Classic Strain Counterstrain

Question 1

AAC anterior acromio clavicular

anterior aspect of distal one third clavical or apex of the S shape

Answer 1

shoulder horzontal adduction with traction

Question 2

BUR Bursa

palpable with arm abduction 90

Answer 2

shoulder flexion, abduction 120 and external roation

Question 3

LH long head biceps

at long head tendon in bicepital groove

Answer 3

Woe is me 90

Question 4

SH short head biceps

inferior lateral aspect of coracoid process

Answer 4

elbow flex, shoulder flex 90, fine tune with horizontal adduction and abduction

Question 5

MC medial coracoid

medial aspect of coracoid process

Answer 5

shoulder extension addaction and internal rotation, protract shoulder and slide elbow forward

Question 6

LC lateral coracoid

lateral side of coracoid

indicate C7 Somatic Dysfunction

Answer 6

patient supine, neck extend, sidebend away rotate towards

nose pointing towards point

Most Important Point of Neck and Shoulder

Question 7

SUBC Subclavious

undernearth mid clavical, need to hook under

Answer 7

shoulder adduction and internal roation

Question 8

SUB Subscapularious

palm face torsal, rotate and follow rib cage inward under scapular then palpate upward

can impair drainage lead to bursitis, tendonitis and impingement syndrom of shoulder and elbow

Answer 8

arm off the table

shoulder extension, internal rotation and adduction

Question 9

LD latissimus dorsi

anterior medial aspect of humerous, below bicepital groove

palm facing torsal, slip up shoulder gerdle to max, push medially then roll over laterally over a muscle

thoracodorsal fascia - related to pelvis

Answer 9

arm off table

shoulder extension, internal rotation, adduction and traction

Question 10

ADD adduction shoulder (frosted shoulder)

shoulder completely locked can not move

high lateral boarder of axillar on medial humerus

Answer 10

arm hyperadduct against chest wall, apply compression

push shoulder to ear

Question 11

SA serratus anterior

along mid to anterior axillary line

Answer 11

shoulder flexion 110, adduction across face, traction

Question 12

PM pectoralis major

Answer 12

shoulder flexion, internal roation, traction

Question 13

AR 1-2 depressed anterior rib 1-2

1st - first costal cartilage beneath the calvicle, next to manubrium

2nd - in mid clavicular line

Answer 13

cervical flexion, rotate toward, sidebend towards

chin towards tenderpoint

Question 14

PAC posterior acromio calvicular

posterior distal end of calvicle

Answer 14

stand on opposite side

shoulder extension, addcution across body and traction

Question 15

SUP supraspinatus

belly of supraspinatus

Answer 15

shoulder felxion 45, abduction 45 and external rotation

the only position supraspinatus will be vascular

Question 16

MTS2 medial 2nd thoracic shoulder

over the superior vertebral able of the scapular

indicate T2 somatic dysfunction

Answer 16

Woe is me 120

internal and external rotation

Question 17

LTS2 lateral 2nd thoracic shoulder

infraspinous fossa 2 cm below spine of scapular

indicate T2 somatice dysfunction

Answer 17

shoulder abduction 90, external rotation

Question 18

POS point of spine

Answer 18

Same as LTS2

shoulder flexion 90, external roation

Question 19

TS3 third thoracic shoulder

belly of infraspinatus muscle, 5cm below spine of scap

T3 somatic dysfunction

Tx dysfunction will not resolve until point is treated

Answer 19

Woe is me 135

internal external roation

Question 20

TM teres major

inferior angle of scapular, lateral to subscapularis

Answer 20

arm behind back, extension, adduction, internal rotation

Question 21

TMi teres minor

lateral border of scapular

T5 dysfunction

Answer 21

shoulder extension, adduction, external rotation

Question 22

LS levator scapulae

Distal attachement of the leator scapulae muscle

Answer 22

head side bend towards, arm above head

Tune with abduction and adduction

Question 23

TRP trapezius

highest point of the shoulder, in the upper trapezius fibres

Answer 23

head side bend towards, arm slight flex and abducted, shoulder elevate compress towards point

Question 24

RHM rhomboid

Meidal border of the scapular

(connects to ligamentum neuche which connect to the dura)

Answer 24

adducted arm, adduct and elevate scapula

Question 25

Omohyoid

Answer 25

Question 26

LEP lateral epicondyle 5cm above lateral epicondyle on lateral shaft of humerous

Answer 26

Treat as anterior or posterior T1 or 1st rib SCS point AT = F PT = E SA RA PR1 = leg up, E SA RT AR1 = supine, F Chin to point (treat Tx before upper limb to decrease sympathic tone)

Question 27

MEP Medial Epicondyle 5cm above medial epicondyle of the medial shaft of humerous

Answer 27

Treat as anterior or posterior T4 or 4th rib dysfunction AT4 = F PT4 = E SA RA AR4 = leg up ST RT PR4 = leg up SA RA (Treat Tx before upper limb to decrease sympathetic tone)

Question 28

RAD radial head anterior lateral surface of the proximal head of radius

Answer 28

supine extension, supination, abduction ( trigger finger, carpel tunnel) (treat pronator if radial head doesnt work)

Question 29

PRO pronator anterior forarm 2cm below medial epicondyle, slightly lateral

Answer 29

Elbow flexion, pronation, internal rotation (doral hand on chest)

Question 30

MCND/LCND medial and lateral coronoid