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39 Cards in this Set
- Front
- Back
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For Counterstrain of the lumbar spine for AL1, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
Tender point: medial from ASIS
Stand: same side Position: Flex hips and lumbar spine to L1; knees toward physician; feet towards physician- thick 90 degree angle |
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For Counterstrain of the lumbar spine for AL2, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
Tender: infer/medial AIIS
stand: opposite side position: flex hips and Lumbar spine to L3 or 4; knees and feet towards physician- think 90 degree angle |
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For Counterstrain of the lumbar spine for AL3 and 4, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
Tender: AL3 - Lateral AIIIS; AL4- Inferior AIIS
stand: opposite position: flex hips and Lumbar spine to L3 or 4; knees and feet towards physician |
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For Counterstrain of the lumbar spine for AL5, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
Tender: Ant/sup of pubic rami
stand: same position: flex hips and lumbar spine to L2; knees toward physician and feet AWAY physician. |
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which counterstrain technique for the lumbar spine involves the feet to be positioned away from the physician?
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AL5
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For Counterstrain of the lumbar spine for PL1-5, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
tender: inferolateral side of spinous process
stand: either position: pt is prone and then lift hip on ipsi side of Tender point |
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For Counterstrain of the lumbar spine for UPL5, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
Tender: sup/med PSIS
stand: same side position: extension, adduct the leg and internally/externally rotate |
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For Counterstrain of the lumbar spine for LPL5, where is the tender point?
Do you stand on the same or opposite side of the dysfunction? What position do you place the patient into if that is their tender point? |
tender: 2 cm below the PSIS
stand: same position: pt is halfway off the table with the leg bent to 90 degrees. Adduct the leg (under the table) and internally rotate the leg |
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For HVLA of T10-L5, if the patient has a posterior transverse process, in which direction should the posterior transverse process be in?
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all should be directed upwards
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what is the patient position for neutral (type 1) SD?
What is the doctor's position? In what direction is the arm pulled by the physician? |
pt position: Flex knee/ hip to level of dysfunction
dr position: stand in front of pt; monitor interspaces above and below region; forearm on should and hip for thrust. arm: pull lower elbow cephalad, anterior and superior |
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When would you use this technique?
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HVLA T10-L5; NRS
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what is the patient position for ERS?
what is the physician's position for ERS? In what direction should the arm be pulled for this technique? |
pt position: flex hips up to level of dysfunction
dr. position: stand in front; monitor interspaces above and below region; forearm on shoulder and hip for thrust arm: pull arm caudad |
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what is the patient position for FRS?
what is the physician's position for FRS? In what direction should the arm be pulled for this technique? |
pt position: flex hip; push legs back forcing the lower body into extension.
dr position: stand in front; monitor interspaces above and below region; forearm on shoulder and hip for thrust arm: pull arm caudad |
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what are the two side lying positions of the doctor for Muscle energy for FRS?
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1) stand in front and push right hip cephalad and anterior (pushing buttock)
2) stand in front; place thigh under legs as a pivot point (bending leg on table) and lift bent legs towards the ceiling |
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In the muscle energy for FRS side lying, what is the patient's position?
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posterior transverse process is DOWN, extend upper trunk to level of dysfunction (push pt back), extend lower trunk until segment below is extended (push butt back), pull lower arm toward you to level of dysfunction
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For muscle energy FRS side lying, which way do you tell the patient to counteract your action?
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press down
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how do you treat an FRS using muscle energy while the patient is seated? (describe pt position and dr. position)
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pt position: extend and side bend to barrier; use the language "move stomach to your _____ thigh"
dr. position: stand/sit behind and monitor interspinous region (place axilla on the shoulder opposite of the dysfunction and have pt cross arms). |
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what is the patient positions for the two options for muscle energy for ERS side lying?
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1) start prone and swipe bent legs towards side of posterior transverse process
-------or-------- 2) posterior transverse process is up, start lateral recumbent, turn chest to table and reach hand to floor. |
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what is the dr.'s position for muscle energy for ERS side lying?
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monitor segment +1 below and push legs downward
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which way is the patient pushing there legs during muscle energy for ERS side lying?
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upwards
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Muscle energy for ERS seated has the same set up for treatment as?
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FRS seated
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what two muscle energy techniques require the patient's posterior transverse process to be up?
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ERS side lying 2 and NRS side lying
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what is the patient's position for muscle energy for NSR side lying?
what is the dr.'s position for muscle energy for NSR side lying? |
pt: posterior TP is up and the pt's legs are flexed.
dr: thumb at apex, anteromedial force, lift legs up toward ceiling |
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what is the patient position for muscle energy for NSR seated?
what is the dr's position? |
pt: opposite hand over rotated side shoulder;
dr: stand opposite of rotation; thumb at apex anteromedial force |
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what is the tender point for counterstrain of anterior Ribs 1?
what is the patient's position for treatment? What is the dr.'s position? |
Tender: inferior to clavicle on chondrosternal articulation
pt: supine, flexed, sidebent and rotated towards tender point dr: seated |
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what is the tender point for counterstrain of anterior Ribs 2?
what is the patient's position for treatment? What is the dr.'s position? |
tender point: superior of second rib, mid clavicular
pt position: supine, flexed, sidebent and rotated towards Tender point. dr: seated |
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what is the tender point for counterstrain of anterior Ribs 3-6?
what is the patient's position for treatment? What is the dr.'s position? |
tender: anterior axillary line
pt position: seated; opposite arm (of pt) over leg (of dr.) with pillow(on top of dr's leg); flexed, sidebent and rotated toward TP. dr: behind; control head |
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what is the tender point for counterstrain of posterior Ribs 2-6?
what is the patient's position for treatment? What is the dr.'s position? |
tender: superior aspect of rib angle
pt position: seated; ipsilareral arm over leg (dr's) with pillow; Flexed, sidebent, rotated AWAY from tender point dr.: behind; control head |
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what is the tender point for counterstrain of posterior Ribs 1?
what is the patient's position for treatment? What is the dr.'s position? |
Tender point: lateral to costotransverse articulation (roll over the anterior side of the trapezius to the medial neck)
pt position: extend, sidebend away and rotate towards tender point dr: seated; support head extension |
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For HVLA of ribs 2-10, what is the patient position?
What is the dr.'s position? what are the steps? |
pt: supine; cross arms- ipsilateral arm on top
dr: stand opposite side of posterior rib with caudad thenar eminence on posterior rib angle steps: flex to rib of dysfunction and SB towards Dr. |
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what are the steps for costal articulatory technique?
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stand at end of table
abduct the ipsilateral arm stabilize inferior rib of pair being treated synchronize with full inspiration max stretch at end rand of motion repeat |
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how do you diagnose the need for costal articulatory technique?
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respiratory circulatory technique
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explain the steps of rib raising.
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stand/sit at side of pt
hands under thorax finger pads on rib angles push up and out (lateral traction) |
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explain BLT for ribs 2-10?
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seated/supine
anterior/posterior compression lateral traction patient rotates away from dr. |
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what is the technique?
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anterior ribs 1 and 2
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what technique is this?
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anterior ribs 3-6
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what technique is this?
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posterior rib 1
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what technique is this?
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posterior ribs 2-6
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How do you treat a superior 1st rib with HVLA?
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dr: stands at head of table with pt supine.
place MP or PIP joint of index finger (for right use right index and vice verse) on the posterior superior surface of tubercle of first rib cup partner's head with left hand and flex to T1 level, rotate away and side bend towards the side of dysfunction. have pt breathe, then direct the force of the thrust towards the opposite nipple. |
