Lab- Extremity Counterstrain

Question 1

what is the normal flexion ROM of the shoulder?

Answer 1

180 degrees

Question 2

what is the normal extension ROM of the shoulder?

Answer 2

60 degrees

Question 3

what is the normal horizontal adduction ROM of the shoulder?

Answer 3

130-140 degrees

Question 4

what is the normal horizontal abduction ROM of the shoulder?

Answer 4

40-55 degrees

Question 5

what is the normal abduction ROM of the shoulder?

Answer 5

180 degrees

Question 6

where is the tenderpoint of the supraspinatus located?

Answer 6

midsupraspinatus muscle just superior to the spine of scapula

Question 7

what is the treatment position for the supraspinatus tenderpoint?

Answer 7

patient’s arm is flexed 45 degrees, abducted 45 degrees, and externally rotated

Question 8

where is the tenderpoint of the levator scapulae located?

Answer 8

in the levator at the superior angle of the scapula

Question 9

what is the treatment position for the levator scapulae tenderpoint?

Answer 9

internal rotation of the patient’s shoulder with mild to moderate traction with minimal abduction

Question 10

where is the tenderpoint of the subscapularis located?

Answer 10

anterolateral border of the scapula on the subscapularis muscle

Question 11

what is the treatment position for the subscapularis tenderpoint?

Answer 11

extension of the patient’s shoulder with internal rotation and traction

Question 12

where is the tenderpoint of the long head of the biceps brachii located?

Answer 12

over the long head of the biceps tendon in the bicipital groove

Question 13

what is the treatment position of the tenderpoint of the long head of the biceps brachii?

Answer 13

pt’s elbow and shoulder are flexed, arm is minimally abducted and internally rotated

Question 14

where is the tenderpoint of the biceps brachii (short head) coracobrachialis located?

Answer 14

inferolateral aspect of the coracoid process on the short head tendon of biceps or coracobrachialis

Question 15

what is the treatment position for the tenderpoint of the short head of the biceps brachii?

Answer 15

pt’s elbow and shoulder are flexed, arm is minimally adducted and internally rotated

Question 16

where is the tenderpoint of the radial head located?

Answer 16

supinator muscle; the anterolateral aspect of the radial head at the supinator attachment

Question 17

what is the treatment position for the tenderpoint of the radial head?

Answer 17

pt’s elbow is fully extended, forearm is markedly supinated, fine tune with valgus force

Question 18

where is the tenderpoint for the medial epicondyle?

Answer 18

pronator teres muscle; near the medial epicondyle of the humerus associated with the common flexor tendon and pronator teres

Question 19

what is the treatment position for the medial epicondyle?

Answer 19

the patient’s elbow is flexed, marked pronation, forearm adducted

Question 20

what is the normal ROM of wrist flexion?

Answer 20

80-90 degrees

Question 21

what is the normal ROM of wrist extension?

Answer 21

70 degrees

Question 22

what is the normal ROM of wrist adduction/ ulnar deviation?

Answer 22

30-40 degrees

Question 23

what is the normal ROM of wrist abduction/ radial deviation?

Answer 23

20-30 degrees

Question 24

what is flexion of the wrist coupled with?

Answer 24

posterior/dorsal glide of the proximal carpal bones

Question 25

what is extension of the wrist coupled with?

Answer 25

anterior/ventral glide of the proximal carpal bones

Question 26

where is the tenderpoint for the dorsal wrist-extensor carpi radialis?

Answer 26

the dorsal surface of the second metacarpal associated with extensor carpi radialis muscle

Question 27

what is the treatment position for the tenderpoint of the extensor carpi radialis?

Answer 27

pt's wrist is passively extended and abducted

Question 28

where is the tenderpoint located for the dorsal wrist- extensor carpi ulnaris?

Answer 28

the dorsal surface of the 5th metacarpal associated with the extensor carpi ulnaris muscle

Question 29

what is the treatment position for the extensor carpi ulnaris tenderpoint?

Answer 29

pt's wrist is passively extended and adducted

Question 30

where is the tenderpoint located for the flexor carpi radialis muscle?

Answer 30

the palmar base of the second or third metacarpal in the flexor carpi radialis muscle

Question 31

what is the treatment position for the flexor carpi radialis tenderpoint?

Answer 31

pt's wrist is passively flexed and abducted

Question 32

where is tenderpoint for the flexor carpi ulnaris muscle?

Answer 32

palmer base of the 5th metacarpal in the flexor carpi ulnaris muscle

Question 33

what is the treatment position for the flexor carpi ulnaris tenderpoint?

Answer 33

pt's wrist is passively flexed and adducted

Question 34

where is tenderpoint located for the abductor pollicis brevis muscle?

Answer 34

the palmer base (radial aspect) of the first metacarpal in the abductor pollicis brevis muscle

Question 35

what is the treatment position for the abductor pollicis brevis tenderpoint?

Answer 35

pt's wrist is passively flexed and the thumb is abducted

Question 36

what is the normal ROM of the hip flexion with the knee flexed?

Answer 36

120-135 degrees

Question 37

what is the normal ROM of hip flexion with knee straight?

Answer 37

90 degrees

Question 38

what is the normal ROM of hip extension?

Answer 38

15-30 degrees

Question 39

what is the normal ROM of hip internal rotation?

Answer 39

30-40 degrees

Question 40

what is the normal ROM of hip external rotation?

Answer 40

40-60 degrees

Question 41

what is the normal ROM of hip adduction?

Answer 41

20-30 degrees

Question 42

what is the normal ROM of hip abduction?

Answer 42

45-50 degrees

Question 43

where is the tenderpoint of the tensor fasciae latae?

Answer 43

just inferior to the iliac crest in the body of the TFL

Question 44

what is the treatment position of the TFL tenderpoint?

Answer 44

patient's knee is abducted and slightly flexed

Question 45

where is the tenderpoint for the iliotibial band?

Answer 45

along the iliotibial band distal to the greater trochanter

Question 46

what is the treatment position for the IT band tenderpoint?

Answer 46

patient's hip/ thigh is abducted and slightly flexed

Question 47

where is the lateral hamstring tenderpoint?

Answer 47

the distal aspect of the biceps femoris near the attachment to the posterolateral surface of the fibular head

Question 48

what is the treatment position for the lateral hamstring tenderpoint?

Answer 48

knee is flexed and the tibia is externally rotated with slight abduction; compression on the calcaneus is added to plantar flex the ankle

Question 49

where is the medial hamstring tenderpoint located?

Answer 49

the distal aspect of the medial hamstring tendons near their attachment to the posterior medial surface of the tibial condyle

Question 50

what is the treatment position for the medial hamstring tenderpoint?

Answer 50

patient's knee is flexed and the tibia is internally rotated with slight adduction; compression on the calcaneus is added to plantar flex the ankle

Question 51

what is the normal ROM of knee flexion?

Answer 51

145-150 degrees

Question 52

what is the normal ROM of knee extension?

Answer 52

0 degrees

Question 53

where is the lateral meniscus/ lateral collateral ligament tenderpoint located?

Answer 53

lateral aspect of the meniscus along the joint line

Question 54

what is the treatment position for the lateral meniscus/ lateral collateral ligament tenderpoint?

Answer 54

pt's thigh is abducted so leg is off tble, flex knee to 35-40 degrees, tibia is abducted and externally or internally rotated until tenderness is reduced

Question 55

where is the anterior cruciate tenderpoint located?

Answer 55

superior aspect of the popliteal fossa adjacent to the hamstring tendons

Question 56

what is the treatment position for the anterior cruciate tenderpoint?

Answer 56

towel roll or pillow under the distal femur for fulcrum, apply a force to the proximal tibia to translate the tibia posteriorly on distal femur

Question 57

where is the posterior cruciate tenderpoint located?

Answer 57

slightly below the center of the popliteal fossa

Question 58

what is the treatment position of the posterior cruciate tenderpoint?

Answer 58

towel roll or pillow under the proximal tibia for fulcrum, apply force on distal femur to translate femur posteriorly on the proximal tibia

Question 59

where is the popliteus tenderpoint located?

Answer 59

in the muscle belly just inferior to the popliteal space

Question 60

what is the treatment position for the popliteus tenderpoint?

Answer 60

the patient's knee is flexed and the tibia is internally rotated

Question 61

where is the gastrocnemius tenderpoint located?

Answer 61

within the proximal grastrocnemius muscles distal to the popliteal margin

Question 62

what is the treatment position for the gastrocnemius tenderpoint?

Answer 62

pt's knee is flexed and dorsum of foot is placed on doc's thigh; add compressive force through the calcaneus

Question 63

what is the normal ROM of the dorsiflexion of the ankle?

Answer 63

15-20 degrees

Question 64

what is the normal ROM of the plantarflexion of the ankle?

Answer 64

55-65 degrees

Question 65

what is the normal ROM of inversion of the ankle?

Answer 65

20 degrees

Question 66

what is the normal ROM of eversion of the ankle?

Answer 66

10-20 degrees

Question 67

where is the medial ankle: tibialis anterior tenderpoint located?

Answer 67

anterior and inferior to the medial malleolus along the deltoid ligament

Question 68

what is the treatment position for the medial ankle tenderpoint?

Answer 68

apply inversion force to foot and ankle with slight internal rotation

Question 69

where is the lateral ankle (fibularis longus, brevis, and tertius) tenderpoint located?

Answer 69

anterior and inferior to the lateral malleolus in the sinus tarsi

Question 70

what is the treatment position for the lateral ankle tenderpoint?

Answer 70

apply eversion force to foot and ankle with slight external rotation

Question 71

where is the quadratus plantae tenderpoint located?

Answer 71

anterior aspect of the plantar surface of the calcaneus at attachment of plantar fascia

Question 72

what is the treatment position for the quadratus plantae tenderpoint?

Answer 72

pt's knee is flexed, dorsum of foot on doc's thigh, marked flexion while translating calcaneus toward the forefoot

Question 73

where is the navicular tenderpoint located?

Answer 73

medial side of the foot just below the navicular bone

Question 74

what is the treatment position of the navicular tenderpoint?

Answer 74

pt's knee is flexed, dorsum of foot on doc's thight, plantar flexion of the subtalar joint, supination of the forefoot