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Osteopathic Shit > Counterstrain and FPR > Flashcards

Counterstrain and FPR Flashcards

(62 cards)

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1
Q

What type of technique is Counterstrain?

A

Passive, indirect

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2
Q

Describe Counterstrain points?

A

small, tense edematous area of tenderness the size of a finger tip located near the bony attachments of tendons or ligaments and are tender only over the point without radiation

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3
Q

What do Sensory afferents (group 1a) fibers do?

A

Send branches to intrafusal fibers in the muscle spindle : sense stretch

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4
Q

What do Motor efferents (Gamma) fibers do?

A

In muscle spindle
-Gamma 1 dynamic fibers; rate of change
-Gamma 2 static: Degree of stretch

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5
Q

General Counterstrain procedure?

A

ID Tenderpoint
Place in optimal comfort: at least 70% reduction
-generally Ant points = flexion
-generally Post points = Extension
Maintain position for 90 seconds
Slowly return to neutral position
Reassess

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6
Q

Where are most Anterior Cervical counterstrain points?

A

Slight anterior to or on the most lateral aspect of lateral masses

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7
Q

How do you treat most anterior cervical counterstrain points?

A

F SA RA

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8
Q

Where are most posterior cervical counterstrain points?

A

At the tip of SP or on the lateral sides of the SP

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9
Q

How do you treat most posterior cervical counterstrain points?

A

E Sa Ra

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10
Q

Where is AC1 located?

A

TP of C1

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11
Q

How do you treat AC1?

A

RA

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12
Q

Where is AC7 located?

A

Lateral SCM attachment

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13
Q

How do you treat AC7?

A

F ST RA

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14
Q

Where is PC1?

A

Inion

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15
Q

How do you treat PC1?

A

Marked flexion

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16
Q

Where is PC2?

A

Superior to the lateral surface of SP C2

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17
Q

How do you treat PC2?

A

E (OA) Ra

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18
Q

Where are anterior thoracic points T1-T6 located?

A

Midline of sternum

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19
Q

how do you treat anterior thoracic points T1-T6?

A

Flexion

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20
Q

Where are anterior thoracic points T7-T11 located?

A

In rectus abdominus: 1 in lateral to midline

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21
Q

How do you treat anterior thoracic points T7-T9?

A

Thorax Flex, St Ra

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22
Q

How do you treat anterior thoracic points T10-T11?

A

Hip Flex, St Rt

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23
Q

Where is anterior thoracic point T12 located?

A

Iliac crest: mid-axillary line

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24
Q

How do you treat anterior thoracic point T12?

A

Hip F St Ra

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25
Where are posterior thoracic points located?
on either side of SP or TP
26
How do you treat posterior thoracic points?
E Ra Sa
27
What is an anterior rib counterstrain point?
Exhaled
28
What is a posterior rib counterstrain point?
Inhaled
29
Where is anterior rib 1 CS point?
Medial end of the clavicle
30
How do you treat Rib 1 anterior CS point?
F St Rt
31
Where is rib 2 Anterior CS point?
6-8 cm lateral to the sternum on rib 2
32
Where are ribs 3-10 anterior CS points located?
Midaxillary line of the corresponding rib
33
How do you treat rib 2 anterior CS point?
F St Rt
34
How do you treat ribs 3-10 anterior CS points?
St Rt slight flexion
35
Where are the Rib Posterior CS points located?
Superior surface of posterior rib angles
36
How do you treat Ribs 1 and 2 posterior CS points?
e Sa Rt
37
How do you treat ribs 3-10 posterior CS points?
f Sa Ra
38
Where is Anterior L1 CS point located?
Medial to ASIS
39
Where is anterior L2-L4 CS points located?
on the AIIS
40
Where is anterior L5 CS point located?
1cm lateral to the pubic symphysis on superior ramus
41
How do you treat anterior Lumbar CS points?
Knee/Hip Flexion with Ra
42
Where are posterior lumbar CS points located?
ON either side of SP or on TP: L3-4 may be on Iliac crest, L5 may be on PSIS
43
How do you treat posterior lumbar CS points?
Hip extension, Sa
44
Where is S1 CS point located?
Medial to PSIS at the level of S1
45
How is S1 CS treated?
Posterior to anterior pressure on the contralateral ILA
46
Where are S2-S4 CS points located?
midline on SP tuburcles along the median sacral crest
47
How to you treat S2-S4 CS points?
Posterior to anterior pressure along the medial crest of the sacrum inducing flexion or extension of the sacrum
48
Where is the S5 CS point located?
1cm medial and superior to the ILA
49
How is the S5 CS point treated?
Posterior to anterior pressure on the contralateral sacral base
50
Where is the Iliacus CS point located?
7cm medial to ASIS
51
How is the Iliacus CS point treated?
Hip Flexed and Externally rotated
52
Where is the Piriformis CS point located?
7-10cm medial and slightly cephalad to the greater trochanter near the sciatic notch
53
How is the Piriformis CS point treated?
Porne, hip flexed to 135: abduct and externally rotate
54
In general, how do you treat extremity counter strain points?
Shorten the muscle
55
What are 2 commonly tested Extremity Maverick points?
Levator Scapulae Plantar Fascia
56
Where is the Levator Scapulae CS point located?
Superior angle of the scapula
57
How do you treat the Levator Scapulae CS point?
Head rotates away, shoulder IR with traction of humerus to life medial border of the scapula
58
Where is the Plantar Fascia CS point located?
At the attachment on the inferior lateral calcaneus
59
How do you treat the Plantar Fascia CS point?
Ankles and toes flexed + compression + supinate or pronate foot to finetune position
60
What type of technique is FPR?
indirect and passive
61
What is the main difference between FPR and Counterstrain?
FPR keeps the spine in neutral
62
What is the general Procedure for FPR?
Dysfunctional joint placed into neutral Facilitating force is added Finetune position Joint passively returned to original position Reassess

Osteopathic Shit (8 decks)

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