Lab 2: Rib, Anterior Cervical/Thoracic Counterstrain Flashcards

1
Q

AC1 Mandible

A
  • Location: Posterior surface of ascending ramus of mandible
  • Setup:
    • Patient: Supine
    • Doctor: Head of table - push posterior to anterior
  • Sidebend Away, Rotate Away (SARA)
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2
Q

AC1 TP

A
  • Location: C1 transverse process midway between ramus of mandible and mastoid process
  • Setup:
    • Patient: Supine
    • Doctor: Head of table - push lateral to medial
  • Sidebend Away, Rotate Away (saRA)
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3
Q

AC2-6

A
  • Location: Anterior aspect of transverse processes of corresponding vertebrate
  • Setup:
    • Patient: Supine
    • Doctor: Head of table
  • Flex, Sidebend Away, Rotate Away (F SARA)
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4
Q

AC7

A
  • Location: Posterosuperior surface of proximal clavicle where SCM muscle inserts
  • Setup:
    • Patient: Supine
    • Doctor: Head of table
  • Flexed, Sidebend Towards, Rotate Away (F STRA)
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5
Q

AC8

A
  • Location: Clavicular insertion of SCM muscle, near sternal notch
  • Setup:
    • Patient: Supine
    • Doctor: Head of table
  • Flexed, Sidebend Away, Rotate Away (F SARA)
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6
Q

AT1

A
  • Location: Midline on suprasternal notch
  • Setup:
    • Patient: supine
    • Doctor: Head of table
  • Treatment:
    • Cervical and thoracic flexion to level of the TP
    • Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
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7
Q

AT2

A
  • Location: Midline on manubrium at sternal angle
  • Setup:
    • Patient: supine
    • Doctor: Head of table
  • Treatment:
    • Cervical and thoracic flexion to level of the TP
    • Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
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8
Q

AT3-4

A
  • Location: Midline at the level of costal cartilage related to named vertebra
  • Setup:
    • Patient: supine
    • Doctor: Head of table
  • Treatment:
    • Cervical and thoracic flexion to level of the TP
    • Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
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9
Q

AT5

A
  • Location: Midline at the level of costal cartilage related to named vertebra - 1 inch superior to xiphoid
  • Setup:
    • Patient: supine
    • Doctor: Head of table
  • Treatment:
    • Cervical and thoracic flexion to level of the TP
    • Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
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10
Q

AT6

A
  • Location: Midline at the level of costal cartilage related to named vertebra - at sternal-xiphoid junction
  • Setup:
    • Patient: supine
    • Doctor: Head of table
  • Treatment:
    • Cervical and thoracic flexion to level of the TP
    • Doctor can place knee under patient’s head/neck or trunk to use as a wedge to flex patient to involved vertebrae. More flexion needed the lower the TP’s
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11
Q

AT7

A
  • Location: Can be midline or lateral to midline ¼ distance from tip of xiphoid and umbilicus
  • Setup:
    • Patient: seated
    • Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
  • Treatment: F STRA
    • Use leg to sidebend torso towards TP and rotate torso away
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12
Q

AT8

A
  • Location: Can be midline or lateral to midline halfway distance from tip of xiphoid and umbilicus - 1.5 inches inferior to xiphoid
  • Setup:
    • Patient: seated
    • Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
  • Treatment: F STRA
    • Use leg to sidebend torso towards TP and rotate torso away
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13
Q

AT9

A
  • Location: Can be midline or lateral to midline ¾ distance from tip of xiphoid and umbilicus - 1-2 cm superior to umbilicus
  • Setup:
    • Patient: seated
    • Doctor: standing behind patient, place foot on side opposite tender point (if lateral TP)
  • Treatment: F STRA
    • Use leg to sidebend torso towards TP and rotate torso away
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14
Q

AT10

A
  • Location: Lateral to midline, ¼ distance from umbilicus to pubic symphysis (1-2 cm inferior to umbilicus)
  • Setup:
    • Patient: supine
    • Doctor: standing on same side of TP
  • Treatment: F STRA
    • Step 1: Flex patients hips and knees, and place them on physicians thigh, then flex further to desired level, flexion can be assisted w/ a pillow under pelvis or thorax
    • Step 2: Pull patients knees towards the doctor, causing the pelvis and lower segment to rotate toward the TP while the torso and upper segment rotate away.
    • Step 3: Pull patients ankles towards the doctor, which sidebends the dysfunctional segment toward the TP
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15
Q

AT11

A
  • Location: Lateral to midline, halfway between umbilicus and pubic symphysis (3-4 cm inferior to umbilicus)
  • Setup:
    • Patient: supine
    • Doctor: standing on same side of TP
  • Treatment: F STRA
    • ​Step 1: Flex patients hips and knees, and place them on physicians thigh, then flex further to desired level, flexion can be assisted w/ a pillow under pelvis or thorax
    • Step 2: Pull patients knees towards the doctor, causing the pelvis and lower segment to rotate toward the TP while the torso and upper segment rotate away.
    • Step 3: Pull patients ankles towards the doctor, which sidebends the dysfunctional segment toward the TP
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16
Q

AT12

A
  • Location: Lateral to midline, mid-axillary line on superoanterior surface of iliac crest
  • Setup:
    • Patient: supine
    • Doctor: standing on same side of TP
  • Treatment: F STRA
    • ​Step 1: Flex patients hips and knees, and place them on physicians thigh, then flex further to desired level, flexion can be assisted w/ a pillow under pelvis or thorax
    • Step 2: Pull patients knees towards the doctor, causing the pelvis and lower segment to rotate toward the TP while the torso and upper segment rotate away.
    • Step 3: Pull patients ankles towards the doctor, which sidebends the dysfunctional segment toward the TP
17
Q

AR1

A
  • Location: Inferior clavicle on rib 1, lateral to manubrium (directly inferior to SC joint)
  • Setup:
    • Patient: supine
    • Doctor: head of table
  • Treatment: F STRT
    • Treat depressed rib, inhalation restriction —> Exhalation SD
18
Q

AR2

A
  • Location: 1.5 in. lateral to manubrium on rib 2, below mid-clavicular line; may also be found deep in axilla
  • Setup:
    • Patient: supine
    • Doctor: head of table
  • Treatment: F STRT
    • Treat depressed rib, inhalation restriction —> Exhalation SD
19
Q

AR3-6

A
  • Location: Anterior axillary line on ribs 3-6 (slightly anterior to mid-axillary line)
  • Setup:
    • Patient: seated
    • Doctor: behind patient, knee under arm on unaffecte side
  • Treatment: F STRT
    • Treat depressed rib, inhalation restriction —> Exhalation SD
20
Q

PR 1

A
  • Location: Posterior margin of rib head beneath margin of trapezius
  • Setup:
    • Patient: supine/seated
    • Doctor: standing behind/to the side
  • Treatment: E SRT
    • ​Treat elevated rib, exhalation restriction —> Inhalation SD
    • Slight extension of head, sidebending to fine tune
21
Q

PR 2

A
  • Location: Superior surface of angles of ribs, at medial border of scapula, about 2.5 inches lateral to midline
  • Setup:
    • Patient: Seated
    • Doctor: Standing behind/to the side. Doctor places patient’s arm on side of dysfunction on doctor’s knee.
  • Treatment: F SARA
    • ​​Treat elevated rib, exhalation restriction —> Inhalation SD
    • Flex trunk and head
22
Q

PR 3-6

A
  • Setup:
    • Patient: Seated
    • Doctor: Standing behind/to the side. Doctor places patient’s arm on side of dysfunction on knee, grasps patient’s shoulder.
  • Treatment: F SARA
    • ​​Treat elevated rib, exhalation restriction —> Inhalation SD​
    • Flex trunk and head