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FCS Cert 1 > F1 > Flashcards

F1 Flashcards

(43 cards)

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1
Q

Rib Tubercle Tender Points - pushing downward

A

Visceral

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2
Q

Rib Tubercles - pushing laterally

A

Arterial

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3
Q

Rib Tubercles - pushing superiorly

A

Neural

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4
Q

Rib Tubercles - pushing medially

A

Ligamentous

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5
Q

At which level is the spine of the scapula?

A

Rib 4, SP 3

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6
Q

At which level is the superior angle of the scapula?

A

T2

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7
Q

At which level is the inferior aspect of the scapula?

A

Rib 8, SP 7

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8
Q

At which level is the iliac crest?

A

L4

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9
Q

What is on the bottom of the wellness pyramid?

A

Symptomatic with dysfunction and inflammation

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10
Q

A positive scan is indicated by tenderness or rigidity?

A

Rigidity

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11
Q

What are the key segments?

A

C1-C3
C7-T1
T1-T2
coccyx

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12
Q

What does a unilateral scan most likely indicate?

A

A scar on the other side

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13
Q

ALLT1-ALLT12-MS

A

TP #1: located over the lateral aspect of rib tubercles 1-12.
TP #2: ALLT1-ALLT6 also have TPs over the anterior humerus from the deltoid insertion to above the supracondylar ridge

Tx: Flex, SBToward, Mild Rot Toward
Cervicothoracic posterior translation of the involved segment

Symptoms: c-t pain, medioscapular pn, kyphosis and related conditions

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14
Q

ALLL1-ALLS2-MS

A

TP: ALLL1-ALLS2 have tp locations along the medial posterior femur/hamstring mass
Tx: hooklying with feet toward tp side mildly
Hip flex, add, & IR of the involved (hamstring) side

Symptoms: lumbago, lumbar disc herniation, limited SLR/hamstring mobility

Note: Involved motion segment will be flexed with prominent sp process

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15
Q

PLLT1-PLLT8-MS

A

TP #1: over inferolateral tip of thoracic transverse processes. T1-T8 (lateral edge of paravertebral)
Inf to sup
TP #2: PLLT1-6 also have TPs over the posterolateral aspect of the humerus between deltoid insertion and Supra-condylar ridge

Tx: (prone) Shoulder ext and adduction moderately, ER

Sx: cervicalgia, medioscapular pain, shoulder ROM loss, shoulder/arm pain

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16
Q

PLLT9-PLLT12- MS

A

TPs: Inferolateral tip of thoracic transverse processes T9-T12 (lateral edge of paravertebral)
Inf to sup

Tx: supine, ipsilat knee flexed, trunk SB Toward involved segment by sliding involved side leg toward TP side, trunk rot toward the involved side via lower trunk rotation AWAY from involved side. Let thoracolumbar spine extend

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17
Q

PLLL1-PLLCX4-MS

A

TP #1: dorsal of coccyx - segments CX3 and CX4, post to ant approach
TP #2: PLLL1-PLLCX4 also have tp locations along lateral posterior femur/hamstring mass - behind ITB

Tx: supine, trunk SB Toward involved segment-slide feet toward tp side, Rot Toward involved via ant/med/sup lift of ASIS

Sx: LBP, limited flex, sciatica/limited SLR, coccyx, pain, heel pain (with PLLCX locations)

Note: Involved motion segment will be extended with a ‘sunken’ sp process

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18
Q

Superior Sympathetic Pre-Ganglionics
SSCT1-2-N

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A

TP SCCT1: investing layer of deep cervical fascia (ID as taut band of fascia) 2 finger widths lateral to the medial end of the clavicle. Sup-Inf
TP SCCT2: investing layer of deep cervical fascia (ID as taut band of fascia) 3 finger widths lateral to the medial end of the clavicle. Sup-Inf

To: c/s flexion, SB Toward, Rot Away

Symptoms: Pain and neurovascular conditions related to head, neck, UEs.

19
Q

Sympathetic Pre-ganglionics
SCT1-T5-N

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A

TPs:
SCT1: inferior aspect of medial clavicle
SCT2-4: centrally over manubrium, sternum
SCT5: xiphoid, approach tp Inf-sup

Tx: horizontal abd (in 45-70 deg shoulder abd depending on tp level)
Sx: thoracic pain per level, neurovascular symptoms per thoracic level

SCT1 & SCT2: use with all head, neck c/o
SCT3: use with shoulder, lung, esophagus, UE disorders
SCT4 & SCT5: use with heart, and UE disorders

Sx: Cervicothoracic pain, headaches, arm pain, arm burning/numbness, visceral/vascular symptoms per the Sympathetic NS Impact Chart C1-T5

20
Q

PGC4-C6-N and PGT2-T5-N (cardiopulmonary and Esophageal Plexus)

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A

TPs: PGC4-6: anterior cervical tubercles, ant to post
TPs: PGT2-T5: located over the inferior aspect of the rib tubercles. Inf to Sup

Tx: Supine, marked shoulder flexion and adduction
Glide - ribcage and viscera (via arm traction) in an anterior, medial and superior direction

Symptoms: thoracic pain, anxiety/PTSD, organ dysfunction per level (e.g, tachycardia for PGT4-N, PGT5-N)

Note: you will need more superomedial traction for the cervical sympathetic and more anteromedial traction for the thoracic locations.

21
Q

PGT5-PGT9-N (Celiac Plexus)

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A

TP: Inferior aspect of rib tubercles T6-T9. Inf to sup
Tx. Supine with hips/knees flexed. Slide feet mildly toward tp side
Shoulder adduction and trunk rotation away from tp side.
Glide/compress ribcage and viscera in an inferomedial direction toward t-l junction (Celiac Plexus)

Note: Adjust or ‘fine tune’ the release with trunk rotation and inferomedial compression

22
Q

PGLS-N

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A

TP: located 3cm lateral to PSIS in the upper gluteal mass (Jones HISI)
Glide for R: of bladder just proximal to ipsilateral pubic ramus in a superior and slightly lateral direction toward mid clavicle
Glide for L: use rolled towel placed under anterior aspect of pelvic floor, glide uterus/prostate superior, slightly lateral to L side.

Symptoms: lumbosacral pain, bladder urgency, prostate/uterus dysfunction, CRPS, PTSD.

Note: Will occasionally need to use a towel roll and lift through the pelvis

23
Q

EPIC1-LV

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A

TP: between occiput and medial arch of the Atlas (superior surface of the medial arch of the Atlas) Post to Ant
Tx: OA flexion, SB Away, Rot Toward tp side
Traction - moderate, maintaining cervical position

Symptoms: headaches, post-concussion syndrome, occipital pain, brain fog (cognitive impairment), central sensitization

24
Q

EPIC2-T6-LV

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A

TPs: EPI C2-6: lateral humerus (centrally) from below deltoid tuberosity to above supracondylar ridge
TP: EPIC7 - medial end of clavicle (Jones AC8)
TPs: EPIT 1-T6: centrally over manubrium and sternum at the level of the interspace

Tx: Cervical flexion to level, SB Away Rot Toward the tp side
Traction - cervical/upper thoracic as ‘finishing’ move

Symptoms: cervicalgia/inflammations, cervical radiculopathies, arm and shoulder pain

25
EPIT7-EPIT11-LV
TPs: under corresponding inferior rib margins, 1-2 cm medial to rib margin. Ant to Post Tx: Supine, lumbar flexion to level of dysfunction (>flexion for EPIT6 vs EPIT10) through iliac crest Traction in the plane of the femur Symptoms: chronic thoracic pain/inflammation, diffuse unknown extremity pain/neurological symptoms
26
EPIL2-5-LV
TPs: in a row over the lateral mid femur (middle 1/3). L2 is most proximal and L5 is most distal. Lat to med onto lateral femur/ITB Tx: lower trunk rotation away from involved side Traction mild to moderate along axis of femur Symptoms: LBP/inflammation, lumbar radiculopathies, lateral thigh pain
27
Segmental Arteries SEGT1-SEGL5-A
TPs: inferior aspect of thoracolumbar spinous processes. Inf to sup Side glide: corresponding rib (in thoracic) or inferior part of the motion segment/lamina (in lumbar) in a medial and superior direction to exaggerate the spinal concavity. Motion test to find ‘direction of ease’. Note: The segment will be restricted at the involved process to superior glide (from inferior aspect of SP) Symptoms: radiculopathies, weakness in extremities, DJD/DDD, organ dysfunction per spinal level
28
Posterior Intercostal Arteries PINT T1-11-A
TP: medial tip of rib tubercles, ribs 1-12. Medial to lateral Glide : of PINT artery, located in the rib interspace below the involved rib, in a superomedial direction Symptoms: pain at tender point location (medioscapular)
29
External Iliac Artery “Psoas Major” EIL-A
TP: posterior aspect of L2 transverse process (paraspinal mass). Med to lat with a ‘snapping’ motion Glide: of ipsilateral EIL (above inguinal ligament) in superomedial direction towards the umbilicus. Symptoms: LBP, psoas tightness, peripheral arterial dysfunction, hip weakness
30
Inferior Epigastric Artery “Psoas Minor” IEP-A
TP: superolateral aspect of pubic ramus, deep and medial to the AIIS (psoas minor insertion). Sup to Inf Tx: supine with hips & knees slightly flexed Glide: Of internal epigastric A (Inf & slightly lateral to umbilicus) in an inferior and lateral direction. Symptoms: lumbosacral pain, Cervicothoracic pain/kyphosis, iliac “up-slip” dysfunction, abdominal weakness
31
Superficial External Pudendal Artery EPUD-A
TP: lateral surface of pubic bone just inferior to the inguinal lig attachment (Jones ING) Glide: of external pudendal artery (Just inferior to inguinal lig) in a superolateral direction Symptoms: SI pain, LBP, groin (rarely this) Biotensegrity ‘stack’ of the IEP-A
32
Common Carotid Arteries CC-A
TP: Inferior aspect of second rib 3-4 cm from stereo-costal join. Inf to sup Tx: cervical flexion, SB Toward and Rot Away mildly Glide: of Common Carotid Artery (located lateral to trachea, medial to SCM at C5-6 level) in an inferior direction Note: modify with marked cervical flexion and rotation Away for pts >50 yrs Symptoms: Cervicothoracic pain, light-headedness esp upon arising
33
Subclavian Arteries SUBC-A
TP: inferior aspect of 3rd rib, 3-4 cm lateral to sterno-costal it. Inf to Sup Tx: glide shoulder girdle and Axillary artery in a superior then medial direction under pec minor muscle Symptoms: UE pain/numbness, shoulder pain, Cervicothoracic pain
34
Popliteal Artery POP-A
TP: In belly of popliteus muscle (opposite tib tub). Jones POP. Use med-lat snapping motion to ID Glide: lower aspect of popliteal artery (located 3-5cm distal to tp in center of calf) in a superior direction Symptoms: knee pain (loss of extension), PAD, LBP, hip pain, hyperextension
35
Sibson’s Fascia (Pleural Dome) SIB-V
TP #1: anterior tip of transverse process of C7 TP #2: superior aspect of tubercle of 1st rib Tx: cervical rotation Away, mild to moderate Compression: of upper lung and 1st rib in a superior, posterior and medial direction Symptoms: Cervicothoracic pain, possible neurovascular irritation SIB - UT pain PDP - Levator pain PP - Rhomboid pain
36
Anterior Pleura AP-V
TP: over anterior aspect of 3rd rib, 7cm lateral to the third sternocostal joint Tx: supine, IR of upper aspect of rib cage (roll anterior and medial) Symptoms: thoracic pain, shoulder dysfunction/capsulitis, loss of tidal volume (lung)
37
Pleural Dome Posterior Posterior Pleural Locations PDP-V and PP-V
TPs: located over superior aspect of 2nd and 4th rib tubercles B. Sup to Inf Tx; seated/supine with arm adducted across chest Glide: of ipsilateral lung (R2 level for PDP, R4 level for PP) in a posterior, superior and slightly lateral direction via pressure through forearm Symptoms: medioscapular pain at location of tp, decreased tidal volume (lung), shoulder dysfunction/capsulitis SIB - UT pain PDP - Levator pain PP - Rhomboid pain
38
Lateral Pleura LP-V
TP: Inferior aspect of 6th rib, medial to anterior Axillary line (on a vertical line that is just medial to the coracoid process) Tx: Supine, PT’s hand over distal 1/3 of sternum Glide: of sternum in a superolateral direction towards the ipsilateral shoulder Symptoms: mid-thoracic pain, shoulder dysfunction/capsulitis, decreased tidal volume (lung)
39
Triangular LIgament of Liver, Right TL-V (R)
TP: Bilaterally over superior aspect of 6th rib, medial to the anterior Axillary line (located on a vertical line that is just medial to the coracoid process) Tx: Supine, PT hand over lower ribcage overlying the liver Glide: of lower rib cage and liver directly toward the tp Symptoms: mid-thoracic pain, kyphosis, shoulder dysfunction, poor tidal volume (lung)
40
Triangular Ligament of Liver, Left TL-V (L)
TP: inferior aspect of 6th rib medial to the anterior Axillary line (in a vertical line that is just medial to the coracoid process), bilateral Tx: supine, PT hand over right lower ribcage overlying the liver Glide: of lower rib cage and liver directly toward the tp Symptoms: mid-thoracic pain, shoulder dysfunction, kyphosis, poor tidal volume (lung)
41
Median/Medial Umbilical Ligament MUL-V
TP: medial, superior aspect of pubic bone, Just lateral to symphysis pubis. Can be found bilaterally Tx: supine with hips & knees flexed Glide: PT palm overlying umbilicus, glide anterior abdominal wall in an inferior, lateral then posterior direction (towards sacrum ) using your finger tips Symptoms: sacral pain, bladder dysfunction, limited SLR/sciatica
42
Cecum, Medial CECM-V
TP #1: superomedial aspect of right PSIS, in SI joint, on a small tubercle TP #2: posterior aspect of the right medial femoral condyle Tx: supine with right hip flexed, foot resting on table, adduction of R hip mildly (move knee medially) Glide: of Cecum (medial and slightly below or above ASIS) in a posterior, inferior and slightly lateral direction Symptoms: SI dysfunction Right side, limited SLR/sciatica, medial knee pain right side, digestive dysfunction Note: motion test cecum for restriction prior to starting glide If you can’t gap the SI joint, then it’s ADDucted Piriformis syndrome = mesentery, visceral
43
Sigmoid Colon SIG-V
TP #1: located over the superomedial aspect of the left PSIS on a small tubercle TP #2: posterior aspect of left medial femoral condyle Tx: supine with left hip flexed, foot resting on table, hip adduction mildly by moving left knee medially Glide: of inferior most aspect of Sigmoid Colon in a posterior, inferior and slightly lateral direction. Note: motion test Sigmoid Colon prior to fascial glide Symptoms: SI dysfunction left side, limited SLR/sciatica L side, medial left knee pain, constipation

FCS Cert 1 (5 decks)

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