LAB: counterstrain

Question 1

What does the following diagnosis/nomenclature mean? E RaSt

Answer 1

Extend, rotate away and sideband toward SP if you had a tenderpoint on the right, you would extend, rotate LEFT and sideband RIGHT

Question 2

What does uppercase and lowercase letters mean?

Answer 2

lowercase means a little and capital means a LOT

Question 3

_______ is a tenderpoint with treatment position opposite of rest of region

Answer 3

Maverick

Question 4

______ is a distinct palpable TTA without tenderness

Answer 4

Stoic

Question 5

If there is more than one tender point, how should they be treated?

Answer 5

Central to peripheral

Question 6

What is the PC1 inion?

Answer 6

Just lateral to the inion

Question 7

Where is the PC1 occiput?

Answer 7

On the inferior nuchal line midway between the inion and the mastoid

Question 8

Where is the PC2 tenderpoint?

Answer 8

On the superior or superior lateral aspect/tip of the spinous process of C2

Question 9

What is the PC3 tender point?

Answer 9

On the inferior tip or inferolateral aspect of the spinous process of C2

Question 10

What is the PC4-8 tenderpoints?

Answer 10

On the inferior or inferolateral aspect (tip) of the spinous process

Question 11

Where is the PC4 tednerpoint?

PC5?

Answer 11

PC4 is inferior to the C3 spinous process

PC5 is inferior to the spinous process of C4, and the remainder of tender points follow this pattern

Question 12

What is the treatment position for the PC1 inion?

Answer 12

F St Ra

Question 13

What is the treatment positions for PC1 and PC2 occiputs?

Answer 13

e-E Sa Ra

Question 15

What is the treatment postion for the PC2; PC4-PC8 spinous processes?

Answer 15

e-E Sa Ra

Question 16

_________ ________ is another name for the PC3 tender point

Answer 16

Maverick point

Question 17

What is the treatment postion for PC3?

Answer 17

f-F Sa Ra

Question 18

What are the two types of posterior thoracic points?

Answer 18

1. Spinous process: midline inferior aspect tip of spinous process
2. Transverse process: On transverse process medial to costovertebral joint

Question 19

______ tenderpoints are on the inferior aspect of the spinous process and are involved with the interspinales muscles

Answer 19

PTSP- posterior thoracic spinous process

Question 20

What is the treatment position for all of the PTSP?

Distingiush between the upper and lower PTSP

Answer 20

e-E

– Upper PTSP (PT1-PT4): Extend off table

– Lower PTSP: Use doctor’s knee or use the table lifts to increase extension

Question 21

What is the treatment position for the PT 1-3 TP?

Answer 21

E Sa Ra

*** try to shorten the multifidus and rotatores muscles

Question 22

What is the treatment position for the TTP 4-9?

Answer 22

E Sa RT

Question 23

Retraction of the left shoulder causes ______ _______ left and extension

Answer 23

Thoracic rotation

Question 24

Elevation of the left shoulder causes thoracic _________ right

Answer 24

sidebending

Question 25

The pelvis rotates ________ the lumbar and thoraic spine

Answer 25

opposite

Question 26

Moving the pelvis (superiorly/inferiorly) towards the head side bends towards the ipsilateral side

Answer 26

Superiorly

Question 27

Moving the pelvis inferiorly towards the feet causes sidebending towards the __________ side

Answer 27

contralateral

Question 28

What are the treatment positions for the PT 10-12 TP?

Answer 28

Torso: e-E Sa Ra Pelvis: e-E Sa Rt

Question 29

Pelvis rotates ______ of the lumbar spine

Answer 29

opposite of

Question 30

What are the treatment positions for PL 1-5 spinous processes?

Answer 30

e-E Adduction RA (torso) RT (pelvis)

Question 32

Describe the PL 1-5 spinous process treatment

Answer 32

Treatment: e-E Adduction RA (torso) RT (pelvis) – Exampleshown:RightPL4SP – Use ipsilateral LE (right LE) to lever lumbar spine; doctor stands on opposite side (left side) – Lift ipsilateral LEcauses lumbar extension – Externally rotate LErotates pelvis toward TP (right) and rotates torso away from TP (left) – Adduct ipsilateral LElumbar Sidebending left

Question 34

Describe the upper pole L5 tender point What is the treatment?

Answer 34

Superior medial surface of the posterior superior iliac spine (PSIS) E Adduction IR/ER use the ipsilateral LE to lever the lumbar; stand on the opposite side and figure out which motion improves the patients tenderness

Question 35

Where is the lower pole lumbar point of tenderness and what is the treatment?

Answer 35

On the ilium just inferior to PSIS pressing superiorly F IR Adduction – Sit on same side as TP, patient prone – Flex ipsilateral leg off table – Use ipsilateral knee to IR and ADduct the leg

Question 36

What is the high ilium sacroiliac tender point and what is the treatment position?

Answer 36

2–3 cm lateral to the PSIS pressing medially toward the PSIS e-E ABD ER \*\*\*Use ipsilateral leg to extend, Abduct, and ER the leg

Question 37

Where are the tenderness points for the PL3 and PL4 gluteus and what is the treatment position?

Answer 37

PL3 Glut – 2⁄3 lateral from PSIS to tensor fasciae latae PL4 Glut - posterior margin of tensor fasciae latae Treatment: E Abd er

Question 38

Which treatments does the doctor stand on the OPPOSITE Side?

Answer 38

PL 1-5 SP PL 1-5 TP UPL5

Question 39

What are the treatments where the doctor stands on the SAME side?

Answer 39

LPL5 HSIS PL3 and 4 GLUT