Strain Counterstrain I
For the Spine
Course Syllabus
Developed and compiled by Randall S. Kusunose, P.T., O.C.S. from the work
and concepts of Lawrence Jones, D.O., F.A.A.O.
Copyright 1995
Artwork by Shanti Del Maestro
7937 Corte Domingo Carlsbad, CA 92009 Phone: (760) 942-0647 Fax: (760) 942-0645
w w w. j i s c s . c o m
Strain Counterstrain I for the Spine
Table of Contents
Introduction................................................................................... 3
Technique......................................................................................5
General Rules................................................................................. 6
Anterior Cervicals...........................................................................8
Posterior Cervicals.........................................................................12
Anterior Thoracics..........................................................................16
Posterior Thoracics.........................................................................20
Anterior Ribs Depressed...............................................................24
Posterior Ribs Elevated.................................................................26
Anterior Lumbars...........................................................................28
Posterior Lumbars..........................................................................32
Anterior Pelvis and Hip...................................................................36
Posterior Pelvis and Hip..................................................................40
Posterior Sacrals............................................................................44
Evaluation...................................................................................... 47
Home Program...............................................................................51
Reference Articles..........................................................................55
2. Second observation:
Tender points are at least four times more tender than the patients normal tissue
to palpation. Push with enough pressure to elicit a mild response from the
patients normal tissue.
FINDING THE POSITION OF COMFORT
Two ways of finding the position of comfort:
1. Patient feedback.
2. Palpating for the mobile point.
Mobile Point Definition:
Point of maximum tissue relaxation beneath your monitoring finger where joint
movement in any direction will increase tissue sensation.
10
ANTERIOR CERVICALS
LC 1
Tender Point:
(p. 46)
Find by palpating the position of the transverse process of C1.
The mastoid process and the transverse process of C1 are
approximated on the involved side. Tender on lateral tip of TP.
Push medially.
Treatment:
Patient supine.
Side-bend - slightly toward the side of the tender point to
exaggerate deformity.
AC 1 (Regular)
Tender Point:
(p. 43)
Posterior surface of ascending ramus of mandible 3 cm superior
to mandibular angle. Approach tender point posteriorly. Push
anteriorly.
Treatment:
Patient supine.
Flexion - or extension-none
Side-bend - away slightly
Rotate - away markedly
Direct the motion of treatment with pressure on top of the head.
AC 1R (Rare exception)
Tender Point:
2 cm anterior to the angle of the mandible along the inferior
surface. Push superiorly and laterally along its inner edge.
Treatment:
AC 2
Tender Point:
posteriomedial.
Treatment:
AC 3
Tender Point:
posteriomedial.
Patient supine
Flexion - marked
Side-bend - toward slightly
Rotate - away
(p. 44)
Anterior surface of tip of C 2 transverse process. Push
Patient supine. Same as AC 1
Flexion - little if any
Side-bend - away slight
Rotate - away
(p.44)
Anterior surface of tip of C 3 transverse process. Push
11
Treatment:
Patient supine
Flexion - marked
Side-bend away, sometimes toward
Rotate - away
12
AC 4
Tender Point:
posteriomedial.
Treatment:
AC 5
Tender Point:
posteriomedial.
Treatment:
AC 6
Tender Point:
(p.44)
Anterior surface of tip of C 4 transverse process. Push
Patient supine
Flexion - slight to moderate, sometimes likes slight extension
Side-bend - away
Rotate - away
(p.44)
Anterior surface of tip of transverse process of C 5. Push
Patient supine
Flexion - moderate
Side-bend - away
Rotate - away
(p.44)
Anterior surface of tip of C 6. Push posteriomedial.
Treatment:
Patient supine
Flexion - moderate
Side-bend - away
Rotate - away
AC 7
Tender Point:
(p. 45)
Posteriorsuperior surface of proximal clavicle. 3 cm lateral to
the medial end. Push inferiorly and anteriorly on the
posterosuperior edge of the clavicle.
Treatment:
Patient supine
Flexion - marked; support lower posterior neck.
Side-bend - toward markedly
Rotate - away slightly
AC 8
Tender Point:
Treatment:
(p. 45)
Medial end of clavicle. Push laterally.
Patient supine
Flexion - slightly
Side-bend - away slightly
Rotate - away markedly
13
TR Trachea
Tender Point:
(p. 48)
Along the sides of the trachea as high as hyoid bone and as low
as suprasternal notch. Push medially. Used to treat chronic
unproductive coughs.
Treatment:
Patient supine
Flexion - marked, support lower neck
Side-bend - toward slightly
Rotate - away slightly
SECTION NOTES:
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14
15
POSTERIOR CERVICALS
PC 1 Inion (Exception)
(p. 39)
Tender Point:
On medial border of main posterior muscle mass of neck
(semispinalis capitis), 3 cm below inion (posterior occipital
protuberance). Push anteriorly.
Treatment:
Patient supine
Flexion - marked (tuck chin)
Side-bend - toward slightly
Rotate - away slightly
PC 1 (Regular)
Tender Point:
(p. 40)
On occiput below nuchal line, lateral to main muscle mass. 3.5
cm from midline. Push anteriomedial.
Treatment:
Patient supine.
Extension - at level of C 1. Lift head to flex lower cervicals,
allowing marked extension of C 1
Side-bend - away slightly
Rotate - away slightly
NOTE:
Augment extension of C 1 by hand pressure on top
of head.
PC 2
Tender Point:
(p. 40)
1. On occiput, below nuchal line, in lateral belly of the main
muscle mass of neck, 1/5 cm lateral to midline. Push anteriorly.
2. Also found on either side of the superior surface of the
spinous process of C 2. Push inferiomedial.
Treatment:
Patient supine
Extension - same as PC 1
Side-bend - away slightly
Rotate - away usually
PC 3 (Exception)
(p. 40)
Tender Point:
On either side of the inferior surface of the spinous process of C
2. Push superiomedial.
Treatment:
Patient supine
Flexion - marked
Side-bend away, sometimes toward
Rotate - away
16
PC 4
Tender Point:
(p. 41)
1. On either side of the spinous process of C 3 in the depression
below the spinous process of 2 C.
2. In muscle mass between C 4 spinous process and C 4
transverse process.
NOTE: Sometimes need to forward bend the neck to find this
point.
Treatment:
PC 5,6,7
Tender Point:
vertebrae above.
Patient supine. In the supine position suspend the head over the
end of the table.
Extension
Side-bend - away
Rotate - away usually
(p. 42)
On either side of spinous processes of the corresponding
Treatment:
Patient supine
Extension - marked
Side-bend - away usually
Rotate - away
NOTE:
The more posterior the head is placed the lower the
action from PC 4 through PT 2.
PC 8
Tender Point:
(p. 42)
Posterior surface of the tip of transverse process of C 7.
Approach anterior to the trapezius at the base of the neck by
palpating posteromedial toward transverse process. Push
anterioinferior on the posterior surface of transverse process.
Treatment:
Patient supine
Extension - slight
Side-bend - away markedly
Rotate - away
SECTION NOTES:
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19
20
21
ANTERIOR THORACICS
AT 1 AT 6 Midline Points
Points
AT 1
Tender Point:
Treatment:
AT 2
Tender Point:
Treatment:
AT 3
Tender Point:
Treatment:
AT 7 AT 12 Bilateral
(p. 57)
AT 4
(p. 57)
Tender Point:
On the body of the sternum at the level of 4th interspace.
Push posteriorly.
Treatment:
AT 5
Tender Point:
(p. 58)
On the body of the sternum at the level of 5th interspace.
Approximately nipple line. Push posteriorly.
Treatment:
22
23
AT 6
Tender Point:
Treatment:
(p. 58)
Xiphisternal junction. Push posteriorly.
Patient seated with arms at side. Same as AT 5 but lower.
Flexion
AT 7
(p. 58)
Tender Point:
1. Under the costochondral margin of 7th rib. Push
superiolateral.
2. 1 cm below the xyphoid. 1 cm lateral to midline.
Treatment:
AT 8
Tender Point:
Treatment:
AT 9
Tender Point:
posterior.
Treatment:
AT 10
60)
Tender Point:
posterior.
Treatment:
(p. 58)
2 cm below AT 7. 1.5 cm lateral to midline. Push posterior.
Same as AT 7
(p. 60)
Just above umbilicus. 1.5 cm lateral to midline. Push
Same as AT 7
(p.
Just below the umbilicus. 1.5 cm lateral to midline. Push
1. Patient supine. Raise the head of the table. Rest patients
flexed legs on operators thigh. Operator stands on side of the
tender point. Produce marked flexion at the level of dysfunction.
Side-bend - toward
Rotate - toward
2. Straight table technique. Patient supine if needed. Place
pillows under hips of patient to obtain flexion of pelvis and
lumbar spine. Then proceed as above.
24
AT 11
Tender Point:
midline.
(p. 60)
Suprapubic region at the level of the ASIS. 2 cm lateral to
Treatment:
AT 12
Tender Point:
(p. 60)
Crest of ilium at mid-axillary line. On inner table of iliac crest.
Roll palpating finger over the top and push inferiorly.
Treatment:
SECTION NOTES:
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27
POSTERIOR THORACICS
Thoracics 1-5 often have the most sensitive points on the sides of the spinous
processes. The lower thoracic tender points are usually most sensitive
paravertebrally or just lateral to spinous processes. At the thoracolumbar junction
the most sensitive tender points are found on the posterior tips of the transverse
processes or spinous process tender points will be the most tender.
With posterior thoracics, the closer the tender point is to the midline the more
force in extension is needed. The farther the tender point is from the midline, the
more side bending is needed.
PT 1-2
51)
Tender Point:
Treatment:
(p.
On the sides of the spinous processes of T 1 and T 2.
Sometimes PT 1 also has a tender point at the elbow 5 cm
above lateral epicondyle.
Patient prone with the arms along side body. May also be
treated supine with the head hanging off the end of the table.
Extension - if prone, cradle side of face in flat of hand, extend to
level.
Side-bend - away
Rotate - away
PT 3,4,5
(p. 51 &
52)
Tender Point:
Treatment:
Patient prone with the arms resting along side of head, in diving
position.
Extension- Cradle side of face in flat of your hand. Extend to
level
Side-bend - away
Rotate - away
PT 6,7,8,9
Tender Point:
common.
Treatment:
(p. 52)
Lateral to spinous processes in paravertebral area is most
Side-bend - away
Rotate - away
Alternate Technique
Treatment:
Patient prone. Arm of tender point side along side of head.
Operator stands adjacent to patients head and grasps tender
point side axilla. Axilla is pulled up in a cephalad direction.
Extension moderate
Side-bend is major force away
Rotate - toward
29
PT 10,11,12
Tender Point:
Treatment:
PL 1-5
(p. 53 & 72)
Lateral to spinous processes or on posterior aspect of
transverse processes is most common.
Patient is prone. Raise cephalic end of table to extend to level.
Pull back on anterior pelvis on tender point side to side-bend
and rotate.
Extension- primarily motion with midline tender points.
Side-bend - away, slight with midline points. More side-bending
required with lateral points.
Rotate - toward, 30-45 degrees
SECTION NOTES:
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31
32
33
Patient supine
Flexion - mild cervical
Rotate - toward markedly
Side-bend - toward. This is the greatest force applied. Point
patients chin toward the tenderpoint.
(p.
Patient sitting
Flexion - sitting is enough
Side-bend - toward tender point. Support patients opposite
axilla on the knee of the operator who stands behind him. Sidebend toward by gently translating patients trunk away from
tender point side. Can increase side-bending toward by asking
patient to place feet on the plinth on the tender point side. (side
sitting)
Rotate - toward. Let involved side arm hang behind patient to
augment rotation.
RIBS INTERSPACE
INT 4 INT 6 Interspace Rib Dysfunctions
(p. 59)
(also called anterior lateral thoracics) Fourth through Sixth
Tender Point:
Treatment:
35
36
SECTION NOTES:
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39
ANTERIOR LUMBARS
AL 1
(p. 60)
Tender Point:
Medial surface of anterior superior iliac spine. Push
laterally, inch deep.
Treatment:
AL 2
(p. 73)
Tender Point:
Inferior-medial surface of anterior inferior iliac spine. Push
superiolateral.
Treatment:
AbL 2 Abdominal
Tender Point:
Treatment:
(p. 74)
5 cm lateral to umbilicus. Push posteriorly.
Patient supine. Operator stands on same side as tender point.
Flexion - more than regular AL 2.
Rotate knees toward tender side 60 degrees
Side-bend - away by elevating feet upwards
AL 3
Tender Point:
medially.
Treatment:
(p. 75)
Lateral surface of anterior inferior iliac spine. Push
AL 4
(p. 75)
40
Tender Point:
Inferior surface of anterior inferior iliac spine. Push
superiorly.
Treatment:
41
AL 5
Tender Point:
(p. 70)
Anterior surface of pubic bone, 1.5 cm lateral to pubic
symphysis. Push posteriorly on tender point.
Treatment:
SECTION NOTES:
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42
43
44
POSTERIOR LUMBARS
PL 3 Iliac
Tender Point:
(p. 71)
3 cm below margin of ilium and about 7 cm lateral to posterior
superior iliac spine. Push anteriorly.
Treatment:
PL 4 Iliac
Tender Point:
(p. 71)
4 cm below margin of ilium and just posterior to the border of
the tensor fascia lata. Push anteriomedial.
Treatment:
QL Quadratus Lumborum
(Not in
book)
Tender Point:
1. On the lateral tips of the transverse processes of L2-L4.
Push medially.
2. In the angle between the transverse process of L1 and the
12th rib. Push anteriorly.
Treatment:
SECTION NOTES:
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46
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47
48
49
Patient supine
Flex hip 130 degrees
Abduct 0 degrees
Rotate 0 degrees
Patient supine
Flex hip 90 degrees
Abduct moderate
Rotate external, little or none
50
IL Iliacus
Tender Point:
(p. 87)
4 cm medial and caudad to ASIS (Anterior Superior Iliac Spine)
in iliac fossa. Push in all directions to check fossa area.
Treatment:
Add Adductors
Tender Point:
(p. 89)
Origin of adductors to pubic bone and along the length of the
belly of muscle.
Treatment:
Patient supine
Adduction marked. Cross leg of affected side over top of
opposite leg.
Flexion slight
Treatment:
Patient supine
Flexion hip to 90 degrees
Abduction slight
Rotate marked internal
52
53
54
(p.
Patient prone
Extension hip supported on operators thigh
Abduction slight
(p.
Tender Point:
Treatment:
PIR Piriformis
92)
Tender Point:
Treatment:
Patient prone
Flexion slight or possible slight extension
Abduction of hip, is the major component
(p.
In belly of piriformis muscle, on a line between the lateral
border of sacrum and greater trochanter. Push anteriorly.
1. Similar to LP 5 (Lower Pole 5th)
Patient prone. Operator is seated on tender point side. Leg on
the tender point side suspended off table, with patients foreleg
resting on operators thigh.
Flexion hip approximately 90 degrees
Abduct hip horizontally
55
56
LT Lateral Trochanter
(p. 93)
Tender Point:
12 cm below trochanter on lateral side of the shaft of the femur.
Push medially.
Treatment:
Patient prone
Abduction hip
Rotate hip, internal or external rotation, slight.
GM Gluteus Medius
91)
(p.
57
Tender Point:
Treatment:
58
59
60
POSTERIOR SACRALS
PS 1
Tender Point:
Treatment:
(p. 85)
1.5 cm medial to the inferior aspect of the PSIS bilaterally.
Patient prone. Apply a downward pressure with heel of hand on
the opposite corner of the sacrum (sacral apex) from which the
tender point is found. Produces a backward torsion around an
oblique axis.
PS 2
Tender Point:
spines.
Treatment:
PS 3
Tender Point:
spines.
Treatment:
(p. 85)
Midline on sacrum between the second and third sacral
PS 4
Tender Point:
Treatment:
(p. 85)
Midline on sacrum between the first and second sacral
(p. 85)
Midline on sacrum just above the sacral hiatus.
PS 5
(p. 85)
Tender Point:
1 cm medial and 1 cm superior to the inferior lateral
angles bilaterally.
Treatment:
61
Treatment:
Strain
Counterstrain
Evaluation
62
63
NAME:____________________________________
DATE:_________________
1
POS
CERV
IN
PC1
PC2
2
ANT RIBS
AR1
AR2
AR3
POS RIBS
PR1
PR2
PR3
KNEE
MM
MH
PCL
PC2
AR4
PR4
ACL
SH
PC3
PC4
AR5
AR6
INT
4
INT
5
INT
6
ANT LUM
PR5
PR6
PTE
LM
MC
LC
LH
SUB
SO
PL1
PAT
LD
PL2
PL3
PES
ANKLE
ADD
PAC
IO
MA
S
STY
PL4
UP
5
LAN
SUP
FRO
EXA
MTS2
LC
LP5
QL
POS
PELVIS
HISI
HFO
MPSI
MAN
FAN
LTS2
POS
ZY
SQ
TS3
TMJ
TMI
TRP
PA
PO
PC5
PC6
PC7
PC8
ANT
C
E
R
V
AL1
AC1
AC1
R
AC2
AL2
AC3
AC4
AC5
AC6
AL4
AL5
ANT PELVIS
LISI
LIF
O
IL
ING
POS THOR
ABL
2
AL3
AC7
AC8
LC1
TRA
ANT
T
H
O
R
AT1
POS LUM
TAL
FMC
FOOT
MCA
POS SAC
PS1
PS2
PS3
LCA
FCA
DCU
NAV
PT1
PS4
CUB
PT2
PS5
H.NA
V
SHLDR
AAC
BUR
LH
6
CRANIAL
OM
SB
SP
LA
M
CO
R
NAS
ELBOW
RAD
CND
MOL
LOL
WRIST
64
AT2
AT3
AT4
AT5
AT6
AT7
AT8
AT9
AT10
AT11
AT12
PT3
PT4
PT5
PT6
PT7
PT8
PT9
PT11
PT12
CYX
ANT HIP
AMT
ALT
ADD
GMI
POS HIP
PIR
PLT
PMT
LT
GME
M1
M2
M3
M4
M5
DM1
DM2
DM3
DM4
DM5
BUN
PWR
DWR
HAND
CM1
INT
ECM
65
NAME:___________________________________
_________
DATE: 1.
DATE: 2.
_________
DATE: 3.
_________
DATE: 4.
_________
ANTERIOR CERVICAL
L1C
A1C
A1CR
A2C
A3C
A4C
A5C
A6C
A7C
A8C
TRA
RIGHT
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L1C
A1C
A1C
R
A2C
A3C
A4C
A5C
A6C
A7C
A8C
TRA
POSTERIOR CERVICAL
LEFT
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ACOL
2
ACOL
3
ACOL
4
ACOL
5
ACOL
6
[]
[]
[]
[]
[]
LEFT
ACOL [] []
2
[]
ACOL [] []
3
[]
ACOL [] []
4
[]
ACOL [] []
5
[]
ACOL [] []
6
[]
A2T
[]
[]
[]
[]
[]
[]
[]
A4T
A5T
[]
[]
P2C
P3C
P4C
P5C
P6C
P7C
P8C
[]
[]
[]
[]
[]
[]
[]
[]
[]
1N []
[]
[]
[]
P1C []
[]
[]
[]
P2C []
[]
[]
[]
P3C []
[]
[]
[]
P4C []
[]
[]
[]
P5C []
[]
[]
[]
P6C []
[]
[]
[]
P7C []
[]
[]
[]
P8C []
[]
[]
[]
[]
[]
[]
[]
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[]
ANTERIOR THORACIC
A1T
P1C
LEFT
[]
1N
RIGHT
[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
PCOL
2
PCOL
3
PCOL
4
PCOL
5
PCOL
6
LEFT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
POSTERIOR THORACIC
[]
[]
[]
[]
[]
P1T
RIGHT
[] []
[]
P1T
LEFT
[] []
[]
66
A3T
A7T
A8T
A9T
A10T
A11T
A12T
[]
[]
[]
[]
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
[]
[]
A6T
A7T
A8T
A9T
A10T
A11T
A12T
[]
[]
[]
[]
LEFT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
P2T
P3T
[]
[]
[]
[]
[]
[]
P4T
P5T
P6T
P7T
P8T
P9T
P10T
P11T
P12T
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
P2T
P3T
P4T
P5T
P6T
P7T
P8T
P9T
P10T
P11T
P12T
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
SCALENES
RIGHT
[] []
SCA2
[]
[] []
SCA3
[]
[] []
SCA4
[]
[]
[]
[]
LEFT
[] []
SCA2
[]
[] []
SCA3
[]
[] []
SCA4
[]
[]
[]
[]
RIGHT
[] []
SCA5
[]
[] []
SCA6
[]
[] []
SCA7
[]
[]
[]
[]
SCA5
SCA6
SCA7
LEFT
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
67
NAME:___________________________________
_________
DATE: 1.
DATE: 2.
_________
DATE: 3.
_________
DATE: 4.
_________
THORACO-LUMBAR ERECTOR
SPINAE
TLES6
TLES7
TLES8
TLES9
TLES1
0
TLES1
0
TLES1
1
TLES1
2
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
[]
[]
[]
TLES6
TLES7
TLES8
TLES9
TLES1
0
TLES1
0
TLES1
1
TLES1
2
LEFT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
TRANSVERSOSPINALIS
[]
[]
[]
[]
[]
[]
[]
[]
ANTERIOR RIBS
A1R
A2R
A3R
A4R
A5R
A6R
INT
4
INT
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
LEFT
[]
[]
[]
[]
[]
[]
[]
[]
RIGHT
[] []
TRAN1
[]
[] []
TRAN2
[]
[] []
TRAN3
[]
[] []
TRAN4
[]
[] []
TRAN5
[]
[] []
TRAN6
[]
[] []
TRAN7
[]
[] []
TRAN8
[]
[] []
TRAN9
[]
TRAN1 [] []
0
[]
TRAN1 [] []
1
[]
TRAN1 [] []
2
[]
A1R []
[]
[]
[]
A2R []
[]
[]
[]
A3R []
[]
[]
[]
A4R []
[]
[]
[]
A5R []
[]
[]
[]
P1R
A6R []
[]
[]
[]
P2R
INT4 []
[]
[]
[]
P3R
INT5 []
[]
[]
[]
P4R
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
LEFT
[] []
TRAN1
[]
[] []
TRAN2
[]
[] []
TRAN3
[]
[] []
TRAN4
[]
[] []
TRAN5
[]
[] []
TRAN6
[]
[] []
TRAN7
[]
[] []
TRAN8
[]
[] []
TRAN9
[]
TRAN1 [] []
0
[]
TRAN1 [] []
1
[]
TRAN1 [] []
2
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
POSTERIOR RIBS
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
P1R
P2R
P3R
P4R
LEFT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
68
5
INT
6
SA
[]
[]
[]
[]
[]
[]
[]
[]
[]
INT6 []
[]
[]
[]
P5R
SA []
[]
[]
[]
P6R
FRI
B
SPI
ANTERIOR LUMBAR
A1L
A2L
AB2L
A3L
A4L
A5L
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
A1L []
[]
[]
[]
P1L
A2L []
[]
[]
[]
P2L
AB2
[]
L
[]
[]
[]
P3L
A3L []
[]
[]
[]
P4L
A4L []
[]
[]
[]
A5L []
[]
[]
[]
UP5
L
LP5
L
PRL
2
ANTERIOR PELVIS
LISI
LIFO
IL
ING
FLS
PD
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
P5R
P6R
FRI
B
SPI
[]
[]
[]
[]
[]
[]
[]
[]
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
[]
[]
P1L
P2L
P3L
P4L
UP5
L
LP5
L
PRL
2
LEFT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
[]
[]
POSTERIOR PELVIS
LEFT
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
POSTERIOR LUMBAR
LEFT
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
HI-ILSI
HFOSI
LISI []
[]
[]
[]
LIFO []
[]
[]
[]
IL []
[]
[]
[]
MPSI
ING []
[]
[]
[]
OI
FLS []
[]
[]
[]
GMX
PD []
[]
[]
[]
RIGHT
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[] []
[]
[]
[]
[]
[]
[]
LEFT
[] []
HI-ILSI
[]
[] []
HFOSI
[]
[] []
MPSI
[]
[] []
OI
[]
[] []
GMX
[]
[] []
[]
[]
[]
[]
[]
[]
[]
69
Strain
Counterstrain
Home Program
70
POSTERIOR CERVICALS
Lying: Palpate point on posterior spine. Slide your head
slowly off the edge of the bed allowing the neck to gently
extend. Turn head away from the painful side until
tenderness diminishes. Remember: This position must feel
comfortable.
POSTERIOR THORACICS
Lying: Prop pillows under your chest to create increased
extension in the upper to middle back. Raise arms up over
pillows. Turn head away from the side of the point until
you find a comfortable position.
ILIACUS
Lying: Palpate point in the lower abdomen. Lie in front of a
sofa with a pillow beneath your buttock. Place your feet on
the sofa with the bottoms together. Allow your knees to
fall gently out to the sides until the tenderness diminishes
and you feel relaxed.
ANTERIOR LUMBARS
Lying: Palpate point on the lateral pelvic bones. Lie in front
of a sofa with a pillow beneath your buttocks. Place your
feet on the sofa. Allow your knees to fall slowly away from
the side of the point until the tenderness diminishes.
PIRIFORMIS
Lying: Lie on your stomach so that the affected side is
nearest to the edge of the bed. Draw the affected hip up
until you have close to a 90-degree angle at the hip.
Adjust the hip out to the side while supported on the bed
until you find a comfortable position.
72
73
Reference
Articles
74
75
76
77
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79
80
81
82
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86
87
88
89
90
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