Scribd Logo
Unggah

Selamat datang di Scribd!

  • Counterstrain Tenderpoints

    Diunggah oleh

    Linh Hoang
    481 tayangan6 halaman
    counterstrain tenderpoints

    Judul Asli

    counterstrain tenderpoints

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    DOCX, PDF atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    counterstrain tenderpoints

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    481 tayangan6 halaman

    Counterstrain Tenderpoints

    Diunggah oleh

    Linh Hoang
    counterstrain tenderpoints

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 6
    Table3.6 Common Posterior Costal Tender Points (Jones Term “Elevated Ribs”) Tender Point | Location tio ‘Acronym PRI On posteriorsuperior aspect of Patient seated: Using the cervice e SARL rib just lateral tothe costatrans- thoracic spine, side bend away, rotate verse articulation toward, and slighty extend PR2-6 On the posterior superior angle of Patient seated: Flex, side bend and FSARA the corresponding ris rotate away Table 85 Common Anterior Costal Tender Points (Jones Torm “Depressed Ribs") ‘ender Pont | Location Classic Treatment Position ‘Reronym ART Bolow clavicle atfirstchondroster- | Pationt supine—Using th carvcal- | fFStAT nal articulation thoraci spine tex, side bond and rotate toward the tender point. ARZ On the superior aspect of the ‘Same as above ‘Same as above second rib atthe midelavcular ine ARB ‘nthe dysfunctional ib atthe | Pationt seatod-fiex side bend, and | FFST AT anterior axilary ine rotate toward Table 94 Common Posterior Thoracic Tender Points Location Classic Treatment P Acronym PTi-t2miaine Midline, onthe inferior aspect | Extend to dystuncionallevel | o-€ af the spinous process ofthe | Rotation and side bending are 4ystunetonal segment minimal. Avoid extension of tho acciitatiantal and cervical region PTI-12 posterior On the inferolateral aspect of Extend to dysfunctional level, e-E SARA ‘the deviated spinous process side bend and rotate away ofthe dysfunctional segment | ‘Vertebral rotation opposite the side of spinous process deviation PTI-12 transverse process | On the lateral aspect of the Extend, side bend away, rotate e-E SART transverse process ofthe | toward dysfunctional segment Table93 Common Anterior Thoracic Tent ATI halfway between the umbilicus and pubic symphysis ATI2top of € crest at the midaxillary line Tender Point Location Classic Treatment Position | Acronym AT! midline On episternal notch, midline or just lateral Flex to dysfunctional evel | F ‘AT26midine | Onthe sternum atlevelof corresponding rib Flex to dysfunctional level, | F {mitine or with some degree of sidedness/ ‘with minimal side bending lateralization) and/or rotation AT?-Sbilateral | ATZ:1¢ distance fromtip ofxiphoid and umbilicus | Patient seated FStRA ATB: halfway between tip ofxiphoid and umbilicus | Flex to dysfunctional level, ‘ATS: distance from tip ofxiphoid and umbilicus | side bend toward and rotate torso away ATIO-12bilateral | ATI0:¥ distance from the umbilicus and pubic | Patient supinewithhips | FStRa ‘symphysis ‘and knees flexed; Flexto spinal level, knees {pelvis} toward which fotates torso away; side bond (ankles/foot) toward Table98 Common Posterior Lumbar Tender Points Tender Point | Location Classic Treatment Position ‘Acronym PLS spinous | Onthe inferolateral aspecttip of Patient prone: Extend to spinal level | e-€StRa process the deviated spinous process ofthe | by ling extremity or ASIS on side dysfunctional segment ‘oftender point which also rotates “Vertebral rotation is opposite the side | pelvs/lower segment toward and of spinous process deviation ‘upper segment away, side bend toward (abduct lower extromity) PL1-3 Transverse | On the lateral aspect the transverse | As above eE STRA Process process of the dysfunctional segment Quadrats On the inferior aspect ofthe Zthrib | Hiplthigh extension, abduction, and | EABGER Lumborum (On the lateral tps ofthe lumbartrans- | external rotation. May require side verse processes bending of lumbar spine toward (On the superior aspect of the iliac crest Table 810 Common Posterior Pelvic Tender Points Tender Point Location Classic Treatment Position | Acronym [Upper pote 5 ‘Superior medial surface of the PSIS Hip extension fine-tune with | E add IR/ER uPLs adduction, interna/external rotation High lum sacroiliac | 2-3 emlateraltothe PSIS pressing Hip extension fine-tune with | E Ab ER medially toward the PSIS abduction, external rotation Lower pole ls (On the ilium just inferior to PSIS press- | Hipflexed 90 slightinternal | FIR edd LPs ing superiorly rotation and adduction High ium flare out | Lateral aspect ofthe ILA and/or lateral | Hip extension, adduction EAdd aspect ofthe coceyx | ‘Note: Jones 1 describes three separate | locations for this point: Lateral margin | ofthe coceyx ILA, and inferior aspect of the buttock. Jones 2 calls the ILA point HIF, then drops the point atthe c.oceyx and renames the buttocks point asthe gemeli point. Gluteus medius Upper outer portion ofthe gluteus Hip extension with fir Er abd posterior US La medius atthe level of the PSIS, tuning in abduction and ] PL3—% lateral from PSIStotensor external rotation margin of tensor Pirformis Midpoint between the lowerhalf ofthe | Markedtflexion ofthe hip and | FADAIVER lateral aspectof the sacrum and ILA and the greater trochanter abduction. Fine-tune with ‘external or internal rotation ‘able 9.12 Common Lower Extremity Tender Points a Chesson Psion | Ap eel aee paste me | eee eee [laa Stcrocceememaes | te [eam Taomvacar | Angie nctnedanaro | Wedown stone | FA teat’ | Seguewrvscn sotto Tantoneteg | hie pre gt waiobe | Ren te nsw ronal] FRA Saice” | Rantercnetner” | tietstupeassonar Sombechtattefoms” | trdba and pemarlecanl feeah oregano he = | Saas | uavepnercmcrs | meets tame | Fare Fe oe gl Pr ‘Shen ote eure tr sansa! 2 | tethanvng | iheprwrertigh nesta | Psen tne whiner) | FR Aa Stocets | treatin | uenecapreisee | ‘Semitendinosus down the shaftofthe femur ‘the tibia, and plantar flexion of | | Seowcoconate a Succi: | cncaspeete recon easiest ioralgm rn amram | oecarenci enemy | Gane iipreraornio ie Reacraciosnylenton, | Gettimrt tensa Shermacuipatecety | Aptesenng tre rea Sass poate oo ‘Nate:lassic Jones Table 8.12 Common Lower Extremity Tender Points (Continued) Tender Point Location Classic Treatment Position ‘Acronym Posterior cruciate | Inthe center o slighty belowthe | Place an object/illow under the center ofthe popliteal fossa distal femur to create a fulerum. ‘Apply a shearing force by moving the distal femur posteriorly onthe proximal tibia ‘Note:Ciassic Jones Treatment Popiteus In the belly ofthe popliteus muscle | Slight flexion ofthe knee with FR justinferiortothe popliteal space | internal rotation ofthe tibia Extension ankle Within the proximal gastroc- Marked plantar flexion ofthe ankle ‘gestrocnemi nemius muscles distaltothe with knee flexion popliteal margin ‘Medial ankle tibi- | Inferiorto the medial malleolus Place a fulcrum on the medial INV alis anterior ‘along the deltoid ligament aspect ofthe ankle. Apply an inversion force with slight shear Lateral anklefibu- | Inferior and anteriortothe lateral | piace a fulcrum on the lateral ev lari or peor is | malleolusinthe sinus tarsi(talo- | aspect of the ankle. Apply a ever- longus, brev calcaneal sulcus) sion force with slight shear tertius Flexion calcaneus | Anterior aspectofthe calcaneus | Marked flexion ofthe forefoot F Guadratus plentae | on the plantar surface of he foot | approximating the forefoot to the atthe attachment ofthe plantar | calcaneus fasc Table 22 Common Posterior Cervical Tender Points Tender Poim | Location Classic Treatment Position ‘Acronym PCr Inion (On the inferior nuchal fine ust Flexion of the occipitoatlantal articula- | F lateral tothe inion tion; additional cervical flexion may be necessary Cr lateral ‘Just below nuchel ine midway Extension of occipitost ESe Ra (occiput) with mild compression on the head to reduce myofascial tension of the suboc- cobliquus capitis superior Cipital tissues (sight side bending and rotation away, as needed) C2 lateral (On the inferior nuchal line withinthe | Extension of occipitoatiantal articulation | E Sa Ra (occiput) ssemispinalis capitis muscle associ- | with mid compression on the head to ated with the greater occipitalnerve | reduce myofascial tension ofthe subac-

    Anda mungkin juga menyukai