
48
Where is the **pronator teres m. TP?**
49
How do you treat **medial epicondyle (pronator teres)?**
F PRO Add Pt position = supine Doc = ipsilateral Positioning = pts elbow is **FLEXED,** marked **PRONATION**, forearm slightly **ADducted**
50
Where is the **extensor carpi radialis?**
Dorsal wrist
51
How do you treat **dorsal wrist?**
Pt position = seated or supine Doc = ipsilateral Positioning = pts wrist passively **extended** and **ABducted**
52
Where is **extensor carpi ulnaris?**
Dorsal wrist
53
How do you treat **extensor carpi ulnaris?**
Pt position = supine or seated Doc = ipsilateral Positioning = Pts writs passivley **EXTENDED** and **ADDucted**
54
Where is **flexor carpi radialis?**
55
How do you treat **flexor carpi radialis?**
Pt positon= supine or seated Doc = ipsilateral Positioning = pts wrist passively **FLEXED** and **ABducted**
56
Where is **flexor carpi ulnaris?**
57
How do you treat **flexor carpi ulnaris?**
Pt position = supine or seated Doc = ipsilateral Positioning = pts wrist passively **FLEXED** and **ADDUCTED**
58
Where is **abductor pollicis brevis?**
59
How do you treat **abductor pollicis brevis?**
Pt position = supine or seated Doc = ipsilateral Positioning = pts wrist passively **FLEXED,** **THUMB** is **ABUCTED**
60

OS3 Exam 1 (14 decks)

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