What part of the Muscle is used in Counterstrain?
Muscle Spindle Fibers, what about Muscle Energy?
b. Golgi Tendon Organs
Where is the PC1 Inion?
Lateral to the Inion (Occipital Prutuberance), what is the targeted Muscle?
b. Rectus Capitis Minor m.
Where is the PC1 Occiput?
On Inferior Nuchal line between the mastoid and the inion, what is the Targeted muscle?
b. Obliquus Capitis Superior M.
Where is the PC2 Occiput?
B/w the inion and occiput on the inferior nuchal line, what is the Targeted muscle?
b. Semispinalis Capitis M.
Where is PC2?
Superiorlateral aspect of Spinous process C2, what are the Targeted muscles?
b. Rectus Capitis M and Obliquus Capitis inferior
PC3 is on the Interior Lateral Aspect of C2, No muscle mentioned this semester to add
. Where is the Medial Pterygoid M. Tender point?
a. medial aspect of ascending Ramus to Angle of Jaw
. Where is the Masseter M. Tender point found?
Bellt of masseter, inferior to the zygoma
Where is the TMJ tender point found?
According to PP: TMJ opposite to Mandibular deviation, Mohammad TMJ can be found Anterior to Tragus of the Ear
Medial Pterigoid Pt. Mandible is pulled away from the TP (Mohommad: follow body till Angle go anterior to that hook fingers around
Massester Pull/shift Mandible towards the TP
TMJ Rotate (the whole head) Away
Posterior Surface of ramus of mandible
Push Posterior to Anterior
Midway between ramus and mastoid process on the transverse process of C1 Push Lateral to Medial
Anterior Surface of Transverse Processes
2cm Lateral to the Medial end of the Clavicle (Clavicular Head of the SCM m)
Medial End of the Clavicle (Sternal Head of the SCM m at Sternal Notch)
Angle of the Manubrium
Inferior Tip of Xiphoid
Halfway b/w Tip of Xiphoid and umbilicus
¾ distance from Tip of Xiphoid and umbilicus
¼ distance from Tip of Xiphoid and umbilicus
Halfway between umbilicus and Public Symphysis
On the Anterior Superior Surface of the Iliac Crest at maxillary Line
Pt. Supine Flex Them!!
Pt Seated Captain Morgan Leg on opposite Side STRA
Pt Supine Hip Flexion Rotate Torso Away Side-bend Torso Towards STRA
Spinous Processes TP
All Extension, just add more as you go further down spine
E SARA (pelvis) E Sart (toros)
E ADDuct IR/ER
F ADD IR
E ABD ER
F Abd ER
medial to PSIS
Press Anteriorly at Location Diagonal on Opposite Side (PS5 Same Treatment just on the lower parts of the Sacrum)
Anterior Pressure to Apex
Depends on Patient Force is to Apex or Base
Anterior Pressure to Sacral Base
Medial ASIS Ispsilateral to dysfunction F STRA
Medial AIIS Contralateral to Dysfunction F SARA
Lateral and Interior to AIIS Contralateral to Dysfunction F SART
Ipsilalateral to Dysfunction F SARA
2/3 Distance from ASIS to midline Press DEEP F ST No Rotation
Ipsilateral foot on Table Hip is flexed with feet and Ankles pulled towards tender
Superior Pubic Ramus where psoas m. crosses Pelvic Rim
Ispsilateral to Dysfunction Flex Single Leg and Knee to 90 degrees
LQ Medial to ASIs DEEP in fossa Frog Leg Ipsilateral to Dysfunction
Inguinal Ligament Lateral to Pubic Tubercle Good leg over bad hips and legs 90 degrees rest on docs knee Doc is ipsi to dysfunction
Flex Hips and Knees Frog Legs w/ Good Leg over Bad leg near iliacus Tenderpoint Doc IPSI Lateral (Might be important since it was w/ OB lecture)
Rib 1, 2, 3-10
Counterstrain Seated or Supine FSRT
Ribs 3-10 Use Leg on Opposite Side of Dysfunction to induce the Sidebend and Rotation
Posterior Ribs Counterstrain on Rib Angles
Less prominent rib Elevated, Ribs more prominent when depressed
Rib 1 E SART pt lying down supine
Rib 2 F SARA pt seated
Rib 3-10 STILL F SARA pt still seated Now Leg used on Same Side as Dysfunction
Anterior Ribs are indicative of a
Depressed Rib meaning it is Exhaled
Posterior Ribs are indicative of a …
Elevated Rib meaning it is Inhaled
Bucket Handle Ribs are?
1, 7-10 Increase in Lateral Diameter
Pump Handle Ribs are?
Ribs 1, 2-6 Increase in AP Diameter
11-12 Increase in vertical and transverse Diameter
Rib Muscles for Exhlation Dysfunction:
Rib 1 Anterior and Middle Scalenes ms. Rib 2 Posterior Scalene m Rib 3-5 Pectoralis Minor m Rib 6-8 Serratus Anterior m Ribs 9-10 Latissimus Dorsi m Ribs 11-12 Quadratus Lumborum m