(9) [CPA] Anterior C/T/L Counterstrain

Question 1

What are the (7) steps involved in counterstrain treatment?

Answer 1

1. Regional exam
2. Find worst TP
3. Establish a tenderness scale
4. Wrap around TP, Reduce pain to less than 70%
5. Hold 90 seconds
6. Slow return to neutral
7. Retest TP/SD

Question 2

When performing counterstrain, the patient position in geared to reduce strain.

How do you place the patient to do this?

Answer 2

Place pt. in position of EASE

Question 3

Answer 3

Question 4

What are the (5) Anterior cervical CS points?

Answer 4

AC1 (Mandible)

AC1 TP

AC 2-6

AC 7

AC 8

Question 5

Where is the AC1 MandibleTP?

Answer 5

Posterior surface of ramus of mandible

-Push posterior to anterior

Question 6

Where is the AC1 TP?

Answer 6

Midway b/w ramus and mastoid process on the transverse process of C1

(Push lateral to medial)

Question 7

Where is the AC2-6 TP?

Answer 7

Anterior surface of transverse processes

Question 8

Where is the AC7 TP?

Answer 8

2cm lateral to the medial end of the clavicle

(clavicular head of SCM)

Question 9

Where is the AC8 TP?

Answer 9

Medial end of clavicle

(sternal head of SCM at sternal notch)

Question 10

What is the treatment for AC1 Mandible?

Which direction do you push?

Answer 10

SaRa

Posterior to anterior

Question 11

What is the treatment for AC1 TP?

Which direction do you push?

Answer 11

SaRa

Lateral to medial

Question 12

What is the treatment for AC2-6 TP?

Which direction do you push?

Answer 12

FSaRa

Anterior to posterior

Question 13

What is the treatment for AC7 TP?

Answer 13

FStRa

Question 14

What is the treatment for AC7 TP?

Answer 14

FStRa

Question 15

Cumulative table review

Fill out the entire table for the location and treatment of each TP

Answer 15

Question 16

Take home points:

All of the Anterior Cervical CS points are treated with FLEXION except for???

Answer 16

AC1

Question 17

Take home points:

All of the Anterior Cervical CS points are treated with SaRa except for???

That point is treated w/?

Answer 17

AC7

FStRa

Question 18

Answer 18

Question 19

Where is AT1 TP?

Answer 19

AT1 = Suprasternal notch

Question 20

Where is AT2 TP?

Answer 20

AT2 = Angle of the manubrium (louis)

Question 21

Where are AT3-AT6?

Answer 21

AT3-AT6 = on the sternum at the same numbered costal level

Question 22

Where are AT7 TP?

Answer 22

Inferior tip of xiphoid

and/or

1/4 distance from tip of xiphoid and umbilicus

Question 23

Where is AT8?

Answer 23

Halfway b/w tip of xiphoid and umbilicus

Question 24

Where is AT9?

Answer 24

3/4 distance from tip of xiphoid and umbilicus

Question 25

Where is AT10?

Answer 25

1/4 distance from the umbilicus to the pubic symphysis

Question 26

Where is AT11?

Answer 26

Halfway b/w the umbilicus and pubic symphysis

Question 27

Where is AT12?

Answer 27

On the anterior superior surface of the iliac crest at the midaxillary line

Question 28

What is the treatment position for **AT1-T6?**

Answer 28

Cervical and thoracic flextion to the level of TP

Question 29

What is the treatment for **AT7-T9?**

Answer 29

**FStRa** Thoracic flexion w/ **sidebending toward** and **rotation away**

Question 30

What is the treatment position for **AT10-12?**

Answer 30

**FStRa** Hip flexion SIdebending torso toward Rotate torso away

Question 31

Answer 31

Question 32

Where are the **posterior thoracic tender points?**

Answer 32

Either **midline (spinous)** or **lateral (transverse)** **Spinous**= Midline, inferior aspect/tip of spinous process **Transverse** = On transverse process of each thoracic vertebrae

Question 33

Treatment for **PT 1-3?**

Answer 33

ESaRa

Question 34

Treatment for **PT 4-9 TP?**

Answer 34

ESaRT

Question 35

If you are moving the lower extremity **towards the tender point**, the TORSO and LUMBARS would be rotating \_\_\_\_\_\_\_\_\_\_

Answer 35

If you are moving the lower extremity **towards the tender point**​, the TORSO and LUMBARS would be rotating **AWAY**

Question 36

Treatment for **PT 10-12?**

Answer 36

e-E SaRa (pelvis)

Question 37

Anterior Lumbar Counterstain Describe where AL1-5 are:

Answer 37

Question 38

Treatment for AL1?

Answer 38

F STRA

Question 39

Treatment for **AL 2-4?**

Answer 39

F SART Doc: Contralateral w/ ft on table. Flex knees/hips to **90 degrees** Ankles (SB) and knees (Rot) towards doc, away from TP

Question 40

Treatment for AL5?

Answer 40

F SARA Doc: Ipsilateral w/ ft on table Flex hip to **135**, ankles SB away from TP

Question 41

What are the other (4) Major pelvic tenderpoints?

Answer 41

Psoas major Iliacus Low ilium Inguinal

Question 42

Treatment for **Iliacus?**

Answer 42

FROG LEG ONE Doc: Ipsilateral w/ foot on table Flex hips/knees to 90, crossing ankles over doc's knee. Inducing marked **ER**

Question 43

Treatment for **low ilium?**

Answer 43

Doc: Ipsilateral, flex hip and knee to \>90, fine tune as needed

Question 44

Treatment for **inguinal ligament?**

Answer 44

Doc: ipsilateral w/ foot on table Flex hips/knees to **90 degrees**, rest on docs knee Cross c/l ankle over i/l leg, pull ankles towards doc **IR of dysfunctional hip**

Question 45

Treatment of **psoas major?**

Answer 45

Doc: ipsilateral w/ foot on table Marked hip flexion Pull feet and ankles toward TP side