Cervical & Thoracic Counterstrain Flashcards Preview

OS III Final > Cervical & Thoracic Counterstrain > Flashcards

Flashcards in Cervical & Thoracic Counterstrain Deck (32)
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1
Q

Location and treatment position for counterstrain point AC1 mandible

A

Posterior surface of ascending ramus of mandible

Pt supine, dr at head of table; Push posterior to anterior [SARA]

2
Q

Location and treatment position for counterstrain point AC1 TP

A

C1 transverse process found midway between ramus of mandible and mastoid process

Pt supine, Dr at head of table; Push lateral to medial, rotate away, fine tune with SB away [saRA]

3
Q

Location and treatment position for counterstrain point AC2-6

A

Anterior aspect of associated transverse process

Pt supine; Dr at head of table; F SARA

[alternate tx: cervical extension with SARA]

4
Q

Location and treatment position for counterstrain point AC7

A

Posterosuperior surface of proximal clavicle where SCM inserts (2-3 cm lateral to the AC8 TP)

Pt supine, Dr at head of table [F STRA]

5
Q

Location and treatment position for counterstrain point AC8

A

Clavicular insertion of SCM near the sternal notch

Pt supine, Dr at head of table; F SARA

6
Q

Location of counterstrain point AT1

A

Midline on suprasternal notch

7
Q

Location of counterstrain point AT2

A

Midling on manubrium at sternal angle (angle of Louis)

8
Q

Location of counterstrain point AT3-4

A

Midline at level of costal cartilage related to named vertebra

9
Q

Location of counterstrain point AT5

A

Midline at the level of the costal cartilage related to the named vertebra (about 1 inch superior to xyphoid)

10
Q

Location of counterstrain point AT6

A

Midline at level of costal cartilage related to named vertebra (at sternal-xiphoid junction)

11
Q

Location of counterstrain point AT7

A

Can be midline OR lateral to midline 1/4 distance from tip of xiphoid to umbilicus

12
Q

Location of counterstrain point AT8

A

Can be midline or lateral to midline, halfway between xiphoid and umbilicus (1.5” inferior to xiphoid)

13
Q

Treatment position for AT1-AT6

A

Pt supine

Dr at head of table, cervical and thoracic FLEXION to level of TP.

Modification: perform with patient seated and dr standing behind pt, flexing head to level of TP

14
Q

Treatment position for AT7-AT9 bilateral TPs

A

Pt seated

Dr standing behind, place foot on side opposite TP (if lateral TP), then use leg to SB torso towards TP, and rotate torso away [F STRA]

**if midline TP, flex to level of TP

15
Q

Location of counterstrain point AT9

A

Can be midling or lateral to midline, 3/4 distance from xiphoid tip to umbilicus (1-2 cm superior to umbilicus)

16
Q

Location of counterstrain point AT10

A

Lateral to midline, 1/4 distance from umbilicus to pubic symphysis (1-2cm inferior to umbilicus)

17
Q

Location of counterstrain point AT11

A

Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm below umbilicus)

18
Q

Location of counterstrain point AT12

A

Lateral to midline, midaxillary line on superoanterior surface of iliac crest

19
Q

AT10-AT12 treatment position

A

Pt supine

Dr stands on same side of TP, flex pts hips/knees, pull pts knees toward doc, causing pelvis and lower segment to rotate toward TP while torso and upper segment rotate away; pull pts ankles toward doc, which SB dysfunctional segment toward TP

20
Q

Location and tx position of PC1 inion

A

On inferior nuchal line, just lateral to inion

F StRa

21
Q

Location and tx position of PC2 and PC3 occiput

A

PC1 occiput: inferior to superior nuchal line, midway between inion and mastoid associated with splenius capitis and/or the obliquus capitis superior mm.

PC2 occiput: inferior nuchal line within semispinalis capitis m.

Tx: ESARA

22
Q

Location and tx position of PC3

A

Inferolateral aspects of C2 spinous process

F SARA

[may require STRA instead — maverick point]

23
Q

Location and tx position of PC4-7

A

Inferolateral aspect of spinous processes named for spinal nerves which exit below vertebrae (e.g., PC5 points are on C4 SP)

Tx: ESARA

24
Q

Location and tx position of PC8

A

Inferolateral aspect of spinous process of C7

Tx: F SARA or E SARA, depending on pt

25
Q

Treatment positioin for PT1-3 SP

A

Pt prone with arms draped over side of table; extension to segment

26
Q

Treatment position for PT1-3 TP

A

E SARA

27
Q

Treatment position for PT4-6 SP

A

Pt prone with arms draped over TOP of table; extend to segment

28
Q

Tx position for PT 4-9 TP

A

E SART

29
Q

Tx position for PT 7-9 SP

A

Pt prone with arms draped over TOP of table with pillow under chest, add extension as needed

30
Q

Tx position for PT10-12 SP

A

Pt prone with arms draped over TOP of table with pillow under chest, extend

31
Q

Tx position for PT 10-12 TP

A

Pt prone; ESART

32
Q

Treatment of what type of CS point requires lengthening of tissues around the TP rather than shortening/wrapping around them?

A

Maverick point