Counterstrain Lower Limbs Flashcards Preview

OMM Competency II > Counterstrain Lower Limbs > Flashcards

Flashcards in Counterstrain Lower Limbs Deck (26)
Loading flashcards...
1
Q

Where is the location of the piriformis tender point?

A

At the midpoint between the lower half of the lateral aspect of the sacrum and the greater trochanter (in the middle of the butt).

2
Q

What is the first step in treatment of the piriformis?

A

The patient lies prone and the physician stands/sits at the side of the tender point.

3
Q

What is the second step in treatment of the piriformis?

A

The patient’s leg on the side of the TP is off the edge of the table. The hip is flexed and abducted while the leg rests on the physician’s thigh/knee.

4
Q

Where is the location of the Iliacus tender point?

A

1/3 of the distance from the ASIS to the midline.

5
Q

What is the first step in treatment of the Iliacus?

A

Patient lies supine while the physician stands at the side of the table.

6
Q

What is the second step in the treatment of the Iliacus?

A

The physician flexes the patient’s hips and knees while placing their foot on the table and lying the patient’s knees on their thigh.

7
Q

What is the third step in the treatment of the Iliacus?

A

Cross the patient’s ankles and externally rotate both of the patient’s hips (ankles are crossed with knees out to the sides).

8
Q

Where is the location of the Psoas Major tender point?

A

2/3 of the distance from the ASIS to the midline.

9
Q

What is the first step in the treatment of the Psoas Major?

A

The patient lies supine while the physician stands at the side of the tender point.

10
Q

What is the second step in the treatment of the Psoas Major?

A

The physician flexes the hips and knees while adding a slight external rotation of the hips.

11
Q

What is the third step in the treatment of the Psoas Major?

A

Pull the knees toward the tender point to side bend the lumbar spine.

12
Q

Where is the location of the lateral trochanter tender point?

A

Along the iliotibial (IT) band distal to the greater trochanter.

13
Q

What is the first step in treatment of the lateral trochanter?

A

Patient lies either supine or prone while the physician stands at the side of the tender point.

14
Q

What is the second step in treatment of the lateral trochanter?

A

The patient’s hip/thigh is abducted and slightly flexed.

15
Q

What is the first step in the treatment of the medial meniscus?

A

The patient lies supine while the physician stands at the side of the tender point.

16
Q

What is the second step in the treatment of the medial meniscus?

A

The patient’s hip/thigh is abducted so that the leg hangs off the table.

17
Q

What is the third step in the treatment of the medial meniscus?

A

The physician grasps the lateral ankle/foot to control the lower leg.

18
Q

What is the fourth step in the treatment of the medial meniscus?

A

The patient’s knee is flexed 35-40 degrees with slight abduction and internal or external rotation of the tibia. May require ankle dorsiflexion and eversion.

19
Q

What is the one difference between treatment of the medial and lateral meniscus?

A

For the lateral meniscus, the tibia is adducted and internally rotated instead of abducted. Additionally, ankle plantar flexion and inversion may be required, as opposed to dorsiflexion and eversion.

20
Q

Where is the location of the gastrocnemius tender point?

A

Within the proximal gastrocnemius muscles distal to the popliteal margin.

21
Q

What is the first step in the treatment position of the gastrocnemius/extensor ankle?

A

The patient lies prone, while the physician stands at the side of the tender point and places their foot on the edge of the table.

22
Q

What is the second step in the treatment position of the gastrocnemius/extensor ankle?

A

The patient’s knee is flexed and the dorsum of the foot is placed on the physician’s thigh.

23
Q

What is the third step in the treatment position of the gastrocnemius/extensor ankle?

A

The physician applies a compressing force on the patient’s calcaneus to produce marked plantar flexion of the ankle.

24
Q

Where is the location of the lateral ankle/fibularis longus and brevis tender point?

A

Anterior and inferior to the lateral malleolus in the sinus tarsi (talocalcaneal sulcus).

25
Q

What is the first step in the treatment of the lateral ankle?

A

The patient lies lateral recumbent and the physician places a pillow under the lateral aspect of the tibia to create a fulcrum.

26
Q

What is the second step in the treatment of the lateral ankle?

A

The physician applies an eversion force to the foot and ankle with slight external rotation of the foot.