Chapter 14 - Counterstrain and FPR Flashcards Preview

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Flashcards in Chapter 14 - Counterstrain and FPR Deck (26):
1

Counterstrain is (passive/active) and (direct/indirect)

Passive, Indirect

2

Tenderpoints are typically located where?

Near bony attachments of tendons, ligaments
OR in the belly of some muscles

3

Why is counterstrain held for 90 seconds?

The time required for the proprioceptive firing to decrease in frequency and amplitude

4

If a tenderpoint is associated with a V-S reflex, how long will the pain be reduced following a counterstrain treatment?

A few hours at most

5

Anterior cervical TPs - treatment position?

SB and Rotate AWAY

6

Tenderpoint 2-3 cm lateral to the SC joint on the clavicle

This point is considered a _____

Treatment position?

C7 (SCM lateral attachment)

Maverick point

Flex, SB toward, Rotate away

7

Posterior cervical TPs - treatment position?

Extend, SB and Rotate AWAY

8

PC1 inion - location?

Considered a ____

Treatment position?

Posterior occipital protuberance

Maverick point

FLEXION

9

T1 - T6 - locations

*AT2 tenderpoint specifically?

Midline on the sternum at the attachment of those ribs

AT2 is on the sternum at the Angle of Lewis

10

T7-T12 - locations

specifics for AT9-12
*what is special about AT12?

(MOST) In the rectus abdominus muscle, 1 inch lateral to midline on the R or L

AT9 - 1cm above umbilicus
AT10 - 1-2 cm below umbilicus
AT11 - 2 in below umbilicus
AT12- inner ala of ilium in midaxillary line bilaterally (*the only AT tender point with two locations - bilateral)

11

Anterior thoracic points - treatment position?

Flex thorax, little SB and Rotation AWAY

12

Posterior thoracic points - treatment position?

Extend thorax, little SB and Rotation AWAY

13

Anterior rib tenderpoints = ____

Posterior rib tenderpoints = ____

EXHALATION (depressed) ribs

INHALATION (elevated) ribs

14

AR1 - location

Treatment position?

Below the medial clavicle, where rib 1 attaches to the manubrium

Flex head, SB and Rotation TOWARDS (like rib 2)

15

AR2 - location

Treatment position?

6-8 cm lateral to sternum on rib 2

Flex head, SB and Rotation TOWARDS (like rib 1)

16

Ribs 3-6 - location

Treatment position?

Mid-axillary line on the corresponding rib

SB and Rotate thorax TOWARD, slight flexion

17

Posterior rib points - location

Treatment position?

Angle of the rib

SB and Rotate AWAY, minimal flexion

18

L1 - location
L2-4 - locations
**L5 - location

L1 = Medial to ASIS
L2-4 = Medial, Lateral, and Inferior to ASIS
L5 = 1cm lateral to pubic symphysis on superior ramus

19

Anterior lumbar points - treatment position

Supine, hips and knees flexed and ER (rot away)

20

Posterior lumbar points - locations

SP or TP of lumbar vertebrae
L3, L4 = maybe iliac crest
L5 = maybe PSIS

21

Posterior lumbar points - treatment position

Prone, extended, SB away (Rotation toward or away)

22

Lower pole L5 - location

Treatment position

Caudad to PSIS

Prone, Hip and knee flexed, leg IR and ADD

23

Iliacus - location

Treatment position

7 cm medial to ASIS

Supine, hip flexed and ER

24

Piriformis - location

Treatment position

7 cm medial and slightly cephalad to trochanter

Prone, Hip and Knee flexed, thigh abducted and ER

25

Describe FPR
- Direct or indirect?
- Patient position? Why?
- After positioning?
- How long to hold?

Indirect MFR where body part is placed into a NEUTRAL position to diminish tissue and joint tension in all planes, then adding an ACTIVATING force (compression or torsion). Hold force for 3-4 seconds.

26

FPR - steps (5)

1. Neutral position, straighten the AP curvature
2. Apply facilitating force (compression or torsion)
3. Shorten muscle
4. Hold for 3-4 seconds
5. Release and re-evaluate