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Counterstrain Flashcards

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1
Q

AL 1

A

Location: Medial to ASIS, prob medial to lateral
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F RA ST

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2
Q

AL 2

A

Location: Medial to AIIS, probe medial to lateral
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT

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3
Q

AL 3

A

Location: Lateral to AIIS, probe lateral to medial
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT

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4
Q

AL 4

A

Location: Inferior to AIIS, probe inferior to superior
Pt Pos: Supine
Dr Pos: Opposite of Dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you, pull feet towards you
Acronym: F SA RT

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5
Q

AL 5

A 
Location: Pubic Ramus
Pt Pos: Supine
Dr Pos: Side of dysfunction
Motion: Flex knees to level of dysfunction, pull knees toward you and pus feet away from you 
Acronym: F SA RA
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6
Q

PL 1-5 Spinous

A 
Location: Inferiolateral tip of L1-5 spinous process
Pt Pos: Prone
Dr Pos: Opposite of Dysfunction
Motion: Pull bad-side ASIS up
Acronym: E SA RA
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7
Q

PL 1-5 Transverse

A 
Location: Transverse Process of L1-5
Pt Pos: Prone
Dr Pos: Opposite of Dysfunction
Motion: Lift bad-side leg up, fine tune by abducting/adducting
Acronym: E SA RA
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8
Q

UPL 5

A 
Location: Superior surface of PSIS
Pt Pos: Prone
Dr Pos: Opposite of Dysfunction
Motion: Lift bad-side leg up, abduct, fine tune with rotation
Acronym: E Add er/ir
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9
Q

LPL 5

A 
Location: On ilium, just below PSIS
Pt Pos: Prone
Dr Pos: Seated at side of dysfunction
Motion: Drop bad-side leg off table, push knee under the table, push foot under table
Acronym: F Add IR
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10
Q

Quadratus Lumborum

A

Location: Lateral tips of lumbar transverse processes
Pt Pos: Prone
Dr Pos: Side of dysfunction
Motion: Drop bad-side leg off table, abduct, rotate foot away from you
Acronym:

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11
Q

Psoas

A

Location: 2/3 distance from ASIS to midline
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, pull knee towards you, pull feet towards you
Acronym: F ST RT

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12
Q

Low Ilium/Psoas Minor

A 
Location: Superior surface of iliopectinial eminence
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knee, fine tune with SB/Rot
Acronym: F
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13
Q

Iliacus

A

Location: 1/3 distance from ASIS to midline
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, cross patients lets and ankles (good over bad) and push in (frog legs)
Acronym: F Ext Rot

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14
Q

Inguinal Ligament/ Pectineus

A

Location: Medial Aspect of Inguinal Ligament
Pt Pos: Supine
Dr Pos: Side of Dysfunction
Motion: Flex knees to level of dysfunction, cross patient’s legs (good over bad), fine tune with SB/ROT
Acronym: F Add IR

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15
Q

Gluteus Medius

A

Location: 2/3 distance from PSIS to tensor fasciae latae
Pt Pos: Prone
Dr Pos: Side of Dysfunction
Motion: Lift bad leg up, abduct, rotate foot toward you
Acronym: E Abd ER

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16
Q

Piriformis

A

Location: Midpoint between lateral sacrum and greater trochanter
Pt Pos: Prone
Dr Pos: Seated at side of dysfunction
Motion: Drop bad-side leg off table, pull knee away from table, push foot toward table
Acronym: F Abd ER

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17
Q

High Ilium Sacroiliac

A 
Location: 2-3 cm superiolateral to PSIS
Pt Pos: Prone
Dr Pos: Side of Dysfunction
Motion: Lift bad-side leg up, adduct, push foot away from you
Acronym: E Abd ER
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18
Q

High Ilium Flare Out

A 
Location: On lateral aspect of inferior angle of sacrum
Pt Pos: Prone
Dr Pos: Opposite of Dysfunction
Motion: Lift bad-leg up, adduct
Acronym: E Add
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19
Q

AT 1

A 
Location: At sternal notch
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Patients hands on head, reach around and flex patient, support with knee
Acronym: F
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20
Q

AT 2

A 
Location: At angle of Louis
Pt Pos: Supine
Dr Pos: At head of patient
Motion: Patients hands on head, reach around and flex patient, support with knee
Acronym: F
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21
Q

AT 3-6

A 
Location: On sternum at T3-6
Pt Pos: Supine
Dr Pos: At head of Patient
Motion: Flex Pt to level of dysfunction, have Pt drop arms off table 
Acronym: F IR
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22
Q

AT 7

A

Location: 1/4 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST

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23
Q

AT 8

A

Location: 1/2 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST

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24
Q

AT 9

A

Location: 3/4 distance between xiphoid and umbilicus B/L
Pt Pos: Seated
Dr Pos: Behind Pt
Motion: Dr lifts good-side knee onto table, places Pt good side arm over knee, Pt grabs good side elbow and Dr supports flexion
Acronym: F RA ST

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25
AT 10
Location: 1/4 distance from umbilicus to pubic symphisis Pt Pos: Supine Dr Pos: Side of Dysfunction Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you Acronym: F RA ST
26
AT 11
Location: 1/2 distance from umbilicus to pubic symphisis Pt Pos: Supine Dr Pos: Side of Dysfunction Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you Acronym: F RA ST
27
AT 12
``` Location: Top of iliac crest Pt Pos: Supine Dr Pos: Side of dysfunction Motion: Flex knees to level of dysfunction, pull knees towards you, pull feet towards you Acronym: F RA ST ```
28
PT 1-3 Spinous
Location: Inferiolateral tip of T1-3 spinous process B/L Pt Pos: Supine Dr Pos: Seated at head of patient Motion: Drop patient's head off edge of table, sidebend away from dysfunction, rotate away from dysfunction Acronym: E SA RA
29
PT 4-9 Spinous
Location: Inferiolateral tip of T4-9 Spinous process B/L Pt Pos: Prone Dr Pos: Side of Dysfunction Motion: Grab good-side shoulder and lift up Acronym: E SA RA
30
PT 10-12 Spinous
Location: Inferiolateral tip of T10-12 spinous process B/L Pt Pos: Prone Dr Pos: Opposite of Dysfunction Motion: Move legs slightly toward good side, lift bad ASIS up Acronym: E SA RA
31
PT 4-9 Transverse
``` Location: Transverse process of T4-9 Pt Pos: Prone Dr Pos: Opposite of dysfunction Motion: Rotate Pts head toward bad-side, lift bad-side shoulder Acronym: E SA RT ```
32
AC 1
Location: Posterior surface of ramus of mandible at level of earlobe Pt Pos: Supine Dr Pos: At head of patient Motion: Rotate head away from dysfunction, fine tune with other motions Acronym: RA
33
AC 2-6
Location: Anteriolateral aspect of C2-6 transverse process Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, rotate and sidebend away from dysfunction Acronym: F SA RA
34
AC 7
Location: Superior to medial end of clavicle at SCM Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, rotate away, sidebend toward dysfunction Acronym: F RA ST
35
AC 8
Location: Superior to lateral sternum at SCM Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, rotate and sidebend away from dysfunction Acronym: F SA RA
36
PC 1 Inion
``` Location: Inion Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, fine tune in other directions Acronym: F ```
37
PC 1 Occiput
Location: 1/2 distance between inion and mastoid Pt Pos: Supine Dr Pos: At head of Patient Motion: Drop head off edge of table, sidebend/rotate away Acronym: E SA RA
38
PC 2 Occiput
Location: Below occiput on inferior nuchal line Pt Pos: Supine Dr Pos: At head of patient Motion: Extend head (while still on table), sidebend and rotate away Acronym: E SA RA
39
PC 2 Spinous
``` Location: Superior to C2 Spinous process Pt Pos: Supine Dr Pos: At head of patient Motion: drop head off table, sidebend/rotate away Acronym: E SA RA ```
40
PC 3 Spinous
``` Location: Inferior to C2 spinous process Pt Pos: Supine Dr Pos: At head of patient Motion: Flex head, sidebend/rotate away Acronym: F SA RA ```
41
PC 4-8 Spinous
Location: Inferior to n-1 spinous process Pt Pos: Supine Dr Pos: At head of Patient Motion: Drop head off table, sidebend/rotate away Acronym: E SA RA
42
PC 3-8 Lateral
Location: Just superior to articular pillar of C3-7 Pt Pos: Supine Dr Pos: at head of patient Motion: Drop head off table, sidebend/rotate away Acronym: E SA RA
43
PC 8 Lateral
Location: Just inferior to articular pillar of C7 Pt Pos: Supine Dr Pos: At head of patient Motion: Drop head off table, sidebend/rotate away Acronym: E SA RA
44
Indication for treating AC1 Mandible/Transverse
Frontal or migraine headaches, blurring of vision, TMJ dysfunction
45
Muscles associated with AC1 Mandible
Rectus capitis anterior
46
Muscles associated with AC1 Transverse
Rectus capitis lateralis
47
Indication for treating AC2-6
Posterolateral neck pain
48
Muscles associated with AC2
Middle scalene and longus colli muscles
49
Muscles associated with AC3-4
Anterior and middle scalenes, longus capitis, longus colli muscles
50
Muscles associated with AC5-6
Anterior, middle, posterior scalenes; longus capitis, longus colli muscles
51
Indication for treating AC7
Pain in the lower cervical region
52
Muscles associated with AC7
SCM
53
Indication for treating AC8
Pain in the lower cervical region
54
Muscles associated with AC8
SCM
55
Indication for treating PC1 Inion
Pain in the suboccipital region and frontal/periorbital headache
56
Muscles associated with PC1 Inion
Medial border of semispinalis capitis, rectus capitis posterior minor
57
Indication for treating PC1-2 Occiput
Posterolateral headache and pain behind the eye
58
Muscles associated with PC1 Occiput
Splenius capitis, rectus capitis posterior major/minor, obliquus capitis superior muscles
59
Muscles associated with PC2 Occiput
Semispinalis capitis muscle and greater occipital nerve
60
Indication for treating PC2, PC4-PC8 Spinous Processes (midline)
Posterior neck pain and generalized headache
61
Muscles associated with PC2 midline
Rectus capitis posterior major/minor and obliquus capitis inferior muscles
62
Muscles associated with PC4-8 midline
Semispinalis capitis, multifidus, rotatores
63
Indication for treating PC3 Spinous Process (midline)
Suboccipital headache, earache, tinnitus, and/or vertigo
64
Muscles associated with PC3 Spinous Process (midline)
Greater/third occipital nerve, middle scalene, longus capitis, longus colli
65
Indication for treating PC3-7 Articular processes (lateral)
Neck pain and headache
66
Muscles associated with PC-7 Articular processes (lateral)
transversospinalis muscle group (semispinalis cervicis and capitis, multifidus, rotatores)
67
Indication for treating AT1-2
Anterior chest wall pain and upper back pain
68
Muscles associated with AT1-2
Sternal fascia and pectoralis major
69
Indication for treating AT3-6
Anterior chest wall pain, upper back pain, gastroesophageal reflux
70
Muscles associated with AT3-6
Sternal Fascia and pectoralis major
71
Indication for treating AT7-9
Midthoracic pain, epigastric or flank pain, gastroesophageal reflux
72
Muscles associated with AT7-9
Rectus abdominis, external/internal oblique, transversus abdominis
73
Indication for treating AT9-12
Lower thoracic or upper lumbar pain, lower abdominal pain, flank pain
74
Muscles associated with AT9-12
Rectus abdominus, external/internal oblique and transversus abdominis
75
Indication for treating PT1-12 Spinous Process (midline)
Tenderness in the center of the back and flattening of the throacic kyphosis
76
Muscles associated with PT1-12 Spinous Process (midline)
Supraspinous ligament, interspinales, spinalis, semispinalis thoracic muscles
77
Indication for treating PT1-9 Spinous process (inferolateral)
Tenderness in the center of the back and flattening of the throacic kyphosis
78
Muscles associated with PT1-9 spinous process (inferolateral)
Semispinalis and multfidus
79
Indication for treating PT4-9 (transverse)
Tenderness in the center of the back and flattening of the throacic kyphosis
80
Muscles associated with PT4-9 (transverse)
Longissimus thoracis, levatores costarum, semispinalis, multifidus, rotatores
81
Indication for treating AL1
Throacolumbar region, lower lateral abdominal wall, anterior thigh
82
Muscles associated with AL1
Transversus abdominis, internal oblique muscles and iliopsoas muscle group
83
Indication for treating AL2
Lower back and anterior lateral hip pain
84
Muscles associated with AL2
External oblique, genitofemoral nerve, iliopsoas muscle group
85
Indication for treating AL3-4
Lower back, groin, and/or anterior lateral hip pain
86
Muscles associated with AL3-4
Lateral border of iliacus muscle, psoas, lateral femoral cutaneous nerve, femoral and obturator nerves
87
Indication for treating AL5
Tenderness in the pubic region, low back, sacral, pelvic pain
88
Muscles associated with AL5
Rectus abdominis, adductor longus, pubic shear dysfunction from obturator entrapment
89
Indication for treating Psoas Major
thoracolumbar region pain or anterior hip, thigh, or groin pain
90
Indication for treating Iliacus
Thoracolumbar region and or anterior hip/thigh pain
91
Indication for treating low ilium (psoas minor)
Pain in the anterior hip and/or groin
92
Indication for treating Inguinal/Pectineus
Pain in the anterior hip, thigh, or groin
93
Indication for treating PL1-5
Lower back pain in the area of the tender point
94
Muscles associated with PL1-5
Multifidus, Rotatores
95
Indication for treating quadratus lumborum
Lower back pain at the top of the iliac crest, and in the posterior hip, buttock, sacroiliac region
96
Indication for treating Lower Pole L5 (LPL5)
Low back pain and/or pelvic pain
97
Muscles associated with Lower Pole L5 (LPL5)
Posterior sacroiliac liagments, erector spinae or biceps femoris muscle, referred from iliopsoas muscle group
98
Indication for treating Upper Pole L5 (UPL5)
Low back and pelvic pain
99
Muscles associated with Upper Pole L5 (UPL5)
Multifidus, rotatores, iliolumbar ligament
100
Indication for treating High Ilium Sacroiliac
Pain in the buttock with strain of quadratus lumborum/gluteus maximus or sprain of iliolumbar ligament
101
Indication for treating High Ilium Flare Out (Coccygeus)
Pain in the lower medial portion of gluteus maximus, deep within the coccygeus muscle and pelvic floor
102
Indication for treating PL3-4 Lateral (Gluteus Medius)
Pain below the iliac crest in the posterior gluteal region while walking or getting up from seated position
103
Indication for treating Piriformis
Buttock and posterior thigh (sciatic neuritis)

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