Chapter 14 Counterstrain Flashcards Preview

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Flashcards in Chapter 14 Counterstrain Deck (46):
1

What kind of technique is CS?

Passive indirect

2

What is a tenderpoint?

Small tense edematous area of tenderness about the size of a fingertip located near attachments of tendons, ligaments or belly of muscle that do NOT radiate pain

3

How do you determine a tenderpoint is clinically significant?

Compare to same spot on other side

4

Where should you start tx if there are multiple tenderpoints?

Tx the most tender area first

5

Where do you place the pt?

Into position of comfort/ease by shortening the muscle

6

After fine tuning the tx position with small arcs of motion, how much pain should be reduced?

>70%

7

What is a maverick point?

Tenderpoints that do not improve with fine tuning

8

How do you tx maverick points?

Place the pt in a position opposite of what would be used typically

9

How long must the position be maintained?

90 secs--time takes for proprioceptive firing to decrease

10

How much tenderness should remain after tx?

11

Anterior cervical TP location?

Anterior to or on most lateral aspect of lateral masses

12

Tx position for anterior cervical TP?

SB and rotate head away form side of TP

13

Anterior cervical maverick point (anterior 7th cervical) location?

2-3cm lateral to medial end of clavical at lateral attachment of SCM

14

Anterior cervical MP tx position?

Flex, SB toward and rotate away from side of TP

15

Posterior cervical TP location?

Tip of SP or on lateral side of SP

16

Posterior cervical TP tx position?

Extend, SB (slightly), and rotate away

17

Posterior cervical MP/inion (posterior 1st cervical) location?

At inion (posterior occipital protuberance) or just below

18

Posterio cervical MP inion tx position?

Marked flexion

19

Anterior thoracic TPs location?

T1-6 = located midline of sternum at attachment of corresponding ribs
T7-12 = most located in rectus abdominus m about 1 inch lateral to midline on right or left

20

Anterior thoracic TPs tx position?

Flex thorax and add small amount of SB and rotation away

21

Posterior thoracic TPs location?

Either side of SP or on TP

22

Posterior thoracic TPs tx position?

Extend, rotate away and SB slightly away

23

Anterior rib TPs are assoc with what rib position?

Depressed ribs (exhalation dysfunction)

24

Posterior rib TPs are assoc with what rib position?

Elevated ribs (inhalation dysfunction)

25

How long must rib tx positions be held?

120 secs--allows pt extra time to relax

26

Anterior rib 1 TP location?

Just below medial end of clavicle

27

Anterior rib 2 TP location?

6-8cm lateral to sternum on rib 2

28

Anterior ribs 3-6 TP locations?

Along mid-axillary line on corresponding rib

29

Anterior rib tx position for ribs 1 and 2?

Flex head, SB and rotate towards

30

Anterior rib tx position for ribs 3-6?

SB and rotate thorax toward, encourage slight flexion

31

Posterior rib TP location?

Angle of corresponding rib

32

Posterior rib TP tx position?

Tx with minimal flexion, SB and rotate away

33

Anterior lumbar TP L1 location?

Just medial to ASIS

34

Anterior lumbar TP L2-4 location?

On the AIIIS

35

Anterior lumbar TP L5 location?

1cm lateral to pubic symphisis on superior ramus

36

Anterior lumbar TP tx position?

Most treated with pt supine, knees and hips flexed and markedly rotated away

37

Posterior lumbar TP location?

Either side of SP or on TP; L3-4 may be on iliac crest; L5 may be on PSIS

38

Posterior lumbar TP tx position?

Most treated with pt prone, extended and SB away (rotation may be towards or away)

39

Posterior lumbar MPs (lower pole 5th lumbar) location?

Inferior to PSIS as much as 1 cm

40

Posterior lumbar MP tx position?

Pt prone, hip and knee flexed, leg internally rotated and adducted

41

Iliacus TP location?

~7cm medial to ASIS

42

Iliacus tx position?

Pt supine with hip flexed and externally rotated

43

Piriformis TP location?

In the piriformis m 7cm medial to and slightly superior to greater trochanter

44

Piriformis TP tx position?

Pt prone, hip and knee flexed, thigh abducted and externally rotated

45

What percentage of TPs are maverick?

5%

46

What region is assoc with the greatest number of MPs?

Cervical spine